Association between perceived decline in family income due to COVID-19 and alcohol consumption among Korean adolescents

Park, Yu Shin; Jung, Yun Hwa; Park, Sohee; Shin, Jaeyong

doi:10.1016/j.jad.2022.02.051

Cited by 3 publications

(4 citation statements)

References 34 publications

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“…Specifically, the study found that the overall prevalence of alcohol use in the past 30 days was 9.6%, with 10.7% for boys and 8.6% for girls. In a study involving Korean students, 42 the prevalence of drinking among grade 12 students was reported to be 25.1% in boys and 18.7% in girls, a trend that closely mirrors the findings of our present survey (25.8% for boys and 17.0% for girls). Similarly, a cross-sectional survey conducted between May and June 2013 in Beijing, Shanghai and Guangzhou, China’s metropolises, surveyed 13 811 middle school students (excluding 9th and 12th graders).…”

Section: Discussionsupporting

confidence: 90%

Gender differences in alcohol drinking among adolescents: a school-based survey in China

Li,

Liu,

Chen

et al. 2024

BMJ Open

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BackgroundAlcohol drinking among adolescents is associated with their health development. However, the prevalence of alcohol drinking among adolescents in Southwestern China remains largely unexplored. This study aimed to investigate the prevalence of alcohol drinking, with a particular focus on gender differences, among primary and middle school students in Zigong, a city in Southwestern China. Additionally, we examined the association between alcohol consumption and demographic and family factors.MethodsA school-based cross-sectional survey was conducted in a city in Southwestern China, encompassing a total of 89 360 students from 132 different ordinary schools, including both primary and middle schools. Participants were recruited through cluster sampling. The Alcohol Use Disorders Identification Test Consumption was employed to assess alcohol consumption. Gender differences in the prevalence of alcohol drinkers across various schools and grades were analysed. Multivariable logistic regression analysis was used to investigate factors associated with hazardous drinking.ResultsOut of the 89 360 participants, 19.0% reported alcohol drinking, with 2.1% classified as hazardous drinkers. There was a higher prevalence of alcohol drinking among boys compared with girls, as well as hazardous drinking. There were significant gender disparities in alcohol drinking observed across various schools and grade levels. A notable divergence between boys and girls was observed starting from grade 10, with a rising prevalence of hazardous drinking among boys and a decline among girls. Additionally, older age, male gender and being left-behind children were identified as risk factors for hazardous drinking, while belonging to a nuclear family and having parents who do not drink were protective factors against hazardous drinking.ConclusionsAlcohol consumption is prevalent among Chinese adolescents, with some even classified as hazardous drinkers. These findings may offer valuable insights for policymakers and caregivers, guiding them in formulating appropriate interventions and support strategies.

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Section: Discussionsupporting

confidence: 90%

Gender differences in alcohol drinking among adolescents: a school-based survey in China

Li,

Liu,

Chen

et al. 2024

BMJ Open

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“…Meanwhile, our study found that adolescents facing economic hardship related to COVID-19 had a higher risk of increasing their alcohol consumption. Similar findings have been reported in studies conducted during and during the COVID-19 pandemic, indicating that a decline in financial stability due to the COVID-19 pandemic was associated with higher rates of alcohol consumption among adolescents [ 8 , 26 ]. A study conducted in the United States revealed that negative changes in self-reported financial situations during the COVID-19 pandemic were independently associated with the enhanced likelihood of alcohol consumption (odds ratio, 0.70; p = 0.04) [ 26 ].…”

Section: Discussionsupporting

confidence: 83%

“…Studies reported an increased prevalence of obesity and overweight among adolescents during the pandemic [ 5 ], as well as an increased prevalence of anxiety when families experienced economic difficulties due to COVID-19 [ 6 ]. Smartphone usage and alcohol consumption among adolescents increased during the pandemic, particularly in families experiencing economic difficulties [ 7 , 8 ]. These findings suggest that COVID-19 significantly affected the daily lives of Korean adolescents and that the alterations in household economic status because of COVID-19 influenced their lifestyle habits.…”

Section: Introductionmentioning

confidence: 99%

Changes in Adolescent Health Behavior and the Exacerbation of Economic Hardship During the COVID-19 Pandemic: A Cross-sectional Study From the Korea Youth Risk Behavior Survey

