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Reduced alcohol consumption during the COVID-19 pandemic: Analyses of 17000 patients seeking primary health care in Colombia and Mexico

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dc.contributor.author Manthey, Jakob
dc.contributor.author Carr, Sinclair
dc.contributor.author Anderson, Peter
dc.contributor.author Bautista, Natalia
dc.contributor.author Braddick, Fleur
dc.contributor.author O'Donnell, Amy
dc.contributor.author Jane-Llopis, Eva
dc.contributor.author Lopez-Pelayo, Hugo
dc.contributor.author Medina, Perla
dc.contributor.author Mejia-Trujillo, Juliana
dc.contributor.author Perez-Gomez, Augusto
dc.contributor.author Piazza Ferrand, Marina Julia
dc.contributor.author Rehm, Jurgen
dc.contributor.author Solovei, Adriana
dc.contributor.author Rey, Guillermina Natera
dc.contributor.author de Vries, Hein
dc.contributor.author Schulte, Bernd
dc.date.accessioned 2022-04-26T17:26:50Z
dc.date.available 2022-04-26T17:26:50Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/11608
dc.description.abstract Background: During the COVID-19 pandemic, an increase of heavy alcohol use has been reported in several high-income countries. We examined changes in alcohol use during the pandemic among primary health care (PHC) patients in two middle income countries, Colombia and Mexico. Methods: Data were collected during routine consultations in 34 PHC centres as part of a large-scale implementation study. Providers measured patients’ alcohol consumption with the three item ‘Alcohol Use Disorders Identification Test’ (AUDIT-C). Generalized linear mixed models were performed to examine changes in two dependent variables over time (pre-pandemic and during pandemic): 1) the AUDIT-C score and 2) the proportion of heavy drinking patients (8+ on AUDIT-C). Results: Over a period of more than 600 days, data from N=17273 patients were collected. During the pandemic, the number of patients with their alcohol consumption measured decreased in Colombia and Mexico. Each month into the pandemic was associated with a 1.5% and 1.9% reduction in the mean AUDIT-C score in Colombia and Mexico, respectively. The proportion of heavy drinking patients declined during the pandemic in Colombia (pre-pandemic: 5.4%, 95% confidence interval (CI)=4.8% to 6.0%; during the pandemic: 0.8%, 95% CI=0.6% to 1.1%) but did not change in Mexico. Conclusions: Average consumption levels declined and the prevalence of heavy drinking patterns did not increase. In addition to reduced opportunities for social drinking during the pandemic, changes in the population seeking PHC and restrictions in alcohol availability and affordability are likely drivers for lower levels of alcohol use by patients in this study. en_US
dc.language.iso eng
dc.publisher International Society of Global Health
dc.relation.ispartofseries Journal of Global Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject COVID-19 en_US
dc.subject Reduced Alcohol Consumption en_US
dc.subject Analyses en_US
dc.subject Colombia en_US
dc.subject Mexico en_US
dc.title Reduced alcohol consumption during the COVID-19 pandemic: Analyses of 17000 patients seeking primary health care in Colombia and Mexico en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.7189/jogh.12.05002
dc.relation.issn 2047-2986


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