Ruprecht Megan M, Xu Jiayi, Curtis Michael G, Floresca Ysabel Beatrice, Felt Dylan, Phillips Gregory
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, 625 N Michigan Ave Suite 1400, Chicago, IL, USA.
Sex Res Social Policy. 2024 Nov 8. doi: 10.1007/s13178-024-01056-6.
In an effort to promote social distancing as a response to the COVID-19 pandemic, many jurisdictions altered policies surrounding alcohol delivery, newly allowing both on-premises (i.e., from restaurants) and off-premises (i.e., from liquor stores) to deliver alcohol directly to consumers in many places. However, it is unknown how these changing delivery policies impact alcohol use among youth and young adults (YYA), especially sexual and gender minority youth and young adults (SGMY) population.
Using alcohol use data from a national, cross-sectional study of youth and young adults with ages 14-24 ( = 736) between February 2021 and March 2022 and policy data from the Alcohol Policy Information System (APIS), we used multinomial logistic regression to test associations between current drinking and binge drinking and the presence of different alcohol delivery policies, as well as to measure disparities between different subpopulations.
Results indicate that off-premises delivery policy was associated with binge drinking as well as current light alcohol use. However, on-premises delivery policy was associated with lower rates of binge drinking. Younger populations and transgender populations reported lower levels of alcohol use.
Findings indicate that, as many of these policy changes become permanent, novel prevention strategies may be needed to prevent harmful alcohol use, especially in states that allow off-premises alcohol delivery.
Results of the present study support the development of future research scrutinizing the long-term effects of increased alcohol accessibility among YYA and increased binge drinking among YYA as a tertiary consequence of the COVID-19 pandemic.
为应对新冠疫情推广社交距离，许多司法管辖区改变了围绕酒精配送的政策，在许多地方新允许店内（即来自餐馆）和店外（即来自酒类商店）直接向消费者配送酒精。然而，这些不断变化的配送政策如何影响青少年和青年（YYA）的酒精使用，尤其是性取向和性别少数群体的青少年和青年（SGMY）人群，尚不清楚。
利用2021年2月至2022年3月期间对14 - 24岁青少年和青年（n = 736）进行的一项全国性横断面研究的酒精使用数据以及酒精政策信息系统（APIS）的政策数据，我们使用多项逻辑回归来检验当前饮酒和暴饮与不同酒精配送政策的存在之间的关联，以及测量不同亚人群之间的差异。
结果表明，店外配送政策与暴饮以及当前轻度饮酒有关。然而，店内配送政策与较低的暴饮率有关。较年轻人群和跨性别者报告的酒精使用水平较低。
研究结果表明，随着这些政策变化中的许多成为永久性变化，可能需要新的预防策略来预防有害的酒精使用，特别是在允许店外酒精配送的州。
本研究结果支持开展未来研究，审视青少年和青年中酒精可及性增加的长期影响以及作为新冠疫情的三级后果青少年和青年中暴饮增加的情况。
