Palabras clave
pandemic
alcohol
problems
consumption
Argentina
Cómo citar
Resumen
El impacto de la pandemia por COVID-19 y el aislamiento sobre el consumo de alcohol en Latinoamérica es aún desconocido. Este artículo caracteriza los cambios en el consumo de alcohol y problemas asociados antes y durante la pandemia, diferenciando según género, edad, ingresos y comportamientos de compra de alcohol. 1446 argentinos completaron una encuesta online sobre cuatro dimensiones del consumo de alcohol (frecuencia, cantidad, consumo excesivo episódico -CEE- y problemas asociados) tres meses antes y después del comienzo del aislamiento. Se registraron pequeñas reducciones en el consumo de alcohol, y moderadas en el CEE y los problemas asociados. Se encontraron grandes reducciones del consumo en menores (14 a 18 años) y jóvenes (19 a 24 años). Quienes aumentaron sus ingresos durante la pandemia no reportaron cambios, mientras que quienes mantuvieron o redujeron sus ingresos consumieron menos. Quienes no reportaron comportamientos especiales en la compra de bebidas alcohólicas (por ejemplo, acopiar antes de las medidas de aislamiento) informaron reducciones en el consumo comparado con quienes sí lo hicieron. Este estudio aporta evidencia acerca del impacto de los factores ambientales sobre la salud pública, sugiriendo que restringir el acceso al alcohol genera una reducción significativa del consumo y los problemas asociados.
Citas
Ahmed, M. Z., Ahmed, O., Aibao, Z., Hanbin, S., Siyu, L., & Ahmad, A. (2020). Epidemic of COVID-19 in China and associated psychological problems. Asian Journal of Psychiatry, 51, 102092. https://doi.org/10.1016/j.ajp.2020.102092
Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). The Alcohol Use Disorders Identification Test. Guidelines for use in Primary Care. Geneva: World Health Organization. Retrieved from: https://www.paho.org/hq/dmdocuments/2009/AUDIT_spa.pdf
Bardach, A., Ciapponi, A., Pizarro, M. E., Ríos, B., Palacios, A., Espínola, N., ... & Cremonte, M. (2019). Caracterización de aspectos económicos, jurídico-legales y epidemiológicos útiles para impulsar una agenda pública orientada a disminuir el consumo de alcohol en Argentina. Revista Argentina de Salud Pública, 8-15. Retrieved from: http://rasp.msal.gov.ar/rasp/articulos/volumen38/8-15.pdf
Chodkiewicz, J., Talarowska, M., Miniszewska, J., Nawrocka, N., & Bilinski, P. (2020). Alcohol Consumption Reported during the COVID-19 Pandemic: The Initial Stage. International journal of environmental research and public health, 17(13), 4677. https://doi.org/10.3390/ijerph17134677
Conde, K., Brandariz, R. A., & Cremonte, M. (2016). Problemas por uso de alcohol en estudiantes secundarios y universitarios. Revista Chilena De Neuro-Psiquiatría, 54(2), 84-93. http://dx.doi.org/10.4067/S0717-92272016000200002
Conde, K., & Cremonte, M. (2015). Calidad de los datos de encuestas sobre consumo de alcohol en estudiantes universitarios Data Quality in Surveys on Alcohol Consumption among University Students. Cadernos de Saúde Pública, 31(1), 39-47. https://doi.org/10.1590/0102-311X00061114.
Conde, K., Nesoff, E. D., Peltzer, R. I., & Cremonte, M. (n/d). Multilevel Model of Alcohol Outlet Density, Individual Characteristics and Alcohol-Related Injury in Argentinean Young Adults. Canadian Journal of Addiction (Accepted 7/2020).
Cremonte, M., Ledesma, R. D., Cherpitel, C. J., & Borges, G. (2010). Psychometric properties of alcohol screening tests in the emergency department in Argentina, Mexico and the United States. Addictive Behaviors, 35(9), 818-825. https://doi.org/10.1016/j.addbeh.2010.03.021
Cremonte, M., Cherpitel, C. J., Borges, G., Peltzer, R. I., & Santángelo, P. R. (2010). Drinking patterns and DSM-IV alcohol use disorders' criteria in argentinean emergency department patients. Journal of drug addiction, education, and eradication, 6(3), 209–220.
