Cho Junhan, Sussman Steve, Kechter Afton, Vogel Erin A, Barrington-Trimis Jessica L, Unger Jennifer B, Leventhal Adam M
Department of Population and Public Health Sciences, University of Southern California Keck School of Medicine, Los Angeles, CA.
Department of Pediatrics, University of Oklahoma College of Medicine.
J Subst Use. 2024;29(4):554-561. doi: 10.1080/14659891.2023.2183909. Epub 2023 Feb 26.
To estimate the extent to which drinking to cope with the COVID-19 pandemic and experiencing pandemic-related life stressors are associated with alcohol use escalation among young adults.
Respondents in Los Angeles, CA, USA (N=2,130) completed prospective cohort study surveys before (baseline; October 2018-November 2019; mean age: 19.7[SD=0.4) and during (follow-up; May-August 2020) the COVID-19 outbreak. Past 30-day drinking days and number of drinks per drinking day were assessed from baseline to follow-up. At follow-up, participants reported drinking to cope with social isolation and pandemic-related stressors.
Pandemic-related stressor prevalence ranged from 5.5% (evicted/lost home) to 72.6% (worried about education) and 27.1% drank to cope with social isolation during the pandemic. Respondents who did (vs. did not) report pandemic-related coping drinking were more likely to increase past 30-day drinking days and drinks per drinking day from baseline to follow-up after adjustment for possible confounders. Employment loss/reduction, financial problems, and perceived likelihood of contracting COVID-19 or handling the pandemic poorly were each associated with increases in drinking days or drinks per drinking day.
Experiencing certain life stressors and drinking to cope with social isolation may be associated with drinking escalation among young adults during the COVID-19 pandemic.
评估为应对新冠疫情而饮酒以及经历与疫情相关的生活压力源与年轻成年人饮酒量增加之间的关联程度。
美国加利福尼亚州洛杉矶的受访者（N = 2130）在新冠疫情爆发前（基线期；2018年10月至2019年11月；平均年龄：19.7[标准差 = 0.4]）和期间（随访期；2020年5月至8月）完成了前瞻性队列研究调查。从基线期到随访期评估过去30天的饮酒天数以及每次饮酒日的饮酒量。在随访时，参与者报告为应对社交隔离和与疫情相关的压力源而饮酒。
与疫情相关的压力源患病率从5.5%（被驱逐/失去住所）到72.6%（担心教育问题）不等，27.1%的人在疫情期间为应对社交隔离而饮酒。在对可能的混杂因素进行调整后，报告为应对疫情而饮酒的受访者（与未报告者相比）从基线期到随访期更有可能增加过去30天的饮酒天数和每次饮酒日的饮酒量。失业/就业减少、财务问题以及感染新冠或应对疫情不力的感知可能性均与饮酒天数增加或每次饮酒日的饮酒量增加有关。
在新冠疫情期间，经历某些生活压力源以及为应对社交隔离而饮酒可能与年轻成年人饮酒量增加有关。
