ArticlePreventive medicine2021
Mental health and economic stressors associated with high-risk drinking and increased alcohol consumption early in the COVID-19 pandemic in the United States.
Article in Preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 38 citations in OpenAlex.
- A randomized clinical trial testing the effectiveness of an adapted online HIV/AIDS prevention intervention among Latino men.Scientific reports · 2025Trial
- The global burden of metabolic and alcohol-associated liver disease (MetALD).Hepatology communications · 2026Review
- Living Alone as a Persistent Risk Factor for Smoking and High-Risk Drinking: A Three-Year Repeated Cross-Sectional Analysis Before and During the COVID-19 Pandemic in the Republic of Korea.Healthcare (Basel, Switzerland) · 2026Article
- The impact of the COVID-19 pandemic on liver health: exploring shifts in social and psychosocial determinants of steatosis and fibrosis.Frontiers in medicine · 2026Article
- Effects of COVID-19 economic impacts on alcohol use disorder symptoms are mediated by maximum and volume of alcohol intake: Data from the National Alcohol Survey's COVID Cohort.Alcohol, clinical & experimental research · 2026Article
- Sexual Assault in the Context of Daily Level Changes in Socializing and Substance Use Prior to and During the COVID-19 Pandemic.Psychology of violence · 2025Article
- Women's alcohol consumption during the restriction phases of the COVID-19 pandemic in Brazil: a phone-based survey.BMC women's health · 2025Article
- "My Health Is More Important than Drinking": A Qualitative Analysis of Alcohol Use During COVID-19.International journal of environmental research and public health · 2025Article
- Article
- Drinking motives link positive and negative life events to problematic alcohol use during the COVID-19 pandemic: a longitudinal study.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- The direct and indirect effects of the COVID-19 pandemic on the mental health of confined youth.Health & justice · 2024Article
- A mobile phone intervention to reduce heavy drinking: a preliminary analysis of anchoring heuristics.BMC psychology · 2023Article
- Gender differences in alcohol abuse/dependence among medical undergraduates during the post-COVID‑19 pandemic period (October 20, 2020-April 5, 2021) in China.BMC psychiatry · 2023Article
- Impact of COVID-19's Economic Burden on Alcohol-Related Problems: An Indirect Effect of Depression, Stress, and Anxiety.Translational issues in psychological science · 2023Article
- Shifts in medical cannabis use in Canada during the COVID-19 pandemic.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2023Article
- Living alone and health-related quality of life among adults with obstructive sleep apnea in a single-center cohort study.Sleep & breathing = Schlaf & Atmung · 2023Article
- SARS-CoV-2 versus Influenza A Virus: Characteristics and Co-Treatments.Microorganisms · 2023Review
- Association of Depression With Precautionary Behavior Compliance, COVID-19 Fear, and Health Behaviors in South Korea: National Cross-sectional Study.JMIR public health and surveillance · 2023Article
- Alcohol misuse, health-related behaviors, and burnout among clinical therapists in China during the early Covid-19 pandemic: A Nationwide survey.Frontiers in public health · 2023Article
- COVID-19 Concerns, Perceived Stress, and Increased Alcohol Use Among Adult Women in the United States.Clinical nursing research · 2023Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
Physical distancing measures to curb COVID-19 transmission introduced mental health and economic stressors, possibly impacting problematic drinking. This cross-sectional study examines mental health and economic stressors early in the COVID-19 pandemic which may be associated with heavy alcohol use and increased alcohol use. We administered an online survey of U.S. adults via social media April 5 to May 5, 2020. High-risk drinking was defined by WHO risk drinking levels, a daily average of ≥4 drinks for men and ≥3 drinks for women. Participants reported retrospective assessments of increased alcohol use if their past-week alcohol consumption exceeded their past-year average weekly alcohol consumption. We used logistic regression to assess possible covariates of high-risk drinking and increased alcohol use. Among 2175 participants, 10% (n = 222) reported high-risk drinking, and 36% (n = 775) reported increased alcohol consumption. In multivariable analysis, high-risk drinking was significantly associated with household job loss (OR = 1.41, 95%CI = (1.06, 1.88)) and depressive symptoms (OR = 1.05, 95% CI = (1.02, 1.07)), and women had higher odds of high-risk drinking than men (OR = 2.37, 95% CI = (1.32, 4.69)). Previous mental health diagnosis was not significantly associated with high-risk drinking during the pandemic (OR = 1.31, 95% CI = (0.98, 1.76)) in univariable analysis. High-risk drinkers were almost six times as likely to report retrospective assessments of increased alcohol consumption, controlling for mental health and economic stressors (OR = 5.97, 95% CI = (4.35, 8.32)). Findings suggest a need for targeted interventions to address the complex mental health and economic stressors that may increase alcohol consumption and high-risk drinking during and after the pandemic.
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