Changes in Alcohol Consumption During and After the Covid-19 Pandemic From 2020 to 2023 in a Prospective Cohort of Italian Adults
Background: The lockdowns imposed by the government during coronavirus disease 2019 (COVID-19) pandemic have had a significant impact on the Italian population habits. Methods: LOckdown and lifeSTyles in Italy and in Tuscany studies collected data on a representative sample of the Italian adult popu...
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Japan Epidemiological Association
2025-02-01
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| Series: | Journal of Epidemiology |
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| Online Access: | https://www.jstage.jst.go.jp/article/jea/35/2/35_JE20230340/_pdf |
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| author | Sonia Cerrai Giulia Carreras Filippo Monti Chiara Stival Alessandra Lugo Cristina Bosetti Silvia Biagioni Tiziana Fanucchi Giuseppe Gorini Andrea Amerio Luisa Mastrobattista Claudia Mortali Anna Odone Sabrina Molinaro Luc Smits Silvano Gallus the “Lost in Italy” and “Lost in Toscana” Study Investigators |
| author_facet | Sonia Cerrai Giulia Carreras Filippo Monti Chiara Stival Alessandra Lugo Cristina Bosetti Silvia Biagioni Tiziana Fanucchi Giuseppe Gorini Andrea Amerio Luisa Mastrobattista Claudia Mortali Anna Odone Sabrina Molinaro Luc Smits Silvano Gallus the “Lost in Italy” and “Lost in Toscana” Study Investigators |
| author_sort | Sonia Cerrai |
| collection | DOAJ |
| description | Background: The lockdowns imposed by the government during coronavirus disease 2019 (COVID-19) pandemic have had a significant impact on the Italian population habits. Methods: LOckdown and lifeSTyles in Italy and in Tuscany studies collected data on a representative sample of the Italian adult population in 2020 (n = 6,003) followed up through 2023 via four additional surveys (3,000 ≤ n ≤ 6,600) through an online self-administered questionnaire. The Alcohol Use Disorders Identification Test-Concise was used to identify at-risk drinkers. Considering the cohort of individuals who took part to the first and at least one other wave (n = 5,378), a multilevel logistic model was used to derive odds ratios (ORs) and corresponding 95% confidence intervals (CIs) of being at-risk drinkers. Results: The prevalence of at-risk drinkers was 26.4% before, 23.4% during the first lockdown, and stabilized around 30.0% thereafter. Being at-risk alcohol consumers decreased with decreasing economic status (P for trend <0.001), was less frequent among middle-aged compared to younger (OR 0.73; 95% CI, 0.60–0.89) and among divorced/separated (OR 0.77; 95% CI, 0.60–0.99) or single (OR 0.75; 95% CI, 0.64–0.89) compared to married individuals. It was more frequent among individuals with anxiety or depressive symptoms (OR 1.24; 95% CI, 1.12–1.37), those using psychotropic drugs (OR 1.99; 95% CI, 1.69–2.35) and users of conventional and/or alternative nicotine products (OR 3.67; 95% CI, 3.00–4.48). Conclusion: The long-term trends in alcohol consumption after the COVID-19 pandemic are unfavorable in Italy. The results point to an increased vulnerability for at-risk alcohol consumption among younger individuals, women with higher economic status, and married individuals. At-risk drinking is strongly related to mental health symptoms and nicotine consumption. |
| format | Article |
| id | doaj-art-dfece0c5cda7436aa5b4e8b24dd9022e |
| institution | Kabale University |
| issn | 0917-5040 1349-9092 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Japan Epidemiological Association |
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| series | Journal of Epidemiology |
| spelling | doaj-art-dfece0c5cda7436aa5b4e8b24dd9022e2025-02-05T04:49:20ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922025-02-01352637010.2188/jea.JE20230340Changes in Alcohol Consumption During and After the Covid-19 Pandemic From 2020 to 2023 in a Prospective Cohort of Italian AdultsSonia Cerrai0Giulia Carreras1Filippo Monti2Chiara Stival3Alessandra Lugo4Cristina Bosetti5Silvia Biagioni6Tiziana Fanucchi7Giuseppe Gorini8Andrea Amerio9Luisa Mastrobattista10Claudia Mortali11Anna Odone12Sabrina Molinaro13Luc Smits14Silvano Gallus15the “Lost in Italy” and “Lost in Toscana” Study InvestigatorsNational Research Council, Institute of Clinical Physiology (CNR-IFC), Pisa, ItalyInstitute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, ItalyInstitute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, ItalyDepartment