PDF(Pubmed)
Abstract：
Background: This study explored the increased quantity and frequency of alcohol use in the American Indian (AI) population during the COVID-19 pandemic.Objectives: The aims of this study were to explore possible associations between covariables and both binge drinking and alcohol consumption during COVID-19.Methods: This cross-sectional survey study analyzed data from a sample of AI individuals (63% female) residing in California (n = 411) and Oklahoma (n = 657) between October 2020-January 2021. Analysis included summary statistics and multivariable logistic regression, including a variety of socio-economic, COVID-19 concern, and tobacco and marijuana use variables.Results: One or more alcohol binge episodes were reported between October 2020-January 2021 in 19.3% of participants and elevated overall alcohol consumption was reported by 21.6% of participants. Higher odds of elevated alcohol consumption occurred in women and those following more social distancing measures. The odds of binge drinking or elevated alcohol consumption in those using both marijuana and tobacco (aOR/ adjusted odds ratio:18.9, 95% CI = 8.5, 42.2, and aOR:3.9, 95% CI = 1.7, 8.6, respectively) were higher compared to those using neither. Similarly, the odds of binge drinking or elevated alcohol consumption in those using tobacco only (aOR:4.7, 95% CI = 2.9, 7.7 and aOR: 2.0, 95% CI = 1.1, 3.5, respectively) were higher compared to those using neither.Conclusions: This study found high rates of alcohol use and bingeing during the COVID-19 pandemic. Offering collaborative, culturally sensitive, and affordable support services are important components of intervention and preparation for future stressful events on local, as well as global levels.
摘要：
背景：这项研究探讨了在COVID-19大流行期间，美洲印第安人（AI）人群饮酒的数量和频率增加。目标：本研究的目的是探讨COVID-19期间的协变量与暴饮暴食和饮酒之间的可能关联。方法：这项横断面调查研究分析了2020年10月至2021年1月期间居住在加利福尼亚州（n=411）和俄克拉荷马州（n=657）的AI个体样本（63％女性）的数据。分析包括汇总统计和多变量逻辑回归，包括各种社会经济，COVID-19关注，烟草和大麻使用变量。结果：在2020年10月至2021年1月期间，有19.3％的参与者报告了一次或多次酗酒发作，21.6％的参与者报告了总体饮酒量上升。女性和遵循更多社交距离措施的女性饮酒增加的几率更高。与使用大麻和烟草的人相比，暴饮暴食或饮酒增加的几率（aOR/调整后的优势比：18.9，95％CI=8.5，42.2和aOR：3.9，95％CI=1.7，8.6）更高。同样，仅使用烟草的患者的暴饮暴食或饮酒增加的几率(分别为aOR:4.7,95%CI=2.9,7.7和aOR:2.0,95%CI=1.1,3.5)高于未使用烟草的患者.结论：这项研究发现，在COVID-19大流行期间，饮酒和暴饮暴食的比率很高。提供协作，文化敏感,和负担得起的支持服务是干预和准备未来压力事件的重要组成部分，以及全球层面。
