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新冠疫情封锁期间的酒精使用与心理健康:对英国成年人样本的横断面研究。

Alcohol use and mental health during COVID-19 lockdown: A cross-sectional study in a sample of UK adults.

机构信息

Research and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona, 08830, Spain; Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le- Bretonneux, France.

The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, CB1 1PT, United Kingdom.

出版信息

Drug Alcohol Depend. 2021 Feb 1;219:108488. doi: 10.1016/j.drugalcdep.2020.108488. Epub 2020 Dec 28.

DOI:10.1016/j.drugalcdep.2020.108488
PMID:33383352
原文链接:
https://pmc.ncbi.nlm.nih.gov/articles/PMC7768217/
Abstract

BACKGROUND

The aim was to examine the correlates of increased alcohol consumption during the COVID-19 pandemic-related restrictions that were implemented in a sample of UK adults.

METHODS

This paper presents analyses of data from a cross-sectional study. Adults aged 18 years and over, residing in the UK and self-isolating from others outside their own household were eligible to participate. Participants reported increase or no increase in their level of alcohol consumption from before to during lockdown, as well as symptoms of anxiety, depression and mental wellbeing. Socio-demographic characteristics were compared between adults with and without reported increased alcohol consumption. The associations between reported increased alcohol consumption and mental health outcomes were investigated using logistic and linear regression analyses.

RESULTS

691 adults (61.1 % women; 48.8 % aged 35-64 years) were included in the analysis. Of these, 17 % reported increased alcohol consumption after lockdown. A higher proportion of 18-34-year olds reported increased alcohol consumption compared to older groups. The prevalence of poor overall mental health was significantly higher in individuals with increased alcohol consumption (vs. no increase) (45.4 % versus 32.7 %; p-value = 0.01). There was a significant association between increased alcohol consumption and poor overall mental health (OR = 1.64; 95 % CI = 1.01, 2.66), depressive symptoms (unstandardized beta = 2.93; 95 % CI = 0.91, 4.95) and mental wellbeing (unstandardized beta=-1.38; 95 % CI=-2.38, -0.39).

CONCLUSIONS

More than one in six UK adults increased their alcohol consumption during lockdown and a higher proportion of these were younger adults. Increased alcohol consumption was independently associated with poor overall mental health, increased depressive symptoms and lower mental wellbeing. These findings highlight the importance of planning targeted support as we emerge from lockdown and plan for potential second and subsequent waves.

摘要

背景

本研究旨在探讨在英国成年人样本中,因 COVID-19 大流行限制而导致的饮酒量增加的相关因素。

方法

本研究分析了一项横断面研究的数据。18 岁及以上、居住在英国且自我隔离于自家以外的成年人符合参与条件。参与者报告了封锁期间饮酒量的增加或未增加,以及焦虑、抑郁和心理健康状况。对报告饮酒量增加和未增加的成年人的社会人口学特征进行了比较。使用逻辑回归和线性回归分析了报告饮酒量增加与心理健康结果之间的关系。

结果

纳入分析的有 691 名成年人(61.1%为女性;48.8%年龄在 35-64 岁之间)。其中,17%的人在封锁后报告饮酒量增加。与年龄较大的群体相比,18-34 岁的人报告饮酒量增加的比例更高。与无增加相比,饮酒量增加的个体总体心理健康状况较差的比例显著更高(45.4%与 32.7%;p 值=0.01)。饮酒量增加与总体心理健康状况较差(比值比[OR]=1.64;95%置信区间[CI]:1.01-2.66)、抑郁症状(未标准化β=2.93;95%CI:0.91-4.95)和心理健康(未标准化β=-1.38;95%CI:-2.38,-0.39)显著相关。

结论

英国成年人中有超过六分之一的人在封锁期间增加了饮酒量,其中更高比例的是年轻人。饮酒量增加与总体心理健康状况较差、抑郁症状增加和心理健康状况下降独立相关。这些发现强调了在我们从封锁中走出来并为潜在的第二波及后续波次做准备时,需要制定有针对性的支持计划的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a061/7768217/3c751826e7d5/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a061/7768217/3c751826e7d5/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a061/7768217/3c751826e7d5/gr1_lrg.jpg

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