Kim,

Lee,

Jung-Choi

et al. 2024

JPMPH

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Objectives: This study investigated the association between exacerbated economic hardship during the coronavirus disease 2019 (COVID-19) pandemic and changes in the health behaviors of Korean adolescents.Methods: We analyzed data from the 2021 Korea Youth Risk Behavior Survey and included 44 908 students (22 823 boys and 22 085 girls) as study subjects. The dependent variables included changes in health behaviors (breakfast habits, physical activity, and alcohol use) that occurred during the COVID-19 pandemic. The aggravation of economic hardship by COVID-19 and the subjective economic status of the family were used as exposure variables. Multiple logistic regression analysis was utilized to calculate the prevalence odds ratios (PORs).Results: Severe exacerbation of a family’s economic hardship due to COVID-19 was negatively associated with the health behaviors of adolescents, including increased breakfast skipping (POR, 1.85; 95% confidence interval [CI], 1.55 to 2.21 for boys and POR, 1.56; 95% CI, 1.27 to 1.92 for girls) and decreased physical activity (POR, 1.37; 95% CI, 1.19 to 1.57 for boys and POR, 1.38; 95% CI, 1.19 to 1.60 for girls). These negative changes in health behaviors were further amplified when combined with a low subjective family economic status.Conclusions: The experience of worsening household hardship can lead to negative changes in health behavior among adolescents. It is crucial to implement measures that address the economic challenges that arise from stressful events such as COVID-19 and to strive to improve the lifestyles of adolescents under such circumstances.

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“…Current data on the change in alcohol drinking during the pandemic are derived mostly from high-income countries, with reported rates of increase ranging from 21.7% to 72.9% 9 . The identified predictors of change in alcohol drinking include contextual and individual-related factors, like COVID-19-related stress 10 , family income loss 11 , lower education level 12 , and age and sex 13 .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with an increase in alcohol consumption and tobacco use during the COVID-19 pandemic: A cross-sectional study of data from 105 countries

Quadri¹,

Lusher²,

Foláyan³

et al. 2023

Tob. Induc. Dis.

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INTRODUCTION The COVID-19 pandemic has inevitably led to monumental challenges, and alcohol drinking and tobacco use have unlikely been spared. This cross-sectional survey reports on factors associated with an increase in alcohol drinking and tobacco use during the COVID-19 pandemic. METHODS An online survey conducted in 2020, generated data from 14899 adults residing in 105 countries. Dependent variables were changes in alcohol drinking and tobacco use. Independent variables were age, sex, education level, job loss, lost or reduced wages, investment/retirement benefits, interrupted substance addiction care, and income level of the countries. Multilevel logistic regression analysis was computed to explore the associations between dependent and independent variables in adjusted models using the backward stepwise method. The probability of including or excluding a covariate was set at p(in)<0.05 and p(out)>0.1, respectively. RESULTS Of the regular alcohol consumers (N=4401), 22.9% reported an increase in their alcohol drinking. Of the regular tobacco users (N=2718), 31% reported an increase in their tobacco use. Job loss (Alcohol: AOR=1.26; Tobacco: AOR=1.32) and lost/reduced wages (Alcohol: AOR=1.52; Tobacco: AOR=1.52) were associated with higher odds of increased alcohol drinking and tobacco use. Many interruptions to addiction care (AOR=1.75) were associated with higher odds of increased alcohol drinking. Whereas no interruption to addiction care was associated with lower odds of increased alcohol drinking (AOR=0.77). Also, none (AOR=0.66) or some (AOR=0.70) interruptions to addiction care were associated with lower odds of increased tobacco use. CONCLUSIONS This global survey alludes to the unintended consequences of the current COVID-19 pandemic on alcohol drinking and tobacco use. It is critical that the strategies for emergency responses should include support to ameliorate the impact of financial distress and disruption in substance dependence treatment services.

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Association between perceived decline in family income due to COVID-19 and alcohol consumption among Korean adolescents

Cited by 3 publications

References 34 publications

Gender differences in alcohol drinking among adolescents: a school-based survey in China

Gender differences in alcohol drinking among adolescents: a school-based survey in China

Changes in Adolescent Health Behavior and the Exacerbation of Economic Hardship During the COVID-19 Pandemic: A Cross-sectional Study From the Korea Youth Risk Behavior Survey

Factors associated with an increase in alcohol consumption and tobacco use during the COVID-19 pandemic: A cross-sectional study of data from 105 countries

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