The Changing Landscape of Alcohol Use and Alcohol Use Disorder During the COVID-19 Pandemic - Perspectives of Early Career Professionals in 16 Countries

Calvey, Tanya; Scheibein, Florian; Saad, Noha Ahmed; Shirasaka, Tomohiro; Dannatt, Lisa; Stowe, M. J.; Shah, Bela; Narasimha, Venkata Lakshmi; Bruschi, Angelo; Peyron, Eric; Gumikiriza-Onoria, Joy Louise; Ghosh, Abhishek; Pant, Sagun Ballav; Yee, Anne; Ratta‐apha, Woraphat; Vadivel, Ramyadarshni; Siste, Kristiana; Maiti, Tanay; Boujraf, Saïd; Grandinetti, Paolo; Morgan, Nirvana; Arya, Sidharth

doi:10.1097/adm.0000000000000735

Cited by 28 publications

(27 citation statements)

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“…Worries have been raised that the COVID-19 pandemic might have increased heavy drinking [38][39][40] and that the pandemic might result in more harmful consequences for those with an alcohol use disorder [41]. Our findings are the first to lend empirical support to these worries, suggesting that even with a very modest increase in total consumption, the proportion of heavy drinkers increased substantially.…”

Section: Discussionmentioning

confidence: 49%

Changes in Alcohol Consumption during the COVID-19 Pandemic—Small Change in Total Consumption, but Increase in Proportion of Heavy Drinkers

Rossow

Bye

Moan

et al. 2021

IJERPH

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Little is known about possible changes in alcohol consumption distribution during the COVID-19 pandemic. We estimated how individual changes in alcohol consumption during the pandemic translated into changes in: (i) mean consumption; (ii) dispersion of consumption distribution; and (iii) prevalence of heavy drinkers. We employed data from two independent web-surveys of Norwegian adults collected between April and July 2020 and limited to those reporting past year alcohol consumption (N1 = 15,267, N2 = 1195). Self-reports of changes in drinking behavior were quantified, assuming change being relative to baseline consumption level. During the pandemic, we found a small increase (Survey 1) or no change (Survey 2) in estimated mean alcohol consumption (which parallels to total consumption). However, in both surveys, the dispersion of the distribution increased significantly (p < 0.001). For most respondents, an average modest decline in consumption was found. However, the small fraction with the highest baseline consumption increased their consumption substantially, and in effect, the proportion of heavy drinkers increased markedly (p < 0.001). In conclusion, quantifications of reported changes in alcohol consumption during the pandemic suggest that the upper 5 to 10% of the drinkers increased their consumption and hence the prevalence of heavy drinkers increased, despite little or no change in total alcohol consumption.

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Section: Discussionmentioning

confidence: 49%

Changes in Alcohol Consumption during the COVID-19 Pandemic—Small Change in Total Consumption, but Increase in Proportion of Heavy Drinkers

Rossow

Bye

Moan

et al. 2021

IJERPH

View full text Add to dashboard Cite

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“…The COVID-19 pandemic has also seen serious repercussions for vulnerable groups with substance use disorders (SUD), including alcohol [ 2 ]. The pandemic has resulted in changes in patterns of drinking, an increase in alcohol withdrawal, disruption in access to care, and increase in illicit alcohol availability [ 3 ]. It has also resulted in the disruption of a range of services, including emergency, treatment, and relapse prevention and liaison services for this population [ 4 , 5 ▪▪ ].…”

Section: Introductionmentioning

confidence: 99%

Effects of the COVID-19 pandemic and lockdown on alcohol use disorders and complications