Dumas, T. M., Ellis, W., & Litt, D. M. (2020). What Does Adolescent Substance Use Look Like During the COVID-19 Pandemic? Examining Changes in Frequency, Social Contexts, and Pandemic-Related Predictors. The Journal of adolescent health: official publication of the Society for Adolescent Medicine, 67(3), 354–361. https://doi.org/10.1016/j.jadohealth.2020.06.018
Dyer, O. (2020). Covid-19 hot spots appear across Latin America. BMJ (Clinical research ed.), 369, m2182. https://doi.org/10.1136/bmj.m2182
Erol, A., & Karpyak, V. M. (2015). Sex and gender-related differences in alcohol use and its consequences: Contemporary knowledge and future research considerations. Drug and Alcohol Dependence, 156, 1-13. https://doi.org/10.1016/j.drugalcdep.2015.08.023
García-Álvarez, L., de la Fuente-Tomás, L., Sáiz, P. A., García-Portilla, M. P., & Bobes, J. (2020). ¿Se observarán cambios en el consumo de alcohol y tabaco durante el confinamiento por COVID-19? Adicciones, 32(2), 85-89.
Gemelli, N. A. (2020). Management of COVID-19 outbreak in Argentina: The beginning. Disaster Medicine and Public Health Preparedness, 1-3. https://doi.org/10.1017/dmp.2020.116
IBM Corp. (2010). IBM SPSS Statistics for Windows (Version 19.0). Armonk, NY: IBM Corp.
Johnson, E. C., Sanchez-Roige, S., Acion, L., Adams, M. J., Bucholz, K. K., Chan, G., . . . Edenberg, H. J. (2020). Polygenic contributions to alcohol use and alcohol use disorders across population-based and clinically ascertained samples. Psychological Medicine, 1–10. https://doi.org/10.1017/S0033291719004045
Ministerio de Salud de la Nación. (2019). Diagnóstico de situación sobre el consumo de alcohol en Argentina y recomendaciones para la puesta en marcha de políticas sanitarias. Retrieved from: http://www.msal.gob.ar/images/stories/bes/graficos/0000001747cnt-consumo_alcohol_argentina-11-2019.pdf
Ministerio de Salud de la Nación. (2020a). Situación de COVID-19 en argentina. (Reporte diario No. 16). Argentina: Retrieved from https://www.argentina.gob.ar/coronavirus/informes-diarios/reportes/marzo2020
Ministerio de Salud de la Nación. (2020b). Nuevo coronavirus COVID-19: Fases de administración del aislamiento. Argentina: Retrieved from https://www.argentina.gob.ar/coronavirus/aislamiento/fases
Ministerio de Salud de la Nación. (2020c). Situación de COVID-19 en argentina. (Reporte diario No. 260). Argentina: Retrieved from https://www.argentina.gob.ar/coronavirus/informes-diarios/reportes/julio2020
Monteiro, M. G. (2016). Public policies to prevent alcohol-related harm. Epidemiologia e Serviços de Saúde, 25, 171-174. https://doi.org/10.5123/S1679-49742016000100017
Piontek, D., Kraus, L., & Rist, F. (2013). Social contexts and the occurrence of episodic heavy drinking. The International Journal of Alcohol and Drug Research, 2(2), 45-52. https://doi.org/10.7895/ijadr.v2i2.106
Popova, S., Giesbrecht, N., Bekmuradov, D., & Patra, J. (2009). Hours and days of sale and density of alcohol outlets: Impacts on alcohol consumption and damage: A systematic review. Alcohol & Alcoholism, 44(5), 500-516. https://doi.org/10.1093/alcalc/agp054
Quinn, P. D., & Fromme, K. (2012). Event-level associations between objective and subjective alcohol intoxication and driving after drinking across the college years. Psychology of Addictive Behaviors, 26(3), 384. https://doi.org/10.1037/a0024275
Rehm, J., Kilian, C., Ferreira‐Borges, C., Jernigan, D., Monteiro, M., Parry, C. D., . . . Manthey, J. (2020). Alcohol use in times of the COVID 19: Implications for monitoring and policy. Drug and Alcohol Review, 39(4). https://doi.org/10.1111/dar.13074
