Postgraduate Program in Public Health, University of Southern Santa Catarina, Criciúma, SC, Brazil.
Nutrition College, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
J Community Health. 2022 Aug;47(4):588-597. doi: 10.1007/s10900-022-01085-5. Epub 2022 Mar 25.
The Covid-19 pandemic is related to increased alcohol consumption and smoking. These behaviors may be related to several sociodemographic, behavioral and mental health factors. Thus, the aim of this study was to assess the association between alcohol consumption and cigarette smoking with sociodemographic, behavioral and mental health characteristics. This study used data from two population-based studies conducted in two cities from Southern Brazil amid the Covid-19 pandemic. Individuals aged 18 years or older were included and selected using a multistage sampling procedure. Alcohol consumption and smoking and changes in such consumption during the Covid-19 pandemic were evaluated. Sociodemographic, behavioral, pandemic-related, and mental health variables were also included. A hierarchical model was used to conduct the adjusted analyses, and Poisson regression with robust adjustment was used for variance. A total of 2170 individuals were studied. The prevalence of alcohol consumption and smoking were 9.3% and 14.2%, respectively. The rates of increase in alcohol consumption and smoking during the Covid-pandemic were about 20% and 30%, respectively. They were higher among those with depressive symptoms, feeling of sadness and self-reported stress. Those with poor diet quality had higher prevalence of alcohol consumption (PR: 1.82) and were 1.58 times more likely to smoke. The findings may help stakeholders in health and political systems to better understand the consequences of the Covid-19 pandemic and develop strategies to mitigate these consequences in Brazil and elsewhere.
Covid-19 大流行与饮酒和吸烟增加有关。这些行为可能与一些社会人口学、行为和心理健康因素有关。因此，本研究旨在评估饮酒和吸烟与社会人口学、行为和心理健康特征之间的关系。本研究使用了在巴西南部两个城市进行的两项基于人群的研究的数据。纳入年龄在 18 岁或以上的个体，并采用多阶段抽样程序进行选择。评估了饮酒和吸烟以及在 Covid-19 大流行期间这种消费的变化。还包括社会人口学、行为、与大流行相关和心理健康变量。使用分层模型进行调整分析，并使用稳健调整的泊松回归进行方差分析。共研究了 2170 人。饮酒和吸烟的患病率分别为 9.3%和 14.2%。在 Covid-大流行期间，饮酒和吸烟的增长率分别约为 20%和 30%。在有抑郁症状、悲伤感和自我报告压力的人群中，这些比率更高。饮食质量差的人饮酒的患病率更高（PR：1.82），吸烟的可能性高 1.58 倍。这些发现可能有助于卫生和政治系统的利益相关者更好地了解 Covid-19 大流行的后果，并制定策略在巴西和其他地方减轻这些后果。