Murthy

Narasimha

2021

Current Opinion in Psychiatry

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107

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Purpose of review To understand the effect of COVID-19 pandemic and lockdown on persons with alcohol use disorders. Recent findings From a total of 455 titles on COVID-19 and alcohol, 227 abstracts were screened, and 95 articles were reviewed (on November 25 th , 2020). The immediate effect was an increase in alcohol related emergencies including alcohol withdrawal, related suicides, and methanol toxicity. Although there are mixed findings with respect to changes in the quantity of drinking, there are reports of binge/heavy drinking during the lockdown as well as relapse postlockdown. Psychological, social, biological, economic and policy-related factors appear to influence the changes in drinking. Although preliminary data suggest no change in alcohol use among persons with comorbid mental illness, findings in this population are presently limited. Among patients with alcohol related liver disease, outcomes appear worse and caution is warranted with the use of medications. Alcohol also appears to increases the risk of COVID-19 infection and complicates its course. Although some nations banned alcohol sales completely during lockdown, others declared it as an essential commodity, resulting in different problems across countries. Alcohol use has added to the burden of the problem particularly among vulnerable groups like the adolescents, elderly, patients with cancer, as well as health professionals. Services for patients with alcohol use disorders have been affected. Summary The COVID-19 pandemic has had considerable impact on alcohol use, with an increase in alcohol related emergencies, changes in alcohol use patterns, increased risk of contracting COVID-19, effect on alcohol policies and sales, and an effect on vulnerable groups. It is essential to understand and respond to the current situation, intervene early, and prevent further repercussions of the pandemic. Video abstract link: https://drive.google.com/file/d/1IJWtIs6e554PryKWhdma4VB--mjSZq1C/view?usp=sharing .

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“…Additionally, government bans on tobacco sales in certain countries, such as South Africa and India, contributed to a reduction in tobacco use [79]. Alcohol use during the pandemic has trended upwards in multiple countries, including Ireland, New Zealand, and France [80]. Proposed reasons included distress related to long-term social restrictions, potentially worsened symptoms of depression, anxiety, and a history of substance use disorder or mental health issues.…”

Section: Tobacco Alcohol and Other Substance Usementioning

confidence: 99%

Physical and Psychological Health Behavior Changes During the COVID-19 Pandemic that May Inform Surgical Prehabilitation: a Narrative Review

Silver

Mina

Bates

et al. 2022

Curr Anesthesiol Rep

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Purpose of Review Multimodal prehabilitation aims to improve preoperative health in ways that reduce surgical complications and expedite post-operative recovery. However, the extent to which preoperative health has been affected by the COVID-19 pandemic is unclear and evidence for the mitigating effects of prehabilitation in this context has not been elucidated. The COVID-19 pandemic has forced a rapid reorganization of perioperative pathways. Delayed diagnosis and surgery have caused a backlog of cases awaiting surgery increasing the risk of more complex procedures due to disease progression. Poor fitness and preoperative deconditioning are predictive of surgical complications and may be compounded by pandemic-related restrictions to accessing supportive services. The COVID-19 pandemic has forced a rapid reorganization of perioperative pathways. This narrative review aims to summarize the understanding of the effects of the COVID-19 pandemic on preoperative health and related behaviors and their implication for the need and delivery for prehabilitation to engender improved surgical outcomes. A literature search of Medline was conducted for articles related to preoperative health, prehabilitation, and surgical outcomes published between December 1, 2020 and January 31, 2021. Additional hand searches for relevant publications within the included literature were also conducted through October 15, 2021. Recent FindingsThe COVID-19 pandemic, and measures designed to reduce the spread of the virus, have resulted in physical deconditioning, deleterious dietary changes, substance misuse, and heightened anxiety prior to surgery. Due to the adverse health changes prior to surgery, and often protracted waiting time for surgery, there is likely an elevated risk of peri-and post-operative complications. A small number of prehabilitation services and research programmes have been rapidly adapted or implemented to address these needs. Summary During the COVID-19 pandemic to date, people undergoing surgery have faced a triple threat posed by extended wait times for surgery, reduced access to supportive services, and an elevated risk of poor outcomes. It is imperative that healthcare providers find ways to employ evidence-based prehabilitation strategies that are accessible and safe to mitigate the negative impact of the pandemic on surgical outcomes. Attention should be paid to cohorts most affected by established health inequities and further exacerbated by the pandemic.

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The Changing Landscape of Alcohol Use and Alcohol Use Disorder During the COVID-19 Pandemic - Perspectives of Early Career Professionals in 16 Countries

Cited by 28 publications

References 1 publication

Changes in Alcohol Consumption during the COVID-19 Pandemic—Small Change in Total Consumption, but Increase in Proportion of Heavy Drinkers

Changes in Alcohol Consumption during the COVID-19 Pandemic—Small Change in Total Consumption, but Increase in Proportion of Heavy Drinkers

Effects of the COVID-19 pandemic and lockdown on alcohol use disorders and complications

Physical and Psychological Health Behavior Changes During the COVID-19 Pandemic that May Inform Surgical Prehabilitation: a Narrative Review

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