Alcohol and other substance use during the COVID-19 pandemic: A systematic review.

Alcohol and other substance use during the COVID-19 pandemic: A systematic review.
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DOI:
10.1016/j.drugalcdep.2021.109150
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发表时间:
2021-12-01
影响因子:
4.2
通讯作者:
Law GR
Law GR
中科院分区:
医学2区
文献类型:
--
作者:
Roberts A;Rogers J;Mason R;Siriwardena AN;Hogue T;Whitley GA;Law GR

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尽管有证据表明,在Covid-19大流行期间,物质和酒精的使用可能会发生变化,但尚未对这方面的证据进行全面审查。对所有现有证据进行了系统审查,以记录和解释2019冠状病毒病大流行期间酒精和其他物质使用的频率和严重程度,以及它们与可能提示进一步临床意义的人口和心理健康变量的关系。检索了MEDLINE、Embase、PsycINFO、CINAHL complete和Sociological Abstracts中2019年12月至2020年11月的同行评议文章。搜索和筛选从513条重复数据删除记录中确定了45篇文章。证据表明,饮酒的情况好坏参半。总的来说,酒精消费量有增加的趋势。在大流行期间,一般人群样本中饮酒的比例为21.7%至72.9%。与酒精使用不同,在2019冠状病毒病大流行期间,其他物质的使用有明显增加的趋势。大流行期间,一般人群中使用其他药物的比例为3.6%至17.5%。心理健康因素是酒精和其他物质使用增加的最常见相关因素或触发因素。在大流行期间,越来越需要治疗与酒精和其他药物使用有关的问题。在本次大流行之后的一段时间内,增加针对性和循证干预措施也很重要,不仅可以改善个人和家庭的生活质量,还可以防止给社会和卫生系统带来额外成本。
Although evidence suggests substance and alcohol use may change during the Covid-19 pandemic there has been no full review of the evidence around this. A systematic review of all available evidence was carried out to document and interpret the frequency and severity of alcohol and other substance use during the Covid-19 pandemic and their relationship to demographic and mental health variables that may suggest further clinical implications. Peer reviewed articles in MEDLINE, Embase, PsycINFO, CINAHL complete and Sociological Abstracts were searched from December 2019 until November 2020. The search and screening identified 45 articles from 513 deduplicated records. The evidence suggests a mixed picture for alcohol use. Overall, there was a trend towards increased alcohol consumption. The proportion of people consuming alcohol during the pandemic ranged from 21.7% to 72.9% in general population samples. Unlike alcohol use, there was a clear trend towards increased use of other substances use during the COVID-19 pandemic. The proportion of people consuming other substances during the pandemic ranged from 3.6% to 17.5% in the general population. Mental health factors were the most common correlates or triggers for increased use of both alcohol and other substances. There is an increased need for treatment for alcohol and other substance use related problems during the pandemic. Increased targeting and evidence-based interventions will also be important in the period which follows this pandemic, to improve the quality of life for individuals and families, but also to prevent additional costs to society and health systems.
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