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Article ; Online: High-Risk Drinking in Midlife Before Versus During the COVID-19 Crisis: Longitudinal Evidence From the United Kingdom.

Daly, Michael / Robinson, Eric

American journal of preventive medicine

2020  Volume 60, Issue 2, Page(s) 294–297

Abstract: ... drinking.: Conclusions: This study provides evidence linking the COVID-19 crisis and associated lockdown ... consumption from before to during the COVID-19 crisis in an established cohort of middle-aged British adults ... Among middle-aged British adults, high-risk drinking increased by 5.2 percentage points from 19.4% to 24.6% (p<0.001 ...

Abstract Introduction: Emerging evidence suggests that the COVID-19 pandemic and associated lockdown restrictions may have influenced alcohol consumption. This study examines changes in high-risk alcohol consumption from before to during the COVID-19 crisis in an established cohort of middle-aged British adults.
Methods: Participants consisted of 3,358 middle-aged adults from the 1970 British Cohort Study who completed the Alcohol Use Disorders Identification Test for detecting hazardous drinkers in primary care settings in 2016-2018 (when aged 46-48 years) and May 2020 (aged 50 years). Multivariable logistic regression analysis was used to examine changes in high-risk drinking (scores of ≥5), and multinomial regression was used to compare responses with individual test items in 2016-2018 and May 2020.
Results: Among middle-aged British adults, high-risk drinking increased by 5.2 percentage points from 19.4% to 24.6% (p<0.001) between 2016-2018 and May 2020. The increase in high-risk drinking was not moderated by sex, marital status, educational attainment, the presence of a chronic illness, or the year the baseline survey was completed. The prevalence of drinking ≥4 times a week doubled from 12.5% to 26% from before to during the pandemic (p<0.001), and there was also evidence of an increase in the frequency of being unable to stop drinking.
Conclusions: This study provides evidence linking the COVID-19 crisis and associated lockdown restrictions to an increase in high-risk drinking patterns and particularly frequent drinking in British adults. Potential long-term changes in drinking habits should be monitored following the emergence of the COVID-19 pandemic.
MeSH term(s) Alcohol Drinking/epidemiology ; Alcohol Drinking/psychology ; Alcoholism/diagnosis ; Alcoholism/epidemiology ; Alcoholism/prevention & control ; Alcoholism/psychology ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/psychology ; Communicable Disease Control/methods ; Female ; Humans ; Male ; Middle Aged ; Prevalence ; Primary Health Care/methods ; Primary Health Care/statistics & numerical data ; Psychological Techniques ; Risk Assessment ; Risk Factors ; SARS-CoV-2 ; Social Isolation/psychology ; United Kingdom/epidemiology
Language English
Publishing date 2020-11-21
Publishing country Netherlands
Document type Journal Article
ZDB-ID 632646-8
ISSN 1873-2607 ; 0749-3797
ISSN (online) 1873-2607
ISSN 0749-3797
DOI 10.1016/j.amepre.2020.09.004
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