Evidence map›Paper›PMID 38017319›Full record

ArticleJournal of cancer survivorship : research and practice2025

Change in alcohol consumption during the Covid-19 pandemic and associations with mental health and financial hardship: results from a survey of Wisconsin patients with cancer.

Thomas Lawler, Shaneda Warren Andersen, Amy Trentham-Dietz, Ajay K Sethi, Amye J Tevaarwerk, Kristen M C Malecki, Kristin Litzelman, Priyanka A Pophali, Ronald E Gangnon, John M Hampton and 2 more

Abstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Thomas LawlerSchool of Medicine and Public Health, University of Wisconsin Carbone Cancer Center, Madison, WI, USA. tlawler2@wisc.edu.
Shaneda Warren AndersenSchool of Medicine and Public Health, University of Wisconsin Carbone Cancer Center, Madison, WI, USA.
Amy Trentham-DietzSchool of Medicine and Public Health, University of Wisconsin Carbone Cancer Center, Madison, WI, USA.
Ajay K SethiDepartment of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Amye J TevaarwerkMayo Clinic Comprehensive Cancer Center, Rochester, MN, USA.
Kristen M C MaleckiDepartment of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Kristin LitzelmanSchool of Medicine and Public Health, University of Wisconsin Carbone Cancer Center, Madison, WI, USA.
Priyanka A PophaliDivision of Hematology, Medical Oncology and Palliative Care, University of Wisconsin Carbone Cancer Center, Madison, WI, USA.
Ronald E GangnonSchool of Medicine and Public Health, University of Wisconsin Carbone Cancer Center, Madison, WI, USA.
John M HamptonSchool of Medicine and Public Health, University of Wisconsin Carbone Cancer Center, Madison, WI, USA.
Kristine KwekkeboomSchool of Medicine and Public Health, University of Wisconsin Carbone Cancer Center, Madison, WI, USA.
Noelle K LoConteSchool of Medicine and Public Health, University of Wisconsin Carbone Cancer Center, Madison, WI, USA.
University of Wisconsin Carbone Cancer Center · USUniversity of Wisconsin–Madison · USMayo Clinic · US

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Nihal Ahmad · 1985 to 2026
$142.6M
University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
NCATS NIH HHS UL1 TR002373NCI NIH HHS P30 CA014520NCI NIH HHS P30CA014520NIH HHS UL1TR002373
6 · The paper itself

Abstract

purposeAlcohol consumption increases health risks for patients with cancer. The Covid-19 pandemic may have affected drinking habits for these individuals. We surveyed patients with cancer to examine whether changes in drinking habits were related to mental health or financial effects of the pandemic.

methodsFrom October 2020 to April 2021, adult patients (age 18-80 years at diagnosis) treated for cancer in southcentral Wisconsin were invited to complete a survey. Age-adjusted percentages for history of anxiety or depression, emotional distress, and financial impacts of Covid-19 overall and by change in alcohol consumption (non-drinker, stable, decreased, or increased) were obtained via logistic regression.

resultsIn total, 1,875 patients were included in the analysis (median age 64, range 19-87 years), including 9% who increased and 23% who decreased drinking. Compared to stable drinkers (32% of sample), a higher proportion of participants who increased drinking alcohol also reported anxiety or depression (45% vs. 26%), moderate to severe emotional distress (61% vs. 37%) and viewing Covid-19 as a threat to their community (67% vs. 55%). Decreased (vs. stable) drinking was associated with higher prevalence of depression or anxiety diagnosis, emotional distress, and negative financial impacts of the pandemic. Compared to non-drinkers (36% of sample), participants who increased drinking were more likely to report emotional distress (61% vs. 48%).

conclusionsPatients with cancer from Wisconsin who changed their alcohol consumption during the Covid-19 pandemic were more likely to report poor mental health including anxiety, depression, and emotional distress than persons whose alcohol consumption was stable. IMPLICATIONS FOR CANCER SURVIVORS: Clinicians working with cancer survivors should be aware of the link between poor mental health and increased alcohol consumption and be prepared to offer guidance or referrals to counseling, as needed.

Indexed as

Alcohol DrinkingCancer SurvivorsCOVID-19Financial StressMental HealthNeoplasmsAdolescentAdultAgedAged, 80 and overAnxietyDepressionFemaleHumansMaleMiddle AgedAlcoholAnxietyCancerCovid-19DepressionMental health

Identifiers

PMID38017319
PMCPMC11130075
OpenAlexW4389078866

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.