Alcohol Misuse, Binge Drinking, and their Associations with Psychosocial Factors during COVID-19 among Harlem Residents in New York City.
Alcohol Misuse, Binge Drinking, and their Associations with Psychosocial Factors during COVID-19 among Harlem Residents in New York City.
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DOI：
10.1007/s11524-023-00738-7
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发表时间：
2023-06
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本研究调查了纽约市哈莱姆区居民中酒精滥用和酗酒的流行情况，以及它们与心理社会因素（如物质使用、抑郁症状严重程度和对COVID-19期间社区警务的看法）的关系。在2021年4月至9月期间，对398名成年居民进行了一项在线横断面研究。在12名酒精使用障碍识别测试中，女性得分至少为3分，男性得分至少为4分的参与者被认为有酒精滥用。狂饮被定义为自我报告一次喝了六杯或更多。修正泊松回归模型用于检验相关性。结果显示，42.7%的人在COVID-19之前使用酒精，69.1%的人在COVID-19期间使用酒精，39%的人在COVID-19期间开始或增加酒精使用。2019冠状病毒病期间酒精滥用和酗酒的患病率分别为52.3%和57.0%。抑郁症状的严重程度、药物使用史和吸烟史以及住房不安全感与酒精滥用和酗酒呈正相关。社区治安满意度较低仅与酒精滥用有关，而就业不安全感和食品不安全感与酒精滥用或酗酒之间没有显著关联。研究结果表明，哈莱姆区的居民可能将饮酒作为应对机制，以应对COVID-19期间抑郁和社会压力的影响。为了减少酒精滥用，改善获得精神健康和药物使用障碍服务的机会，并通过改善与警察的关系来解决公共安全问题，可能是有益的。
This study examined alcohol misuse and binge drinking prevalence among Harlem residents, in New York City, and their associations with psycho-social factors such as substance use, depression symptom severity, and perception of community policing during COVID-19. An online cross-sectional study was conducted among 398 adult residents between April and September 2021. Participants with a score of at least 3 for females or at least 4 for males out of 12 on the Alcohol Use Disorders Identification Test were considered to have alcohol misuse. Binge drinking was defined as self-reporting having six or more drinks on one occasion. Modified Poisson regression models were used to examine associations. Results showed that 42.7% used alcohol before COVID-19, 69.1% used it during COVID-19, with 39% initiating or increasing alcohol use during COVID-19. Alcohol misuse and binge drinking prevalence during COVID-19 were 52.3% and 57.0%, respectively. Higher severity of depression symptomatology, history of drug use and smoking cigarettes, and experiencing housing insecurity were positively associated with both alcohol misuse and binge drinking. Lower satisfaction with community policing was only associated with alcohol misuse, while no significant associations were found between employment insecurity and food insecurity with alcohol misuse or binge drinking. The findings suggest that Harlem residents may have resorted to alcohol use as a coping mechanism to deal with the impacts of depression and social stressors during COVID-19. To mitigate alcohol misuse, improving access to mental health and substance use disorder services, and addressing public safety through improving relations with police could be beneficial.
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