Worsening of alcohol abuse disorder in a Spanish population during the first twelve months of the COVID-19 pandemic and associated factors: retrospective, ecological and community study

被引:0
作者
Olivan-Blazquez, Barbara [1 ,2 ,3 ]
Lear-Claveras, Ana [1 ]
Samper-Pardo, Mario [1 ]
Leon-Herrera, Sandra [1 ,3 ]
Magallon-Botaya, Rosa [1 ,2 ,4 ]
机构
[1] Inst Hlth Res Aragon IISAragon, Aragonese Res Grp Primary Care, Grp Aragones Invest Atenc Primaria GAIAP, Zaragoza, Spain
[2] Network Res Chron Primary Care & Hlth Promot RICAP, Barcelona 08007, Spain
[3] Univ Zaragoza, Dept Psychol & Sociol, Zaragoza 50009, Spain
[4] Univ Zaragoza, Dept Med, Zaragoza, Spain
关键词
COVID-19; pandemic; Alcohol abuse disorder; Worsening; Social care; Health care; ALL-CAUSE MORTALITY; QUALITY-OF-LIFE; SOCIOECONOMIC-STATUS; SUBSTANCE USE; SOCIAL-WORKERS; RISK-FACTORS; HEALTH; INCOME; NEIGHBORHOOD; SYMPTOMS;
D O I
10.1186/s12888-023-04993-5
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
PurposeTo analyse: (1) Changes in clinical parameters and in the use of social healthcare resources by patients with alcohol abuse disorder between the six months prior to the start of the pandemic and the first year of the pandemic. (2) The factors related to a worsening of clinical parameters among patients with alcohol abuse disorder.MethodsA retrospective and observational study of a population who have been diagnosed with alcohol abuse disorders according to their primary health care (PHC) electronic medical records was performed. The total sample was made up of 11,384 patients. The variables (sociodemographic variables, chronic comorbidities, analytical parameters related to alcohol abuse disorder, COVID-19 infection, and use of healthcare resources) were collected in three different time periods: (i) six months before the onset of the strict lockdown, (ii) six months following the end of lockdown and (iii) from six to twelve months after the end of lockdown. Paired Student's T-test and a multivariate logistic regression were performed.ResultsAlong the first year after the onset of the pandemic, between 44% and 54% of the patients suffered a decline in every clinical parameter. The number of PHC nursing, GP visits and social worker visits reduced significantly. As regards the associated factors related to deterioration of alcohol abuse disorder, being younger than 40 years old, having an income of over 18,000 euros/year and not having visited the social worker were associated with a worsening of the disorder.ConclusionsThese results suggest that the impact of COVID-19 on this group has been high, and the social care offered to these patients plays a significant role in minimising the repercussions of the pandemic.
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页数:12
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共 65 条
  • [1] Assessment of Post-COVID-19 Quality of Life Using the Quality of Life Index
    Algamdi, Maaidah M.
    [J]. PATIENT PREFERENCE AND ADHERENCE, 2021, 15 : 2587 - 2596
  • [2] Althobaiti YS, 2020, HEALTHC BASEL SWITZE, V9
  • [3] Epidemiology of Alcohol Consumption and Societal Burden of Alcoholism and Alcoholic Liver Disease
    Axley, Page D.
    Richardson, Crit Taylor
    Singal, Ashwani K.
    [J]. CLINICS IN LIVER DISEASE, 2019, 23 (01) : 39 - +
  • [4] Barrio Cortes J, 2019, REV ESP SALUD PUBLIC, P93
  • [5] Abstinence Among Alcohol Use Disorder Patients During the COVID-19 Pandemic: Insights From Spain
    Barrio, Pablo
    Baldaqui, Nuria
    Andreu, Magali
    Kilian, Carolin
    Rehm, Juergen
    Gual, Antoni
    Manthey, Jakob
    [J]. ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH, 2021, 45 (04): : 802 - 807
  • [6] Impact of COVID-19 lockdown on individuals under treatment for substance use disorders: Risk factors for adverse mental health outcomes
    Blithikioti, C.
    Nuno, L.
    Paniello, B.
    Gual, A.
    Miquel, L.
    [J]. JOURNAL OF PSYCHIATRIC RESEARCH, 2021, 139 : 47 - 53
  • [7] The effects of regional characteristics on alcohol-related mortality -: a register-based multilevel analysis of 1.1 million men
    Blomgren, J
    Martikainen, P
    Mäkelä, P
    Valkonen, T
    [J]. SOCIAL SCIENCE & MEDICINE, 2004, 58 (12) : 2523 - 2535
  • [8] A systematic review of the influence of community level social factors on alcohol use
    Bryden, Anna
    Roberts, Bayard
    Petticrew, Mark
    McKee, Martin
    [J]. HEALTH & PLACE, 2013, 21 : 70 - 85
  • [9] Ideology and social work practice in substance abuse settings
    Burke, AC
    Clapp, JD
    [J]. SOCIAL WORK, 1997, 42 (06) : 552 - 562
  • [10] Assessing and Measuring Chronic Multimorbidity in the Older Population: A Proposal for Its Operationalization
    Calderon-Larranaga, Amaia
    Vetrano, Davide L.
    Onder, Graziano
    Gimeno-Feliu, Luis A.
    Coscollar-Santaliestra, Carlos
    Carfi, Angelo
    Pisciotta, Maria S.
    Angleman, Sara
    Melis, Rene J. F.
    Santoni, Giola
    Mangialasche, Francesca
    Rizzuto, Debora
    Welmer, Anna-Karin
    Bernabei, Roberto
    Prados-Torres, Alexandra
    Marengoni, Alessandra
    Fratiglioni, Laura
    [J]. JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2017, 72 (10): : 1417 - 1423