COVID Impacts on Alcohol Use in Communities Affected by Repeated Disasters

新冠疫情对受灾害频发的社区饮酒的影响

• 批准号: 10580688
• 负责人: Lynsay Ayer
• 金额: $ 54.55万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-03-01 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10580688
• 关键词: Address; Adult; Affect; Age; Alcohol consumption; American; Baseline Surveys; Black race; Businesses; COVID-19; COVID-19 outbreak; COVID-19 pandemic; Cessation of life; Characteristics; Communities; Consumption; Coping Skills; Country; County; Data; Data Collection; Disasters; Employment; Ethnic Origin; Event; Feeling; Florida; Frequencies; Future; Heavy Drinking; Hurricane; Individual; Job loss; Knowledge; Loneliness; Longitudinal Studies; Longitudinal Surveys; Louisiana; Marketing; Mental Health; Mexico; National Institute on Alcohol Abuse and Alcoholism; Neighborhoods; Oils; Participant; Pattern; Persons; Policies; Population; Productivity; Prospective Studies; Race; Reaction; Recording of previous events; Repetitive Sequence; Reporting; Research; Resources; Respondent; Retrospective Studies; Risk; Risk Factors; Role; Sampling; Scientific Advances and Accomplishments; Stress; Stretching; Surveys; Symptoms; Technology; Texas; Time; Trauma; Unemployment; United States; Vaccinated; Vaccination; Vaccines; Variant; Woman; Work; adverse outcome; alcohol misuse; alcohol use disorder; binge drinking; clinical practice; cohort; coronavirus disease; drinking; drinking behavior; epidemiology study; ethnic minority; experience; gulf coast; infection rate; men; pandemic disease; post-COVID-19; protective factors; psychosocial; public health emergency; public health research; racial minority; resilience; response; risk mitigation; school closure; sex; social; stay-at-home order; stressor; trauma exposure

Summary/Abstract Excessive drinking is a major problem in the United States, particularly among coastal communities surrounding the Gulf of Mexico, where nearly one in four residents screen positive for alcohol misuse. Stressors related to the COVID-19 pandemic and associated response policies (e.g., stay-at-home orders, closure of schools and businesses) may have increased alcohol misuse particularly for those disproportionately affected by the pandemic and job loss, like racial/ethnic minorities and women. This proposal addresses the NIAAA priorities described in NOT-AA-20- 011, helping to lay groundwork for public health emergencies such as COVID-19. We plan to examine patterns and predictors of change in alcohol consumption in vulnerable Gulf Coast communities over the course of the pandemic, including as vaccines and new variants emerge and unemployment persists. Prospective studies are rare in disaster research, but the proposed study will address this gap by collecting two new waves of survey data from an existing, population representative cohort of 2,520 Gulf Coast residents we have been following since 2016 via the Survey of Trauma, Resilience, and Opportunity in Neighborhoods in the Gulf (STRONG). The new work will build on extensive baseline data about mental health, alcohol misuse, employment history, disaster exposure, and social resources. The proposed work also builds on our team's productive line of longitudinal studies of alcohol misuse, including studies examining interactions between individual- and community-level risk factors, the role of stress and trauma, co-occurrence of mental health symptoms, and psychosocial reactions to risks and disasters in the Gulf Coast region. Two factors unique to COVID-19 are massive increases in unemployment and growing feelings of loneliness caused by stay-at-home orders, both of which might change people's drinking behavior. Through two new survey waves we will: estimate the magnitude of changes in frequency and quantity of alcohol consumption following the onset of COVID-19; examine trajectories of change in alcohol misuse within individuals; identify pre-COVID-19 predictors of patterns of change (e.g., demographic characteristics, cumulative trauma exposure, co-occurring mental health symptoms); and determine whether COVID-19-related losses (i.e., unemployment, loneliness) predict change in alcohol use over time. Existing and new data will be mergeable via a common respondent identifiers and also be geocoded, providing a unique resource for public health research and response. Results from this study could significantly advance scientific knowledge and clinical practice for vulnerable Gulf Coast residents.

摘要/摘要 在美国，饮酒过量是一个主要问题，尤其是在沿海地区 墨西哥湾周围的社区，近四分之一的居民筛选了正面 滥用酒精。与COVID-19的大流行和相关反应策略有关的压力源 （例如，在家订单，学校和企业的关闭）可能会增加滥用酒精 特别是对于那些受到大流行和失业影响的不成比例的人，例如种族/种族 少数民族和妇女。该提案涉及NOT-AA-20-所述的NIAAA优先事项 011，帮助为公共卫生紧急情况（例如Covid-19）奠定基础。我们计划 检查脆弱墨西哥湾沿岸酒精消费变化的模式和预测指标 大流行过程中的社区，包括疫苗和新变体的出现和 失业仍然存在。前瞻性研究在灾难研究中很少见，但是拟议的研究 将通过从现有人群中收集两个新的调查数据浪潮来解决这一差距 自2016年以来，我们一直关注的2,520海湾沿岸居民的代表队列通过 海湾地区的创伤，韧性和机会的调查（强）。新的 工作将基于有关心理健康，滥用酒精，就业的广泛基准数据 历史，灾难暴露和社会资源。拟议的工作也基于我们团队的 滥用酒精的纵向研究的生产线，包括研究 个体和社区级别的风险因素之间的相互作用，压力和创伤的作用， 心理健康症状的同时出现，以及对风险和灾难的社会心理反应 墨西哥湾沿岸地区。 COVID-19独有的两个因素是失业和 越来越多由全家命令引起的孤独感，这两者都可能改变人们的 饮酒行为。通过两个新的调查波，我们将：估计变化的幅度 COVID-19发作后酒精消耗的频率和数量；检查 个人内部滥用酒精的变化轨迹；确定19号前的预测指标 变化模式（例如，人口统计学特征，累积创伤暴露，同时出现 心理健康症状）；并确定是否与共同-19相关的损失（即失业， 孤独）预测随着时间的推移酒精使用的变化。现有和新数据将通过 共同的受访者标识符，也被地理编码，为公众提供了独特的资源 健康研究和反应。这项研究的结果可以大大提高科学 脆弱的墨西哥湾沿岸居民的知识和临床实践。