Assessing international alcohol consumption patterns during isolation from the COVID-19 pandemic using an online survey: highlighting negative emotionality mechanisms.
Assessing international alcohol consumption patterns during isolation from the COVID-19 pandemic using an online survey: highlighting negative emotionality mechanisms.
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DOI：
10.1136/bmjopen-2020-044276
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发表时间：
2020-11-26
期刊：
影响因子：
2.9
通讯作者：
Voon V
中科院分区：
文献类型：
--
作者：
Sallie SN;Ritou V;Bowden-Jones H;Voon V
新冠肺炎疫情要求采取严厉的安全措施来控制病毒传播，包括延长自我隔离期。在酒精使用障碍(AUD)和非AUD饮酒者中，压力环境会增加饮酒欲望和饮酒。因此，我们评估了新冠肺炎相关压力可能如何影响普通人群的饮酒行为。我们开发了一个在线横断面调查，名为习惯跟踪器(Habit)，它衡量了新冠肺炎隔离之前和期间饮酒行为的变化。我们还评估了诸如焦虑、抑郁(医院焦虑和抑郁量表)和冲动(短期冲动行为量表)等精神因素。最后，我们将饮酒行为与新冠肺炎特有的压力因素联系起来。习惯在全球范围内发布，来自83个国家的个人参与其中。如果参与者年龄在18岁或以上，并确认他们精通英语，就会被包括在内。这项调查由2873名成年人完成，有1346个可用数据(46.9%准确完成)。主要结果指标是隔离前和隔离期间饮酒行为的数量和严重程度的变化，以及隔离期间的当前饮酒严重程度。虽然在隔离期间饮酒行为总体上减少了，但36%的人报告饮酒增加了。在隔离期间增加饮酒的有：老年人(95%CI 0.0001.0 4至0.1，p<；0.0001)、基础工作人员(95%CI−0.5 8至−0.1，p=0.0 1)、有儿童的个人(95%CI−12.46至0.0，p=0.003)、与新冠肺炎重病患者有私人关系的人(95%CI−2至−0.38，p=0.0 1)和抑郁程度较高的人(95%CI 0.67至1.45，p<；焦虑(95%可信区间0.0001.61~1.5，p=0.0002)和积极紧迫感冲动(95%可信区间0.16~0.72，p=0.009)。此外，国家一级的亚样本分析表明，在隔离期间，英国的饮酒量(95%可信区间为9.36%至13.13%，p=0.003)有所增加。我们的发现强调了在自我隔离期间识别那些容易酗酒的人的作用，并强调了压力驱动的饮酒行为背后的负面情绪的理论机制。限制包括很大程度的辍学(n=1515)。未来的研究应该评估隔离对饮酒行为的长期影响。
The COVID-19 pandemic has required drastic safety measures to control virus spread, including an extended self-isolation period. Stressful situations increase alcohol craving and consumption in alcohol use disorder (AUD) and non-AUD drinkers. Thus, we assessed how COVID-19 related stress may have affected drinking behaviours in the general population. We developed an online cross-sectional survey, Habit Tracker (HabiT), which measured changes in drinking behaviours before and during COVID-19 quarantine. We also assessed psychiatric factors such as anxiety, depression (Hospital Anxiety and Depression Scale) and impulsivity (Short-Impulsive Behavior Scale). Lastly, we related drinking behaviours to COVID-19 specific stress factors. HabiT was released internationally, with individuals from 83 countries participating. Participants were included if they were 18 years of age or older and confirmed they were proficient in English. The survey was completed by 2873 adults with 1346 usable data (46.9% accurately completed). Primary outcome measures were change in amount and severity of drinking behaviours before and during quarantine, and current drinking severity during quarantine. Although drinking behaviours decreased overall during quarantine, 36% reported an increase in alcohol use. Those who increased alcohol use during quarantine were older individuals (95% CI 0.04 to 0.1, p<0.0001), essential workers (95% CI −0.58 to −0.1, p=0.01), individuals with children (95% CI −12.46 to 0.0, p=0.003), those with a personal relationship with someone severely ill from COVID-19 (95% CI −2 to −0.38, p=0.01) and those with higher depression (95% CI 0.67 to 1.45, p<0.0001), anxiety (95% CI 0.61 to 1.5, p=0.0002), and positive urgency impulsivity (95% CI 0.16 to 0.72, p=0.009). Furthermore, country-level subsample analyses indicated that drinking amount (95% CI 9.36 to 13.13, p=0.003) increased in the UK during quarantine. Our findings highlight a role for identifying those vulnerable for alcohol misuse during periods of self-isolation and underscore the theoretical mechanism of negative emotionality underlying drinking behaviours driven by stress. Limitations include a large degree of study dropout (n=1515). Future studies should assess the long-term effects of isolation on drinking behaviours.
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影响因子：
3.4
作者：
Dick DM;Smith G;Olausson P;Mitchell SH;Leeman RF;O'Malley SS;Sher K
通讯作者：
Sher K
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DOI：
10.1111/j.2517-6161.1995.tb02031.x
发表时间：
1995-01-01
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作者：
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