目的:研究COVID-19大流行期间各种社会人口统计学因素与饮酒和吸烟行为之间的关系。
方法:从2020年6月至11月,来自俄亥俄州和印第安纳州的参与者被要求参加“COVID-19对癌症连续体联盟的影响”研究(N=32,989)。包括完成调查并回答关键研究问题的人(n=5,374)。参与者被问及使用酒精和烟草产品的频率和类型。进行了多变量逻辑回归,以确定与COVID-19对酒精和/或烟草使用变化的影响相关的因素。
结果:平均年龄57岁,68%是女性,90%的非西班牙裔白人,75%已婚,31%的人生活在农村县。在5,374名参与者中,53%仅使用酒精(n=2,833),5%仅使用烟草(n=255),7%的人同时使用酒精和烟草(n=395),35%的人既不饮酒也不吸烟(n=1,891)。城市居住县(vs.农村)与饮酒增加相关(p=0.0001),酒精产品的变化(p=0.023),烟草使用量增加(p=0.05)。在纯酒精使用者中,那些年轻的人(OR=0.97),女性(OR=1.58),已婚(OR=1.69),具有较高的社会经济地位(OR=1.99),居住在城市县(OR=1.65),并且有较高的财务(OR=1.06)和就业问题(OR=1.28),更有可能报告酒精使用增加。同样,在烟草使用者中,那些年轻的人(OR=0.97),女性(OR=2.79),已婚(OR=2.16)或离婚(OR=2.83),社区劣势水平较高(OR=2.19)的患者更有可能报告烟草使用增加。
结论:研究结果表明,针对年轻人,在COVID-19大流行期间经济和就业问题增加的女性参与者对于降低与饮酒和吸烟几率增加相关的风险是必要的.我们对酒精和烟草使用的发现可能是大流行对妇女的独特社会和经济影响的结果。
OBJECTIVE: To examine the association between various sociodemographic factors with alcohol and tobacco use behaviors during the COVID-19 pandemic.
METHODS: Participants from Ohio and
Indiana were asked to participate in the \'Impact of COVID-19 on the Cancer Continuum Consortium\' study (N = 32,989) from June-November 2020. Those who completed the survey and responded to key study questions were included (n = 5,374). Participants were asked about the frequency and type of alcohol and tobacco product used. Multivariable logistic regression was conducted to determine factors associated with the impact of COVID-19 on change in alcohol and/or tobacco use.
RESULTS: Mean age was 57 years old, 68% were female, 90% non-Hispanic white, 75% married, and 31% lived in rural counties. Out of 5,374 participants, 53% used alcohol-only (n = 2,833), 5% used tobacco-only (n = 255), 7% used both alcohol and tobacco (n = 395), and 35% used neither alcohol nor tobacco (n = 1,891). Urban county of residence (vs. rural) was associated with an increase in alcohol-use (p = 0.0001), change in alcohol products (p = 0.023), and an increase in tobacco use (p = 0.05). Among alcohol-only users, those who were younger (OR = 0.97), female (OR = 1.58), married (OR = 1.69), of high socioeconomic status (OR = 1.99), residing in urban counties (OR = 1.65), and had elevated financial (OR = 1.06) and employment concerns (OR = 1.28) were significantly more likely to report increased alcohol-use. Similarly, among tobacco users, those who were younger (OR = 0.97), female (OR = 2.79), married (OR = 2.16) or divorced (OR = 2.83), and had higher levels of neighborhood disadvantage (OR = 2.19) were significantly more likely to report increased tobacco-use.
CONCLUSIONS: Findings suggest targeted intervention and prevention strategies for young, female participants with elevated financial and employment concerns during the COVID-19 pandemic are necessary to mitigate risks associated with higher odds of alcohol and tobacco use. Our findings on alcohol and tobacco use may be a result of the unique social and economic influence of the pandemic on women.