What lessons does the COVID-19 pandemic hold for global alcohol policy?

Leung, June Yue Yan; Yeung, Shiu Lun Au; Lam, Tai Hing; Casswell, Sally

doi:10.1136/bmjgh-2021-006875

Cited by 4 publications

(5 citation statements)

References 14 publications

(17 reference statements)

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“…Others indicated that COVID-19 is a turning point that should be used to perform fundamental changes in GHG structure in order to eliminate any barriers to achieve equity [ 24 ]. Changes proposed included supporting centralized authority in GHG and binding state rules [ 25 ], stronger role for the WHO [ 26 ] while concentrating on its professional independent role as global health authority [ 27 ], voicing of those that are disproportionately affected [ 28 ], inclusive multilateralism and networking in order to leave no one behind [ 29 ], flexible collaborative governance to ensure equitable global distribution [ 30 ], and creating governance structures with higher representation of the global south [ 31 ].…”

Section: Resultsmentioning

confidence: 99%

Global Health Governance and Health Equity in the Context of COVID-19: A Scoping Review

et al. 2022

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Background: Health equity is an important aspect of responsible governance. COVID-19 exposed existing shortfalls of Global Health Governance (GHG). A considerable amount of related literature is produced. This scoping review aims at mapping the present knowledge and at identifying research gaps. Methods: This scoping review is based on the Joanna Briggs Institute’s guideline for standardized methods and PRISMA-ScR guidelines for reporting. Documents published from December 2019 to October 2021 were searched using PubMed, Scopus, Google Scholar, World cat, and WHO-Global Index Medicus. Two reviewers screened and reviewed eligible studies in three stages: duplicates identification and elimination, title and abstract screening, and full-text assessment. Data was charted and results were classified into conceptual categories. Analysis was done in three stages: open descriptive coding, focused thematic analysis, and frequency, commonality and significance analysis. Results: forty-nine studies met the inclusion criteria. Areas of research were grouped into seven themes: “human rights and inequities”, “solidarity, collaboration and partnership”, “GHG structure change”, “political and economic power and finance”, “approaches to address inequity”, “law and regulations”, and “private investment and public-private partnerships (PPPs) in GHG”. The highest number of papers were in the first theme, “human rights and inequities”. However, the themes are interrelated. Authors who contributed to research were mostly affiliated to developed countries indicating a gap in knowledge and expertise in developing countries. Conclusion: Through this scoping review we found that the seven themes are interconnected. Disciplinary collaboration in research relating GHG to health inequities is solicited. Collaboration in research, information sharing, and research capacity development are in needed in developing countries.

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Section: Resultsmentioning

confidence: 99%

Global Health Governance and Health Equity in the Context of COVID-19: A Scoping Review

et al. 2022

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“… 153 Many cities and states temporarily suspended bar and restaurant operations in the initial stages of the pandemic, which may have made alcohol less accessible; however, countervailing alcohol policies in many states that eased restrictions on take-out and home delivery of alcohol may have counteracted restrictions on on-premise consumption. 154 , 155 Similarly, stressors associated with the initial stages of the pandemic could have contributed to higher rates of alcohol use compared with later stages of the pandemic. However, the extent to which stress eased as the pandemic continued remains understudied.…”

Section: Discussionmentioning

confidence: 99%

Are Cisgender Women and Transgender and Nonbinary People Drinking More During the COVID-19 Pandemic? It Depends.

Veldhuis

2023

ARCR

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PURPOSE This narrative review of research conducted during the first 2 years of the COVID-19 pandemic examines whether alcohol use among cisgender women and transgender and nonbinary people increased during the pandemic. The overarching goal of the review is to inform intervention and prevention efforts to halt the narrowing of gender-related differences in alcohol use. SEARCH METHODS Eight databases (PubMed, APA PsycInfo, CINAHL, Embase, Scopus, Gender Studies Database, GenderWatch, and Web of Science) were searched for peer-reviewed literature, published between March 2020 and July 2022, that reported gender differences or findings specific to women, transgender or nonbinary people, and alcohol use during the pandemic. The search focused on studies conducted in the United States and excluded qualitative research. SEARCH RESULTS A total 4,132 records were identified, including 400 duplicates. Of the remaining 3,732 unique records for consideration in the review, 51 were ultimately included. Overall, most studies found increases in alcohol use as well as gender differences in alcohol use, with cisgender women experiencing the most serious consequences. The findings for transgender and nonbinary people were equivocal due to the dearth of research and because many studies aggregated across gender. DISCUSSION AND CONCLUSIONS Alcohol use by cisgender women seems to have increased during the pandemic; however, sizable limitations need to be considered, particularly the low number of studies on alcohol use during the pandemic that analyzed gender differences. This is of concern as gender differences in alcohol use had been narrowing before the pandemic; and this review suggests the gap has narrowed even further. Cisgender women and transgender and nonbinary people have experienced sizable stressors during the pandemic; thus, understanding the health and health behavior impacts of these stressors is critical to preventing the worsening of problematic alcohol use.

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“…Third, this study describes associations and does not make any causal statements or attribute findings to specific policies or clinical adaptations. For example, we could not isolate state policy changes—such as relaxation of prescription quantity limits—from other factors owing to limited information on the nature of these policies and their specific applicability to buprenorphine. Further research should evaluate whether state-level changes affected quantity per prescription, and whether that mitigated access barriers.…”

Section: Discussionmentioning

confidence: 99%

“…The COVID-19 pandemic posed challenges for access to opioid use disorder treatment, such as buprenorphine. In response, state and federal policy makers reduced in-person interactions required for buprenorphine prescribing, and clinicians issued longer-duration buprenorphine prescriptions . Whether the combined effect of policy and clinical adaptation was sufficient to offset challenges to buprenorphine access is not well known.…”

Section: Introductionmentioning

confidence: 99%

Changes in Buprenorphine Prescribing to Medicaid Beneficiaries During the First Year of the COVID-19 Pandemic

Dowd

Mark

2022

JAMA Netw Open

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What lessons does the COVID-19 pandemic hold for global alcohol policy?

Cited by 4 publications

References 14 publications

Global Health Governance and Health Equity in the Context of COVID-19: A Scoping Review

Global Health Governance and Health Equity in the Context of COVID-19: A Scoping Review

Are Cisgender Women and Transgender and Nonbinary People Drinking More During the COVID-19 Pandemic? It Depends.

Changes in Buprenorphine Prescribing to Medicaid Beneficiaries During the First Year of the COVID-19 Pandemic

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