Changes in alcohol use during the COVID-19 pandemic among American veterans.
Changes in alcohol use during the COVID-19 pandemic among American veterans.
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DOI：
10.1016/j.addbeh.2021.107052
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发表时间：
2021-11
影响因子：
4.4
通讯作者：
Pedersen ER
中科院分区：
文献类型：
--
作者：
Davis JP;Prindle J;Castro CC;Saba S;Fitzke RE;Pedersen ER
新冠肺炎疫情在全球范围内对行为健康产生了相当大的影响。美国退伍军人可能是一个特别令人担忧的群体，他们容易受到心理健康和药物使用问题的影响。目前的研究旨在调查美国退伍军人在疫情大流行前和第一年期间饮酒和酗酒的变化，以及大流行前的精神健康障碍，即创伤后应激障碍，以及新冠肺炎相关因素，如孤独感，对新冠肺炎的负面反应，以及经济困难如何影响饮酒趋势。2020年2月招募了1230名退伍军人，作为一项更大规模的退伍军人健康行为调查研究的一部分。退伍军人被要求在整个大流行期间完成6个月、9个月和12个月的后续评估。总体而言，退伍军人报告说，与男性、白人退伍军人和没有创伤后应激障碍的人相比，女性、种族/少数民族退伍军人和既往患有创伤后应激障碍的人在饮酒和酗酒方面的降幅较小，总体使用率较高。经济困难和对新冠肺炎的负面反应都与酗酒和酗酒有关，而孤独与酗酒和酗酒呈负相关。退伍军人报告说，在整个大流行期间，饮酒和酗酒的情况有所减少，这些结果在高危人群中存在异质性。应特别研究和临床关注后大流行时期退伍军人的行为卫生保健需求。
The COVID-19 pandemic has had considerable behavioral health implications globally. One subgroup that may be of particular concern is U.S. veterans, who are susceptible to mental health and substance use concerns. The current study aimed to investigate changes in alcohol use and binge drinking before and during the first year of the pandemic among U.S. veterans, and how pre-pandemic mental health disorders, namely posttraumatic stress disorder (PTSD), and COVID-19-related factors like loneliness, negative reactions to COVID-19, and economic hardship influenced alcohol use trends. 1230 veterans were recruited in February 2020 as part of a larger survey study on veteran health behaviors. Veterans were asked to complete follow-up assessments throughout the pandemic at 6, 9, and 12- months. Overall, veterans reported a significant decrease in alcohol use (IRR = 0.98) and binge drinking (IRR = 0.11) However, women, racial/ethnic minority veterans, and those with pre-existing PTSD exhibited smaller decreases in alcohol use and binge drinking and overall higher rates of use compared to men, White veterans, and those without PTSD. Both economic hardship and negative reactions to COVID-19 were associated with greater alcohol and binge drinking whereas loneliness showed a negative association with alcohol use and binge drinking. Veterans reported decreases in alcohol use and binge drinking throughout the pandemic, with heterogeneity in these outcomes noted for higher risk groups. Special research and clinical attention should be given to the behavioral health care needs of veterans in the post-pandemic period.
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影响因子：
1.2
作者：
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通讯作者：
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DOI：
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发表时间：
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发表时间：
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期刊：
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作者：
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影响因子：
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