of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, ItalyDepartment of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, ItalyDepartment of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, ItalyNational Research Council, Institute of Clinical Physiology (CNR-IFC), Pisa, ItalyUnit of Health Promotion, Epidemiology, and Government of Territorial Demand, ASST Fatebenefratelli Sacco, Milan, ItalyInstitute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, ItalyUniversity of Genoa, Genoa, ItalyIstituto Superiore di Sanità, Rome, ItalyIstituto Superiore di Sanità, Rome, ItalyDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, ItalyNational Research Council, Institute of Clinical Physiology (CNR-IFC), Pisa, ItalyDepartment of Epidemiology, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The NetherlandsDepartment of Medical Epidemiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, ItalyBackground: The lockdowns imposed by the government during coronavirus disease 2019 (COVID-19) pandemic have had a significant impact on the Italian population habits. Methods: LOckdown and lifeSTyles in Italy and in Tuscany studies collected data on a representative sample of the Italian adult population in 2020 (n = 6,003) followed up through 2023 via four additional surveys (3,000 ≤ n ≤ 6,600) through an online self-administered questionnaire. The Alcohol Use Disorders Identification Test-Concise was used to identify at-risk drinkers. Considering the cohort of individuals who took part to the first and at least one other wave (n = 5,378), a multilevel logistic model was used to derive odds ratios (ORs) and corresponding 95% confidence intervals (CIs) of being at-risk drinkers. Results: The prevalence of at-risk drinkers was 26.4% before, 23.4% during the first lockdown, and stabilized around 30.0% thereafter. Being at-risk alcohol consumers decreased with decreasing economic status (P for trend <0.001), was less frequent among middle-aged compared to younger (OR 0.73; 95% CI, 0.60–0.89) and among divorced/separated (OR 0.77; 95% CI, 0.60–0.99) or single (OR 0.75; 95% CI, 0.64–0.89) compared to married individuals. It was more frequent among individuals with anxiety or depressive symptoms (OR 1.24; 95% CI, 1.12–1.37), those using psychotropic drugs (OR 1.99; 95% CI, 1.69–2.35) and users of conventional and/or alternative nicotine products (OR 3.67; 95% CI, 3.00–4.48). Conclusion: The long-term trends in alcohol consumption after the COVID-19 pandemic are unfavorable in Italy. The results point to an increased vulnerability for at-risk alcohol consumption among younger individuals, women with higher economic status, and married individuals. At-risk drinking is strongly related to mental health symptoms and nicotine consumption.https://www.jstage.jst.go.jp/article/jea/35/2/35_JE20230340/_pdfalcoholat-risk drinkingaudit-ccovid-19prospective cohort |
| spellingShingle | Sonia Cerrai Giulia Carreras Filippo Monti Chiara Stival Alessandra Lugo Cristina Bosetti Silvia Biagioni Tiziana Fanucchi Giuseppe Gorini Andrea Amerio Luisa Mastrobattista Claudia Mortali Anna Odone Sabrina Molinaro Luc Smits Silvano Gallus the “Lost in Italy” and “Lost in Toscana” Study Investigators Changes in Alcohol Consumption During and After the Covid-19 Pandemic From 2020 to 2023 in a Prospective Cohort of Italian Adults Journal of Epidemiology alcohol at-risk drinking audit-c covid-19 prospective cohort |
| title | Changes in Alcohol Consumption During and After the Covid-19 Pandemic From 2020 to 2023 in a Prospective Cohort of Italian Adults |
| title_full | Changes in Alcohol Consumption During and After the Covid-19 Pandemic From 2020 to 2023 in a Prospective Cohort of Italian Adults |
| title_fullStr | Changes in Alcohol Consumption During and After the Covid-19 Pandemic From 2020 to 2023 in a Prospective Cohort of Italian Adults |
| title_full_unstemmed | Changes in Alcohol Consumption During and After the Covid-19 Pandemic From 2020 to 2023 in a Prospective Cohort of Italian Adults |
| title_short | Changes in Alcohol Consumption During and After the Covid-19 Pandemic From 2020 to 2023 in a Prospective Cohort of Italian Adults |
| title_sort | changes in alcohol consumption during and after the covid 19 pandemic from 2020 to 2023 in a prospective cohort of italian adults |
| topic | alcohol at-risk drinking audit-c covid-19 prospective cohort |
| url | https://www.jstage.jst.go.jp/article/jea/35/2/35_JE20230340/_pdf |
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