Evidence map›Paper›PMID 41521651›Full record

ArticleNeuropsychopharmacology reports2026

Lifestyle Factors and Current Alcohol Consumption Among Japanese Adolescents During the COVID-19 Pandemic: A Nationwide Cross-Sectional Study.

Masatake Nishiwaki, Hideyuki Kanda, Keita Yoshida, Takashi Hisamatsu, Aya Kinjo, Yuki Kuwabara, Hongja Kim, Aya Imamoto, Hisashi Yoshimoto, Teruna Ito and 9 more

Abstract read
In one paragraph

Article in Neuropsychopharmacology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  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

19 authors.

Masatake NishiwakiDepartment of Public Health, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.ORCID https://orcid.org/0009-0004-4612-6538
Hideyuki KandaDepartment of Public Health, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.ORCID https://orcid.org/0000-0002-4013-3698
Keita YoshidaDepartment of Public Health, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
Takashi HisamatsuDepartment of Public Health, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
Aya KinjoDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.ORCID https://orcid.org/0000-0001-7099-5486
Yuki KuwabaraDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Hongja KimDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Aya ImamotoDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Hisashi YoshimotoDepartment of Family Medicine, General Practice and Community Health, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
Teruna ItoDepartment of Food and Nutrition, Koriyama Women's University, Koriyama, Japan.
Hideaki KasugaDepartment of Hygiene and Preventive Medicine, Fukushima Medical University, Fukushima, Japan.
Ruriko MinobeNational Institute of Alcoholism, Kurihama National Hospital, Yokosuka, Japan.
Hitoshi MaesatoNational Institute of Alcoholism, Kurihama National Hospital, Yokosuka, Japan.
Maki JikeDepartment of Food Science and Nutrition, Faculty of Life and Environmental Science, Showa Women's University, Tokyo, Japan.
Yuichiro OtsukaDivision of Public Health, Department of Social Medicine, Nihon University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0001-8247-9235
Osamu ItaniDivision of Public Health, Department of Social Medicine, Nihon University School of Medicine, Tokyo, Japan.
Yoshitaka KaneitaDivision of Public Health, Department of Social Medicine, Nihon University School of Medicine, Tokyo, Japan.
Susumu HiguchiNational Institute of Alcoholism, Kurihama National Hospital, Yokosuka, Japan.
Yoneatsu OsakiDivision of Environmental and Preventive Medicine, Department of Social Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.

Funding

Ministry of Health, Labour and Welfare 20FA1003
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic may have influenced drinking behaviors in minors by disrupting daily routines and increasing psychosocial stress, although alcohol use among Japanese adolescents has declined in recent years. We aimed to clarify the relationships between current alcohol consumption and lifestyle factors during the COVID-19 pandemic based on a nationwide cross-sectional survey.

methodsThis cross-sectional study analyzed data from the 2021 Lifestyle Survey of Adolescents, a nationwide survey conducted in Japan during the COVID-19 pandemic. A total of 15 549 junior and senior high school students (7645 boys and 7904 girls) were included. Current alcohol consumption was defined as drinking on at least 1 day in the past 30 days. Multivariable logistic regression analyses were used to examine associations between current alcohol consumption and lifestyle factors, including irregular sleep patterns, irregular dietary habits, and increased screen time. Sex-stratified analyses and interaction tests were also performed.

resultsThe overall prevalence of current alcohol consumption was 2.1%, with slightly higher rates among boys (2.2%) than girls (2.0%). Current alcohol consumption was significantly associated with irregular sleep patterns (odds ratio [OR] = 1.51; 95% confidence interval [CI], 1.17-1.95) and irregular dietary habits (OR = 1.68; 95% CI, 1.18-2.40). An association with increased screen time was also observed (OR = 1.29; 95% CI, 1.00-1.69), particularly among boys. A significant interaction by sex was detected for irregular sleep patterns (p for interaction = 0.013).

conclusionsAlcohol consumption among Japanese adolescents was associated with irregular sleep and dietary habits and, among boys, with increased screen time. These findings highlight the importance of promoting regular routines and addressing lifestyle-related risks to prevent current alcohol consumption among adolescents during public health crises.

Indexed as

Adolescent BehaviorAlcohol DrinkingCOVID-19Life StyleUnderage DrinkingAdolescentCross-Sectional StudiesEast Asian PeopleFemaleHumansJapanMalePrevalenceScreen TimeSex Factorsadolescentalcohol drinkingCOVID‐19Japanlifestyle

Identifiers

PMID41521651
PMCPMC12793038

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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.