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: 10662269
• 负责人: Courtney Lynn Vaughan
• 金额: $ 3.17万
• 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/10662269
• 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 pandemic; COVID-19 pandemic effects; COVID-19 treatment; Cellular Phone; Chronic stress; Communities; Data; Data Set; Disease Outbreaks; Ecological momentary assessment; Education; Educational Status; Ethnic Population; Exposure to; Financial Hardship; Health system; Heavy Drinking; Hurricane; Income; Individual; Infection; Job loss; Light; Longitudinal Studies; Measures; Mediating; Mediator; 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; Telephone; Time; Vulnerable Populations; acute stress; addiction; alcohol use disorder; current pandemic; experience; health disparity; novel coronavirus; pandemic disease; pandemic impact; pandemic stress; perceived discrimination; post-pandemic; pre-pandemic; racial population; 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 新颖的冠状病毒（SARS-COV-2）暴发导致了全球大流行感染 新冠肺炎。尽管注意力集中在预防和治疗SARS COV-2感染上，但心理 还需要检查大流行的健康后果，以包括大流行对 酒精使用和问题。有证据表明，不同的种族/族裔可能会受到差异的影响 大流行，因此可能具有不同的酒精使用结果，理论和数据都表明 经历了最高水平暴露水平的脆弱群体可能有最大的风险 大流行后的酒精使用量增加。为了解决这些问题，这种多样性F31应用程序将 利用与NIAAA相关的独特资源，并由共同赞助商Ramchandani指导。作为 正在进行的NIAAA纵向研究大流行对酒精使用影响的一部分，最多500名参与者 包括非饮酒者，轻度饮酒者，非治疗的繁重饮酒者以及寻求治疗的人 患有饮酒障碍的人将在2年内通过电话和/或在线评估。来自此的数据 申请人将使用研究来解决前两个目标。具体目标1将检查是否影响 与之相比 与那些相比 报告收入/教育水平更高。特定的目标2将检查饮酒增加的介体 在弱势群体中，包括大量后压力增加和财务影响的影响 大流行开始。此外，将邀请40名黑人/非裔美国人的样本参加 一部分是由申请人管理的为期6周的生态瞬时评估（EMA）研究，这将是 用于解决特定目标3的特定目标3将检查一组中酒精使用的预测因子 黑人/非洲裔美国人使用生态瞬时评估，包括感知的措施 歧视和财务压力。总体而言，这项研究可能有助于阐明哪些脆弱的群体最多 饮酒增加和大流行后问题的风险，并增加对机制的理解 这会导致这些人的饮酒和问题增加。