Alcohol consumption and health-related quality of life in the US during the COVID-19 pandemic: a US national survey.
Alcohol consumption and health-related quality of life in the US during the COVID-19 pandemic: a US national survey.
复制标题
DOI：
10.1186/s41687-022-00516-0
复制
发表时间：
2022-10-10
影响因子：
2.7
通讯作者：
中科院分区：
文献类型：
--
作者：
在新冠肺炎大流行期间，酒精消费发生了变化，但对与酒精相关的结果，特别是与健康相关的生活质量的影响尚不完全清楚。我们的目标是评估新冠肺炎大流行期间饮酒与健康相关生活质量之间的关联。我们在2020年8月至2021年4月期间对三个美国成年人的横断面样本进行了在线/电话调查，收集了饮酒数据-当前饮酒数量/频率和自大流行前以来的变化，HRQOL(使用SF-6D)，以及大流行对受访者生活的感知影响-总体影响和各方面的干扰(失业、学校关闭、社会孤立、收入损失)。我们汇集了三届政府的数据，并应用调查权重来反映美国人口。我们描述了饮酒行为和大流行的影响，并用加权最小二乘法回归了HRQOL对饮酒风险水平(根据世界卫生组织的分类)、自大流行前以来饮酒的变化以及大流行的影响，控制了受访者的人口特征。我们在p值为0.05的情况下使用Wald检验来检验分类变量的显著性。在反映美国人口的3125名受访者中，68%的人报告在大流行期间饮酒，40%的人报告饮酒与大流行前的水平相比发生了变化(要么增加了，要么减少了)。我们样本的平均生存质量为0.721(SD 0.003)。与从不饮酒(大流行前或大流行期间)相比，与从不饮酒相比，饮酒水平的任何变化都独立地与高质量生活质量显著降低有关，从− 减少/停止饮酒的0.0251分到饮酒增加的-0.0406分(联合水平的沃尔德测试F = 10.62，p <； 0.0000)。与新冠肺炎大流行相关的影响/中断与− 0.0834至-0.1340之间的生活质量下降有关(WALD TEST F = 64.34，p <； 0.0000)。在大流行期间，美国人口的生存质量大大低于十年前的报告(2012年至2013年的平均 = 为0.79)。虽然与大流行相关的影响和干扰可能在很大程度上解释了这种减少，但饮酒的变化--以及这种变化的相关影响--也可能起到一定作用。无论是在大流行期间减少饮酒的人，还是增加饮酒量的人，都可能面临较低的HRQOL风险。网上版载有补充材料，可在10.1186/s41687022-00516-0查阅。新冠肺炎的流行促使饮酒方式发生了变化，这种变化可能是积极的，也可能是消极的，具体取决于受影响的人以及影响的方式。在流感大流行期间，我们对3000多名美国成年人进行了一项调查，以了解饮酒和生活质量。我们发现，在大流行期间，美国成年人的生活质量比前几年更差，饮酒量增加或减少的人尤其糟糕。然而，报告受到大流行严重影响的人在生活质量方面也糟糕得多，实际上比饮酒习惯改变的人更糟糕。我们需要注意饮酒与流行病等压力事件的联系，并确保关注改变饮酒方向的人，因为这可能表明潜在的问题。网上版载有补充材料，可在10.1186/s41687022-00516-0查阅。
Alcohol consumption has changed during the COVID-19 pandemic yet the impacts on alcohol-related outcomes, and specifically health-related quality of life, are not completely known. Our objective was to assess the association between alcohol consumption and health-related quality of life (HRQOL) during the COVID-19 pandemic. We conducted an on-line/telephone survey of three cross-sectional samples of US adults during a nine-month stretch of the pandemic, from August 2020 through April 2021, collecting data on drinking—current quantity/frequency and change since prior to pandemic, HRQOL (using the SF-6D), and perceived impact of the pandemic on respondents’ lives—overall impact and disruptions across various dimensions (job loss, school closures, social isolation, loss of income). We pooled the data from the three administrations and applied survey weights to reflect the US population. We described drinking behavior and pandemic impact, and regressed HRQOL on alcohol consumption risk level (per World Health Organization categories), change in drinking since pre-pandemic, and pandemic impact using weighted least squares, controlling for respondents’ demographic characteristics. We tested the significance of categorical variables using Wald tests at a p-value of 0.05. Among 3,125 respondents, weighted to reflect the US population, 68% reported drinking during the pandemic and 40% reported a change in drinking from pre-pandemic level (either increased or decreased). Mean HRQOL among our sample was 0.721 (SD 0.003). Any change in drinking from pre-pandemic level was independently associated with significantly lower HRQOL compared to never drinking (pre or during pandemic), from − 0.0251 points for decreased/stopped drinking to -0.0406 points for increased drinking (combined levels’ Wald test F = 10.62, p < 0.0000). COVID-19 pandemic related impacts/disruptions were associated with HRQOL decrements ranging from − 0.0834 to -0.1340 (Wald test F = 64.34, p < 0.0000). The US population HRQOL was substantially lower during the pandemic than reported a decade earlier (mean = 0.79 in 2012-13). While pandemic-related impacts and disruptions may explain a large part of this decrement, changes in drinking—and the associated implications of such changes–might also play a role. Both individuals who reduced their drinking during the pandemic and those who increased consumption may be at risk of poor HRQOL. The online version contains supplementary material available at 10.1186/s41687-022-00516-0. The COVID-19 pandemic has precipitated changes in drinking that may be positive or negative depending on who is affected and how. We conducted a survey of over 3,000 adults in the US during the middle of the pandemic to understand drinking and quality of life. We found that US adults’ quality of life was worse during the pandemic than in prior years, and people who either increased or decreased the amount that they drank were particularly worse-off. People who reported being severely impacted by the pandemic, however, were also much worse-off in terms of quality of life, and actually more so than people whose drinking habits changed. We need to pay attention to how drinking is connected to stressful events such as the pandemic, and make sure to attend to people who change their drinking in either direction as this may indicate underlying problems. The online version contains supplementary material available at 10.1186/s41687-022-00516-0.