Rodriguez, L. M., Litt, D. M., & Stewart, S. H. (2020). Drinking to cope with the pandemic: The unique associations of COVID-19-related perceived threat and psychological distress to drinking behaviors in American men and women. Addictive Behaviors, 110, 106532. https://doi.org/10.1016/j.addbeh.2020.106532
Saengow, U., Assanangkornchai, S., & Casswell, S. (2020). Alcohol: A probable risk factor of COVID-19 severity. Addiction (Abingdon, England), 10.1111/add.15194. Advance online publication. https://doi.org/10.1111/add.15194
Savic, M., Room, R., Mugavin, J., Pennay, A., & Livingston, M. (2016). Defining “drinking culture”: A critical review of its meaning and connotation in social research on alcohol problems. Drugs: Education, Prevention and Policy, 23(4), 270-282. https://doi.org/10.3109/09687637.2016.1153602
Secretaría de Programación para la Prevención de la Drogadicción y la Lucha contra el Narcotráfico (2012). La situación epidemiológica en Argentina al 2012. Retrieved from: http://observatorio.gob.ar/media/k2/attachments/poblacionZgeneral.pdf
Schuckit, M. A. (2009). Alcohol-use disorders. The Lancet, 373(9662), 492-501. https://doi.org/10.1016/S0140-6736(09)60009-X
Stanton, R., To, Q. G., Khalesi, S., Williams, S. L., Alley, S. J., Thwaite, T. L., Fenning, A. S., & Vandelanotte, C. (2020). Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults. International journal of environmental research and public health, 17(11), 4065. https://doi.org/10.3390/ijerph17114065
Szabo, G., & Saha, B. (2015). Alcohol’s effect on host defense. Alcohol research: current reviews, 37(2), 159. Retrieved from: https://www.arcr.niaaa.nih.gov/arcr372/article01.pdf
The Lancet (2020a). Drinking alone: COVID-19, lockdown, and alcohol-related harm. The Lancet Gastroenterology & Hepatology, 5(7), 625. https://doi.org/10.1016/S2468-1253(20)30159-X
The Lancet (2020b). COVID-19 in Brazil: "so what?”. The Lancet, 395(10235), 1461. https://doi.org/10.1016/S0140-6736(20)31095-3
Testino, G. (2020). Are patients with alcohol use disorders at increased risk for Covid-19 infection? Alcohol and Alcoholism, 55(4), 344-346. https://doi.org/10.1093/alcalc/agaa037
Thakur, L., Kojicic, M., Thakur, S. J., Pieper, M. S., Kashyap, R., Trillo-Alvarez, C. A., ... & Gajic, O. (2009). Alcohol consumption and development of acute respiratory distress syndrome: a population-based study. International journal of environmental research and public health, 6(9), 2426-2435. https://doi.org/10.3390/ijerph6092426
Wardell, J. D., Kempe, T., Rapinda, K. K., Single, A., Bilevicius, E., Frohlich, J. R., Hendershot, C. S., & Keough, M. T. (2020). Drinking to Cope During COVID-19 Pandemic: The Role of External and Internal Factors in Coping Motive Pathways to Alcohol Use, Solitary Drinking, and Alcohol Problems. Alcoholism, clinical and experimental research, 44(10), 2073-2083. https://doi.org/10.1111/acer.1442
World Health Organization. (2019). Global status report on alcohol and health 2018. World Health Organization. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/274603/9789241565639-eng.pdf
Xu, X., & Chaloupka, F. J. (2011). The effects of prices on alcohol use and its consequences. Alcohol Research & Health, 34(2), 236. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3860576/pdf/arh-34-2-236.pdf
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
Derechos de autor 2021 Karina Conde, Paula Victoria Gimenez, Tomás Salomón, Raquel Inés Peltzer, Sebastián Laspiur, Mariana Cremonte