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英国在 COVID-19 大流行期间的酒精消费:饮酒动机、就业和主观心理健康的作用。

UK alcohol consumption during the COVID-19 pandemic: The role of drinking motives, employment and subjective mental health.

机构信息

Faculty of Arts and Sciences, Department of Psychology, Edge Hill University, Ormskirk, United Kingdom.

Liverpool Centre for Alcohol Research, Liverpool, United Kingdom.

出版信息

PLoS One. 2023 Apr 12;18(4):e0283233. doi: 10.1371/journal.pone.0283233. eCollection 2023.

Abstract

UNLABELLED

Background Previous investigations suggest that the COVID-19 pandemic effects on alcohol consumption were heterogenous and may vary as a function of structural and psychological factors. Research examining mediating or moderating factors implicated in pandemic-occasioned changes in drinking have also tended to use single-study cross-sectional designs and convenience samples.

AIMS

First, to explore structural (changed employment or unemployment) and psychological (subjective mental health and drinking motives) correlates of consumption reported during the COVID-19 pandemic using a UK nationally representative (quota sampled) dataset. Second, to determine whether population-level differences in drinking during the COVID-19 pandemic (versus pre-pandemic levels) could be attributable to drinking motives.

METHOD

Data collected from samples of UK adults before and during the pandemic were obtained and analysed: Step1 carried out structural equation modelling (SEM) to explore data gathered during a period of social restrictions after the UK's first COVID-19-related lockdown (27 August-15 September, 2020; n = 3,798). It assessed whether drinking motives (enhancement, social, conformity, coping), employment and the perceived impact of the pandemic on subjective mental health may explain between-person differences in self-reported alcohol consumption. Step 2 multigroup SEM evaluated data gathered pre-pandemic (2018; n = 7,902) in concert with the pandemic data from step 1, to test the theory that population-level differences in alcohol consumption are attributable to variances in drinking motives.

RESULTS

Analyses of the 2020 dataset detected both direct and indirect effects of subjective mental health, drinking motives, and employment matters (e.g., having been furloughed) on alcohol use. Findings from a multigroup SEM were consistent with the theory that drinking motives explain not only individual differences in alcohol use at both time points, but also population-level increases in use during the pandemic.

CONCLUSION

This work highlights socioeconomic and employment considerations when seeking to understand COVID-19-related drinking. It also indicates that drinking motives may be particularly important in explaining the apparent trend of heightened drinking during the pandemic. Limitations related to causal inference are discussed.

摘要

目的

  1. 使用英国全国代表性(配额抽样)数据集,探讨结构(就业或失业变化)和心理(主观心理健康和饮酒动机)因素与在 COVID-19 大流行期间报告的饮酒量之间的相关性。

  2. 确定 COVID-19 大流行期间(与大流行前水平相比)的人群饮酒水平差异是否归因于饮酒动机。

方法

  1. 从英国成年人在大流行前后收集的数据中进行分析:步骤 1 进行结构方程建模(SEM),以探索在英国第一次与 COVID-19 相关的封锁后(2020 年 8 月 27 日至 9 月 15 日)的社交限制期间收集的数据;评估饮酒动机(增强、社交、从众、应对)、就业以及大流行对主观心理健康的影响是否可以解释自我报告饮酒量的个体间差异。步骤 2 多组 SEM 评估了与步骤 1 中的大流行数据一起在大流行前(2018 年;n = 7902)收集的数据,以检验人群饮酒水平差异归因于饮酒动机差异的理论。

结果

  1. 对 2020 年数据集的分析检测到主观心理健康、饮酒动机和就业问题(例如,被休假)对饮酒量的直接和间接影响。多组 SEM 的结果与理论一致,即饮酒动机不仅可以解释两个时间点的个体饮酒差异,还可以解释大流行期间的人群饮酒增加。

结论

  1. 这项工作强调了在寻求理解与 COVID-19 相关的饮酒时应考虑社会经济和就业因素。它还表明,饮酒动机在解释大流行期间明显的饮酒增加趋势方面可能尤为重要。讨论了与因果推理相关的限制。
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e978/10096461/77343e99c80d/pone.0283233.g001.jpg

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