Alcohol use trajectories among U.S. adults during the first 42 weeks of the COVID-19 pandemic.
Alcohol use trajectories among U.S. adults during the first 42 weeks of the COVID-19 pandemic.
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DOI：
10.1111/acer.14824
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发表时间：
2022-06
期刊：
影响因子：
--
通讯作者：
Whaley, Reid C.
中科院分区：
文献类型：
--
作者：
Leventhal, Adam M.;Cho, Junhan;Ray, Lara A.;Pacula, Rosalie Liccardo;Lee, Brian P.;Terrault, Norah;Pedersen, Eric;Lee, Jungeun Olivia;Davis, Jordan P.;Jin, Haomiao;Huh, Jimi;Wilson, John P.;Whaley, Reid C.
这项研究描述了在COVID-19大流行的前42周内具有不同饮酒轨迹的美国成年亚群的患病率，饮酒模式和社会人口特征。在一项具有全国代表性的前瞻性纵向研究中，成年受访者（n = 8130）完成了21次双周网络调查（2020年3月至2021年1月）。在每个时间点评估过去一周饮酒频率（饮酒天数[范围：0 - 7]）和强度（过去一周通常饮酒日的暴饮暴食[是/否]）。增长混合模型确定了多个亚群的基础上平均饮酒天数或酗酒比例概率随时间的均匀饮酒轨迹。确定了四种饮酒频率轨迹：最小/稳定（72.8% [95% CI = 71.8至73.8]），整个期间过去一周平均饮酒天数<1天;中度/晚期减少（6.7% [95%CI = 6.2至7.3），3月平均饮酒天数为3.13天，夏季减少，到2021年1月达到2.12天;中度/早期增加（12.9% [95%CI = 12.2至13.6]），3月平均饮酒天数为2.13天，4月增加，然后趋于平稳，2021年1月平均饮酒天数为3.20天;接近每日/早期增加（7.6% [95% CI = 7.0 - 8.2]），平均3月饮酒天数为5.58天，持续增加，未恢复至基线。确定了四种饮酒强度轨迹：最小/稳定（85.8% [95% CI = 85.0%至86.5%]），整个过程中酗酒概率<0.01;低至中度/波动（7.4% [95% CI = 6.8%-8%]），各时间点的狂欢概率不同（范围：0.12 - 0.26）;中度/中度增加（4.2% [95%CI = 3.7%至4.6%]），4月0.39日的暴饮概率在8月至9月期间上升至0.65，未恢复至基线;高/早期增加轨迹（2.7% [95% CI = 2.3%至3%]），6月时，狂饮概率从0.84上升至0.96，未恢复至基线。男性，白人，中年/老年人，大学学位获得者，那些持续工作的人，以及那些在贫困线以上的人在各种增加（与最小/稳定）的频率轨迹中比例过高。男性，白人，未婚，没有大学学位，18至39奥尔兹和中年人在增加（与最小/稳定）强度轨迹中的代表性过高。在大流行的前42周内，几个不同的美国成年社会人口亚群似乎已经养成了新的饮酒模式。在COVID-19时代，频繁饮酒评估可以改善个性化医疗和人口健康工作，以减少饮酒。这项研究表明，在某些美国成年人亚群中，饮酒量的增加是一个关键的公共卫生问题。研究结果表明，在大流行期间，患者的饮酒水平可能会发生实质性变化，这要求临床医生可能需要更频繁地评估患者的饮酒情况。在大流行期间获得的饮酒模式增加，在一些亚群的9个多月随访中持续存在。如果这种饮酒模式继续下去，应优先采取人口健康干预措施，以防止未来酒精相关疾病负担的加重。
This study characterized the prevalence, drinking patterns, and sociodemographic characteristics of U.S. adult subpopulations with distinct drinking trajectories during the COVID‐19 pandemic's first 42 weeks. Adult respondents (n = 8130) in a nationally representative prospective longitudinal study completed 21 biweekly web surveys (March 2020 to January 2021). Past‐week alcohol drinking frequency (drinking days [range: 0 to 7]) and intensity (binge drinking on usual past‐week drinking day [yes/no]) were assessed at each timepoint. Growth mixture models identified multiple subpopulations with homogenous drinking trajectories based on mean drinking days or binge drinking proportional probabilities across time. Four drinking frequency trajectories were identified: Minimal/stable (72.8% [95% CI = 71.8 to 73.8]) with <1 mean past‐week drinking days throughout; Moderate/late decreasing (6.7% [95% CI = 6.2 to 7.3) with 3.13 mean March drinking days and reductions during summer, reaching 2.12 days by January 2021; Moderate/early increasing (12.9% [95% CI = 12.2 to 13.6) with 2.13 mean March drinking days that increased in April and then plateaued, ending with 3.20 mean days in January 2021; and Near daily/early increasing (7.6% [95% CI = 7.0 to 8.2]) with 5.58 mean March drinking days that continued increasing without returning to baseline. Four drinking intensity trajectories were identified: Minimal/stable (85.8% [95% CI = 85.0% to 86.5%]) with <0.01 binge drinking probabilities throughout; Low‐to‐moderate/fluctuating (7.4% [95% CI = 6.8% to 8%]) with varying binge probabilities across timepoints (range:0.12 to 0.26); Moderate/mid increasing (4.2% [95% CI = 3.7% to 4.6%]) with 0.39 April binge drinking probability rising to 0.65 during August–September without returning to baseline; High/early increasing trajectory (2.7% [95% CI = 2.3% to 3%]) with 0.84 binge drinking probability rising to 0.96 by June without returning to baseline. Males, Whites, middle‐aged/older adults, college degree recipients, those consistently working, and those above the poverty limit were overrepresented in various increasing (vs. minimal/stable) frequency trajectories. Males, Whites, nonmarried, those without college degree, 18 to 39‐year‐olds, and middle aged were overrepresented in increasing (vs. minimal/stable) intensity trajectories. Several distinct U.S. adult sociodemographic subpopulations appear to have acquired new drinking patterns during the pandemic's first 42 weeks. Frequent alcohol use assessment in the COVID‐19 era could improve personalized medicine and population health efforts to reduce drinking. This study reveals that escalating drinking in certain U.S. adult subpopulations is a critical public health issue. The findings indicate that patients’ drinking levels were liable to substantially change during the pandemic, calling for a potential need for clinicians to assess patients’ alcohol use more frequently. Heightened drinking patterns acquired during the pandemic endured through 9+ months of follow‐up for some subpopulations. If such drinking patterns continue, population health interventions to prevent future exacerbation of alcohol‐related disease burden merit priority.
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DOI：
10.1097/00000374-200006000-00020
发表时间：
2000-06-01
影响因子：
3.2
作者：
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通讯作者：
Muthén, LK
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DOI：
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发表时间：
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影响因子：
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作者：
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通讯作者：
HOCHBERG, Y
DOI：
10.1080/10705510701575396
发表时间：
2007-01-01
影响因子：
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DOI：
10.1111/add.15295
发表时间：
2021-05
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
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通讯作者：
Brown J