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Alcohol consumption during the COVID-19 pandemic in Europe: a large-scale cross-sectional study in 21 countries (preprint)

C. Kilian, J. Rehm, P. Allebeck, F. Braddick, A. Gual, M. Barták, K. Bloomfield, Artyom Gil et al.

2021

31,964 participants · 75 citations

Abstract

Aims: The aim of this project was to investigate changes in alcohol consumption during the first months of the pandemic in Europe as well as its associations with income and experiences of distress related to the COVID-19 pandemic. Design: Cross-sectional online survey conducted between April 24 and July 22 of 2020. Setting: 21 European countries. Participants: 31,964 adults reporting past-year drinking. Measurements: Changes in alcohol consumption were measured by asking respondents about changes during the previous month in their drinking frequency, the quantity they consumed, and incidence of heavy episodic drinking events. Individual indicators were combined into an aggregated consumption-change score and scaled to a possible range: -1 to +1. Using this score as outcome, multilevel linear regressions tested changes in overall drinking, taking into account sampling weights and baseline alcohol consumption (AUDIT-C) and country of residence serving as random intercept. Similar models were conducted for each single consumption-change indicator. Findings: In almost all countries, the consumption-change score indicated alcohol use to decrease on average; except in Ireland and the UK, where alcohol consumption on average remained unchanged or increased, respectively. Decreases in drinking were mostly driven by a reduced frequency of heavy episodic drinking. Declines in consumption were less marked among those with low- or average incomes, and those experiencing distress.…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 31,964 participants or records.

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