Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, Team HEALTHY, UMR1219, Bordeaux, 33000, France.
Department of General Practice, University of Bordeaux, 146 Rue Léo Saignat, Bordeaux, 33000, France.
BMC Public Health. 2024 Feb 29;24(1):646. doi: 10.1186/s12889-024-18182-w.
The closure of bars and lockdowns related to the Covid-19 pandemic changed alcohol use levels in France during the spring of 2020. We wondered whether this sudden cessation of social interactions impacted students more than non-students and what factors specific to students would explain the increase in alcohol misuse. The aims of this study were to compare self-reported changes in alcohol misuse (alcohol intake and binge-drinking frequency) during the first Covid-19 lockdown from March 17 to May 10, 2020, between French students and non-students and describe factors associated with this alcohol misuse in each subgroup.
Data collected in the Confins study from April 8 to May 10, 2020, were used in cross-sectional analyses stratified by student status. Multiple logistic regression was performed to estimate the association between self-reported increase in alcohol intake or binge-drinking frequency (at least six drinks of alcohol on one occasion) and demographic, socioeconomic, and clinical factors, as well as conditions associated with the Covid-19 pandemic. The population-attributable fraction was then used to estimate the contribution of identified risk factors to increased alcohol misuse in students and non-students.
Among both students and non-students, a self-reported decrease or no change in alcohol intake or binge-drinking was more common than an increase. However, the risk factors explaining an increase in alcohol intake differed among students (≥ 25 years old, not working or studying in the health field, and having suicidal ideation during the last 7 days) and non-students (having a medical diagnosis of mental disorders). The risk factors explaining an increase in binge-drinking frequency were similar in the two subgroups (being a tobacco smoker before lockdown and not practicing any physical activity during the last 7 days), except suicidal thoughts, which was a risk factor for alcohol misuse specific to students.
These results highlight the vulnerability of certain French students to alcohol misuse and the necessity of combining both mental health and substance use-related screening in the student population.
由于 2020 年春季新冠疫情导致酒吧关闭和封锁，法国的酒精使用水平发生了变化。我们想知道这种社交互动的突然停止是否对学生的影响比对非学生的影响更大，以及哪些特定于学生的因素可以解释酒精滥用的增加。本研究的目的是比较 2020 年 3 月 17 日至 5 月 10 日期间首次新冠封锁期间自我报告的酒精滥用（饮酒量和狂饮频率）变化，比较法国学生和非学生之间的变化，并描述每个亚组中与这种酒精滥用相关的因素。
使用 2020 年 4 月 8 日至 5 月 10 日期间在 Confins 研究中收集的数据进行横断面分析，按学生身份分层。采用多因素逻辑回归估计自我报告的饮酒量增加或狂饮频率（一次性至少喝六杯酒）与人口统计学、社会经济和临床因素以及与新冠疫情相关的条件之间的关联。然后使用人群归因分数来估计确定的危险因素对学生和非学生中酒精滥用增加的贡献。
在学生和非学生中，报告饮酒量或狂饮频率减少或不变的比例均高于增加的比例。然而，解释饮酒量增加的风险因素在学生（年龄≥25 岁、不在卫生领域工作或学习、在过去 7 天内有自杀意念）和非学生（有精神障碍的医学诊断）中有所不同。解释狂饮频率增加的风险因素在两个亚组中相似（封锁前是吸烟者且在过去 7 天内没有进行任何体育活动），但自杀念头除外，这是学生特有的酒精滥用风险因素。
这些结果强调了某些法国学生对酒精滥用的脆弱性，以及在学生人群中同时进行心理健康和物质使用相关筛查的必要性。
