パンデミックに関連する飲酒とメンタルヘルスに関する知見を明らかにした研究結果(Study reveals insights on pandemic-related drinking and mental health)

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2023-04-03 バッファロー大学(UB)

米国バッファロー大学の新研究によると、COVID-19パンデミック中の飲酒パターンと、米国で広く見られる4つの精神障害との関連を評価した、これまでで最も包括的な調査が提供された。
この研究によると、飲酒習慣を変えた人ほど精神的な問題を抱える割合が高く、一方、飲酒頻度が高い人はうつ病などの症状が少なかったという。特に、女性、経済的に不安定な人、マイノリティグループの人々は、コロナ禍中に飲酒量が増えたり、過剰に飲酒することで、より深刻なメンタルヘルスの問題に直面する可能性が高いことが示された。

<関連情報>

COVID-19パンデミック時のアルコール摂取量とメンタルヘルス Alcohol Consumption and Mental Health during the COVID-19 Pandemic

Yihua Yue, Siyi Wang, Ella Smith, Divya Goyal, Kexin Zhu, Zuo-Feng Zhang, Beth Smith, Zhongzheng Niu, Lijian Lei, Jo L Freudenheim,Ying Cao, Lina Mu
Alcohol and Alcoholism  Published:01 March 2023
DOI:https://doi.org/10.1093/alcalc/agad011

Odds Ratios and 95% confidence intervals for stratified association of increased alcohol use and binge drinking with mental health disorders. Footnote: Among racial minorities, individuals with worries about money, and individuals with restricted stay-at-home status due to COVID-19 exposure, the association between increased alcohol use and adverse mental health symptoms appeared to be stronger than their counterparts. Among females, individuals with poor social support, and individuals with worries about money, insurance, food and grocery items, the association between binge drinking and adverse mental health symptoms appeared to be stronger than their counterparts. *P for interaction <0.10.

Abstract

Aims
To examine the association between alcohol consumption and mental health during the COVID-19 pandemic.

Methods
An anonymous online survey was distributed among US adults during May–August 2020 through social networks and ResearchMatch. We collected information on demographic, lifestyles and mental health symptoms including anxiety, depression, stress and post-traumatic stress disorder. Logistic regression models were used to examine the cross-sectional association between alcohol consumption and mental health symptoms. We also examined effect modification by race, age, gender, social support, financial insecurity and quarantine status.

Results
The analytical sample consists of 3623 adults. Stable drinking habits and regular drinking behaviors were found to co-exist with better mental health status. Participants who increased their alcohol use had higher odds of developing mental health disorders than those who maintained their pre-pandemic drinking habits. Additionally, participants who engaged in binge drinking during the pandemic had higher odds of depression and stress than those who did not. The associations regarding increased drinking and binge drinking in relation to adverse mental health outcomes were stronger among females, racial minorities, and individuals with financial concerns, poor social support and restricted quarantine status than their counterparts.

Conclusions
During the early stage of the COVID-19 pandemic, increased alcohol use and binge drinking are cross-sectionally associated with higher odds of mental health disorders, which highlighted the need for targeted intervention to address the mental health needs of individuals who have engaged in these behaviors, especially among females, minorities, those with insecurities or with restricted quarantine status.

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