Increased alcohol use during the COVID-19 pandemic: The effect of mental health and age in a cross-sectional sample of social media users in the U.S.
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Alcohol Drinking
/ epidemiology
COVID-19
/ epidemiology
Cross-Sectional Studies
Female
Humans
Male
Mental Health
/ statistics & numerical data
Middle Aged
Pandemics
SARS-CoV-2
Social Media
/ statistics & numerical data
Stress, Psychological
Surveys and Questionnaires
United States
/ epidemiology
Young Adult
Age
Alcohol use
Anxiety
COVID-19
Depression
Journal
Preventive medicine
ISSN: 1096-0260
Titre abrégé: Prev Med
Pays: United States
ID NLM: 0322116
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
received:
02
08
2020
revised:
03
01
2021
accepted:
05
01
2021
pubmed:
11
1
2021
medline:
7
4
2021
entrez:
10
1
2021
Statut:
ppublish
Résumé
The COVID-19 pandemic has triggered a public health crisis of unprecedented scale. Increased alcohol use has been extensively documented during other crises, particularly among persons with anxiety and depression. Despite COVID-19's differential impact by age, the association of age, mental health and alcohol use during the pandemic has not been explored. This study aimed to examine whether age modified the association of anxiety and depressive symptoms with alcohol use during the COVID-19 pandemic. Two online surveys were administered to U.S. adult social media users in March and April 2020. Generalized linear models were conducted in 2020 among 5850 respondents (52.9% female; 22.0% aged 18-39 years, 47.0% aged 40-59 years, and 31.0% aged ≥60 years) to examine if age modified the association of anxiety and depression symptomatology and alcohol use. Overall, 29% of respondents reported increased alcohol use. Adjusted odds ratios of reporting increased alcohol use were 1.41 (95% CI = 1.20-1.66) among respondents with anxiety symptoms and 1.64 (95% CI = 1.21-2.23) among those with depressive symptoms compared to those without such symptoms. Whereas respondents aged 18-39 years had the highest probability of reporting increased alcohol use, the probability of older persons (40-59 and ≥60 years) reporting increased drinking was much greater among those with symptoms of anxiety and depression, compared to those without symptoms. These findings warrant age-differentiated public health messaging on the risks of excessive alcohol use and scale-up of substance use services for middle-aged and older adults with symptoms of depression and anxiety.
Identifiants
pubmed: 33422577
pii: S0091-7435(21)00006-2
doi: 10.1016/j.ypmed.2021.106422
pmc: PMC9063034
mid: NIHMS1797047
pii:
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
106422Subventions
Organisme : NIDA NIH HHS
ID : T32 DA007233
Pays : United States
Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.
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