In-Person Contacts and Their Relationship With Alcohol Consumption Among Young Adults With Hazardous Drinking During a Pandemic

In-Person Contacts and Their Relationship With Alcohol Consumption Among Young Adults With Hazardous Drinking During a Pandemic
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DOI:
10.1016/j.jadohealth.2020.08.007
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发表时间:
2020-11-01
影响因子:
7.6
通讯作者:
Chung, Tammy
Chung, Tammy
中科院分区:
医学2区
文献类型:
--
作者:
Suffoletto, Brian;Ram, Nilam;Chung, Tammy

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目的:社会距离策略,如“呆在家里”(SAH)的命令可以减缓传染性病毒的传播,如SARS-CoV-2病毒,但需要人口的遵守是有效的。本研究探讨了危险饮酒的年轻人对SAH医嘱的依从性,以及与人接触的酒精消费对依从性的作用。方法:分析包括危险饮酒的年轻人(即,AUDIT-C评分>= 3/4的女性/男性; n = 50;年龄18-25)参加在宾夕法尼亚州匹兹堡的随机试验。参与者提供了从2020年4月1日开始SAH订单前一周到SAH期间6周每周饮酒两次的经验采样报告。我们研究了与非家庭朋友的面对面接触如何随着时间的推移而变化,以及饮酒与面对面接触之间的事件水平关系。在SAH前一周内有任何面对面接触的参与者比例为44%(95%置信区间[CI] 30%-59%),在第一个SAH周降低至29%(95% CI 15%-43%),到SAH第6周增加至65%(95% CI 46%-85%)。控制酒精消费的平均水平,在年轻人喝酒的日子里,参与者报告更多的人接触相比nondrinking day.Conclusions:初步数据表明,在年轻人与危险饮酒,遵守公共政策,如SAH订单是次优的,随着时间的推移下降,并与饮酒事件。迫切需要采取干预措施,加强年轻人对社交距离政策的遵守。(C)2020年青少年健康和医学协会。All rights reserved.
Purpose: Social distancing strategies such as "stay-at-home" (SAH) orders can slow the transmission of contagious viruses like the SARS-CoV-2 virus, but require population adherence to be effective. This study explored adherence to SAH orders by young adults with hazardous drinking, and the role of alcohol consumption with in-person contacts on adherence.Methods: Analyses included young adults with hazardous drinking (i.e., AUDIT-C score >= 3/4 for women/men; n = 50; ages 18-25) participating in a randomized trial in Pittsburgh, PA. Participants provided experience sampling reports on drinking twice per week from the week before SAH orders started on April 1, 2020 through 6 weeks during the SAH period. We examined how in-person contact with non-household friends changed over time and event-level relationships between alcohol consumption and in-person contacts.Results: The percentage of participants with any in-person contact in the week before SAH was 44% (95% confidence interval [CI] 30%-59%), which decreased to 29% (95% CI 15%-43%) in the first SAH week and increased to 65% (95% CI 46%-85%) by SAH week 6. Controlling for average levels of alcohol consumption, on days when young adults drank, participants reported more in-person contacts compared to nondrinking days.Conclusions: Preliminary data indicate that, among young adults with hazardous drinking, adherence to public policies like SAH orders is suboptimal, declines over time, and is associated with drinking events. Interventions aimed at enhancing young adults' adherence to social distancing policies are urgently needed. (C) 2020 Society for Adolescent Health and Medicine. All rights reserved.