Impact of the COVID-19 Pandemic on Alcohol Use and Outcomes: The Role of Health Disparities

COVID-19 大流行对饮酒和结果的影响：健康差异的作用

• 批准号: 10537631
• 负责人: Courtney Lynn Vaughan
• 金额: $ 2.97万
• 依托单位: HENRY M. JACKSON FDN FOR THE ADV MIL/MED
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10537631
• 关键词: Address; Affect; African American population; Alcohol abuse; Alcohol consumption; Alcoholic beverage heavy drinker; Alcohols; Attention; Black Populations; Black race; COVID-19; COVID-19 outbreak; COVID-19 pandemic; COVID-19 pandemic effects; COVID-19 treatment; Cellular Phone; Chronic stress; Community Health Systems; Data; Data Set; Ecological momentary assessment; Education; Educational Background; Ethnic group; Exposure to; Financial Hardship; Heavy Drinking; Hurricane; Income; Individual; Infection; Job loss; Lead; Light; Longitudinal Studies; Measures; Mediating; Mediator of activation protein; Mental Health; National Institute on Alcohol Abuse and Alcoholism; Outcome; Outcomes Research; Participant; Prevention; Relapse; Reporting; Research; Resources; Risk; Role; SARS-CoV-2 infection; Sampling; Stress; Stressful Event; Subgroup; Sum; Telephone; Time; Vulnerable Populations; acute stress; addiction; alcohol use disorder; experience; health disparity; novel coronavirus; pandemic disease; pandemic stress; perceived discrimination; racial and ethnic; theories; therapy development; traumatic event

Abstract The novel coronavirus (SARS-CoV-2) outbreak has resulted in a world-wide pandemic infection designated COVID-19. While attention has focused on prevention and treatment of SARS CoV-2 infection, the mental health consequences of the pandemic also need to be examined, to include the effect of the pandemic on alcohol use and problems. There is evidence that different racial/ethnic groups may be differentially affected by the pandemic and may therefore have different alcohol use outcomes, and both theory and data suggest that vulnerable groups who have experienced the highest level of exposure to the pandemic may be most at risk for increased alcohol use following the pandemic. To address these questions, this Diversity F31 application will take advantage of a unique resource associated with NIAAA and directed by Co-Sponsor Ramchandani. As part of the ongoing NIAAA longitudinal study of the pandemic impact on alcohol use, up to 500 participants, including non-drinkers, light drinkers, non-treatment-seeking heavy drinkers, as well as treatment-seeking individuals with alcohol use disorder, will be assessed by phone and/or online over 2 years. Data from this study will be used by the applicant to address the first two aims. Specific Aim 1 will examine if the impact of the pandemic on alcohol use is different in individuals who identify as Black/African Americans compared to those who identify as White, and in individuals who report lower levels of income/education compared to those who report higher levels of income/education. Specific Aim 2 will examine mediators of increased alcohol use among vulnerable groups, including the effect of increases in post-pandemic stress and financial impact following the onset of the pandemic. In addition, a sample of 40 Black/African Americans will be invited to take part in a 6-week Ecological Momentary Assessment (EMA) study administered by the applicant, which will be used to address Specific Aim 3. Specific Aim 3 will examine predictors of alcohol use in a group of Black/African Americans using Ecological Momentary Assessment, to include measures of perceived discrimination and financial stress. Overall, this study may help to clarify which vulnerable groups are most at risk of increased alcohol use and problems post-pandemic, and increase understanding of the mechanisms that give rise to increased alcohol use and problems in these individuals.

抽象的 新型冠状病毒（SARS-CoV-2）的爆发已导致世界范围内的大流行感染，被指定为 新冠肺炎。虽然人们的注意力集中在预防和治疗 SARS CoV-2 感染上，但心理 还需要审查大流行病的健康后果，包括大流行病对健康的影响 酒精的使用和问题。有证据表明，不同种族/族裔群体可能受到不同程度的影响 流行病，因此可能会产生不同的饮酒结果，理论和数据都表明 接触过大流行病最严重的弱势群体可能面临最大的风险 大流行后饮酒量增加。为了解决这些问题，这个 Diversity F31 应用程序将 利用与 NIAAA 相关并由共同发起人 Ramchandani 指导的独特资源。作为 这是 NIAAA 正在进行的关于大流行对饮酒影响的纵向研究的一部分，参与者多达 500 名， 包括不饮酒者、轻度饮酒者、不寻求治疗的重度饮酒者以及寻求治疗的人 患有酒精使用障碍的个人将在 2 年内通过电话和/或在线进行评估。数据来自于此 申请人将利用研究来实现前两个目标。具体目标 1 将检查 与黑人/非裔美国人相比，酒精使用的流行情况有所不同 那些自认为是白人的人，以及那些报告收入/教育水平低于白人的人 报告更高水平的收入/教育。具体目标 2 将检查酒精使用增加的中介因素 对弱势群体的影响，包括大流行后压力增加的影响和财务影响 疫情爆发后。此外，还将邀请 40 名黑人/非裔美国人作为样本 参加由申请人管理的为期 6 周的生态瞬时评估 (EMA) 研究，该研究将 用于解决特定目标 3。特定目标 3 将检查一组酒精使用的预测因素 黑人/非裔美国人使用生态瞬时评估，包括感知的测量 歧视和经济压力。总体而言，这项研究可能有助于澄清哪些弱势群体最容易受到影响 饮酒增加的风险和大流行后的问题，并增加对其机制的了解 这会导致这些人饮酒量增加和出现问题。