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Research Article

Alcohol use and life stressors during the COVID-19 pandemic: a longitudinal study of young adults

ORCID Icon, , ORCID Icon, , , & ORCID Icon show all
Received 09 Oct 2022, Accepted 20 Feb 2023, Published online: 26 Feb 2023
 

ABSTRACT

Objective

To estimate the extent to which drinking to cope with the COVID-19 pandemic and experiencing pandemic-related life stressors are associated with alcohol use escalation among young adults.

Methods

Respondents in Los Angeles, CA, USA (N = 2,130) completed prospective cohort study surveys before (baseline; October 2018–November 2019; mean age: 19.7[SD = 0.4]) and during (follow-up; May–August 2020) the COVID-19 outbreak. Past 30-day drinking days and number of drinks per drinking day were assessed from baseline to follow-up. At follow-up, participants reported drinking to cope with social isolation and pandemic-related stressors.

Results

Pandemic-related stressor prevalence ranged from 5.5% (evicted/lost home) to 72.6% (worried about education) and 27.1% drank to cope with social isolation during the pandemic. Respondents who did (vs. did not) report pandemic-related coping drinking were more likely to increase past 30-day drinking days and drinks per drinking day from baseline to follow-up after adjustment for possible confounders. Employment loss/reduction, financial problems, and perceived likelihood of contracting COVID-19 or handling the pandemic poorly were each associated with increases in drinking days or drinks per drinking day.

Conclusions

Experiencing certain life stressors and drinking to cope with social isolation may be associated with drinking escalation among young adults during the COVID-19 pandemic.

Author contributions

JC was principal investigator responsible for study conception and conducted the analyses. JC, SS, and AML led the conceptualization of the study and wrote most of the manuscript text. AK drafted the methods section and prepared file for submission. JBL and AML obtained funding for the parent study and directed data collection. JBU, JLB, and EAV aided in study conceptualization and provided feedback on drafts. JC oversaw data management and processing. All authors approved the manuscript.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Access to data and data analysis

JC had full access to all the data in the study and took responsibility for the integrity of the data and the accuracy of the data analysis.

Role of funder

The funding agency had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Supplementary data

Supplemental data for this article can be accessed online at https://doi.org/10.1080/14659891.2023.2183909.

Additional information

Funding

Research reported in this publication was supported by the National Cancer Institute (NCI) of the National Institutes of Health (NIH) under Award Number R01CA229617 (Barrington-Trimis/Leventhal) and by the National Institute on Drug Abuse (NIDA) under Award Number K24DA048160. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

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