Co-occurrence of depression, anxiety and increased alcohol use during the late stage of the COVID-19 pandemic in Saskatchewan, Canada: a cross-sectional survey

Background Impact of the COVID-19 pandemic on mental health and substance use is well recognised. COVID-19 impacted Saskatchewan particularly hard as it has a higher prevalence of alcohol consumption than the national average. Our study investigated the prevalence and associated factors of co-occurr...

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Main Authors: Erika Dyck, James Dixon, Nazeem Muhajarine, Daniel A Adeyinka, Md Sabbir Ahmed, Ali Bukhari, Jim Clifford, Gabriela Novotna
Format: Article
Language:English
Published: BMJ Publishing Group 2025-02-01
Series:BMJ Public Health
Online Access:https://bmjpublichealth.bmj.com/content/3/1/e000965.full
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author Erika Dyck
James Dixon
Nazeem Muhajarine
Daniel A Adeyinka
Md Sabbir Ahmed
Ali Bukhari
Jim Clifford
Gabriela Novotna
author_facet Erika Dyck
James Dixon
Nazeem Muhajarine
Daniel A Adeyinka
Md Sabbir Ahmed
Ali Bukhari
Jim Clifford
Gabriela Novotna
author_sort Erika Dyck
collection DOAJ
description Background Impact of the COVID-19 pandemic on mental health and substance use is well recognised. COVID-19 impacted Saskatchewan particularly hard as it has a higher prevalence of alcohol consumption than the national average. Our study investigated the prevalence and associated factors of co-occurrence of poor mental health and alcohol consumption (also referred to as dual experience) among Saskatchewan adults.Method Cross-sectional data of 1034 eligible adults collected between July and November 2022, were analysed. Dual experience was defined as mild to severe symptoms of depression (Patient Health Questionaire-9) and/or anxiety (Generalised Anxiety Disorder-7) AND increased alcohol consumption during the later stage of COVID-19 pandemic. Multivariable binary logistic regression models were fitted to identify the factors that are associated with dual experience.Results The prevalence of different forms of dual experience was 7.32% for depression and alcohol use, 6.09% for anxiety and alcohol use and 5.44% for co-occurrence of depression, anxiety and alcohol use. Dual experiences were less likely among participants from racialised groups, and more likely among those with household food insecurity, as well as concerns over alcohol consumption.Conclusion Our analysis suggests that Saskatchewan adults are still experiencing poor mental health due to the impact of the COVID-19 pandemic, and a large proportion of people continue to consume alcohol at a higher rate than before the pandemic. Data driven interventions, for example, improving mental health and substance use treatment and counselling services, harm reduction strategies, especially targeting people living in food insecure households, are needed.
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spelling doaj-art-55858265daef414198cb8fe5fcbd39922025-02-04T17:05:10ZengBMJ Publishing GroupBMJ Public Health2753-42942025-02-013110.1136/bmjph-2024-000965Co-occurrence of depression, anxiety and increased alcohol use during the late stage of the COVID-19 pandemic in Saskatchewan, Canada: a cross-sectional surveyErika Dyck0James Dixon1Nazeem Muhajarine2Daniel A Adeyinka3Md Sabbir Ahmed4Ali Bukhari5Jim Clifford6Gabriela Novotna7Department of History, University of Saskatchewan, Saskatoon, Saskatchewan, Canada1 Department of Trauma and Orthopaedic Surgery, NHS Grampian, Aberdeen, UKSaskatchewan Population Health and Evaluation Research Unit, Saskatoon, Saskatchewan, CanadaDepartment of Research, Saskatchewan Health Authority, Saskatoon, Saskatchewan, CanadaSaskatchewan Population Health and Evaluation Research Unit, Saskatoon, Saskatchewan, CanadaSaskatchewan Population Health and Evaluation Research Unit, Saskatoon, Saskatchewan, CanadaDepartment of History, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaSaskatchewan Population Health and Evaluation Research Unit, Saskatoon, Saskatchewan, CanadaBackground Impact of the COVID-19 pandemic on mental health and substance use is well recognised. COVID-19 impacted Saskatchewan particularly hard as it has a higher prevalence of alcohol consumption than the national average. Our study investigated the prevalence and associated factors of co-occurrence of poor mental health and alcohol consumption (also referred to as dual experience) among Saskatchewan adults.Method Cross-sectional data of 1034 eligible adults collected between July and November 2022, were analysed. Dual experience was defined as mild to severe symptoms of depression (Patient Health Questionaire-9) and/or anxiety (Generalised Anxiety Disorder-7) AND increased alcohol consumption during the later stage of COVID-19 pandemic. Multivariable binary logistic regression models were fitted to identify the factors that are associated with dual experience.Results The prevalence of different forms of dual experience was 7.32% for depression and alcohol use, 6.09% for anxiety and alcohol use and 5.44% for co-occurrence of depression, anxiety and alcohol use. Dual experiences were less likely among participants from racialised groups, and more likely among those with household food insecurity, as well as concerns over alcohol consumption.Conclusion Our analysis suggests that Saskatchewan adults are still experiencing poor mental health due to the impact of the COVID-19 pandemic, and a large proportion of people continue to consume alcohol at a higher rate than before the pandemic. Data driven interventions, for example, improving mental health and substance use treatment and counselling services, harm reduction strategies, especially targeting people living in food insecure households, are needed.https://bmjpublichealth.bmj.com/content/3/1/e000965.full
spellingShingle Erika Dyck
James Dixon
Nazeem Muhajarine
Daniel A Adeyinka
Md Sabbir Ahmed
Ali Bukhari
Jim Clifford
Gabriela Novotna
Co-occurrence of depression, anxiety and increased alcohol use during the late stage of the COVID-19 pandemic in Saskatchewan, Canada: a cross-sectional survey
BMJ Public Health
title Co-occurrence of depression, anxiety and increased alcohol use during the late stage of the COVID-19 pandemic in Saskatchewan, Canada: a cross-sectional survey
title_full Co-occurrence of depression, anxiety and increased alcohol use during the late stage of the COVID-19 pandemic in Saskatchewan, Canada: a cross-sectional survey
title_fullStr Co-occurrence of depression, anxiety and increased alcohol use during the late stage of the COVID-19 pandemic in Saskatchewan, Canada: a cross-sectional survey
title_full_unstemmed Co-occurrence of depression, anxiety and increased alcohol use during the late stage of the COVID-19 pandemic in Saskatchewan, Canada: a cross-sectional survey
title_short Co-occurrence of depression, anxiety and increased alcohol use during the late stage of the COVID-19 pandemic in Saskatchewan, Canada: a cross-sectional survey
title_sort co occurrence of depression anxiety and increased alcohol use during the late stage of the covid 19 pandemic in saskatchewan canada a cross sectional survey
url https://bmjpublichealth.bmj.com/content/3/1/e000965.full
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