It is unclear, however, whether individuals had been increasing their alcohol consumption or only stockpiling alcoholic beverages. Because of substantial and unexpected social and economic changes caused by the COVID-19 pandemic, many people turned to alcohol and other drugs to cope with those stressors. Unfortunately, the pandemic also made accessing substance use disorder treatment more difficult. This research suggests that these issues are reflected in deaths related to alcohol use. Future research can focus on addressing the mental health needs of people with alcoholism or substance use disorders and people prone to it, especially during very stressful events.
Although some people turn to alcohol, there are many other ways of coping with feelings of depression and anxiety. According to a 2015 article in the journal Alcohol Research, alcohol can prevent immune cells from working properly. It can also cause inflammation to occur, further weakening the immune system. Facing the COVID-19 (new coronavirus disease) pandemic, countries must take decisive action to stop the spread of the virus.
The vertical blue line indicates the time of declaration of the COVID-19 public health emergency. In sum, alcohol use in the U.S. is a public health problem that appears to have worsened since the onset of COVID-19. Adults during COVID-19 reported high levels of alcohol consumption, with those who reported high levels of impact from COVID-19 reporting significantly more alcohol (both more days and total drinks) than participants who were not as impacted by COVID-19.
Around 20% of people with a social anxiety disorder experience alcohol use disorder. It was really no surprise that during the first year of the pandemic, alcohol sales jumped by nearly 3%, the largest increase in more than 50 years. Multiple small studies suggest that during the pandemic, about 25% of people drank more than usual, often to cope with stress. We spoke with George F. Koob, Ph.D., director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA), to learn about the pandemic’s effects on alcohol use and related harms. Koob is an expert on the biology of alcohol and drug addiction and has been studying the impact of alcohol on the brain for more than 50 years.
While research on alcohol intolerance post-COVID-19 is limited, numerous anecdotal reports suggest that alcohol intolerance could be a symptom of long COVID for some individuals. While not widely recognized as a symptom of long COVID due to limited research, alcohol intolerance has been reported by some individuals. That can mean that someone who normally has one or two drinks a day may start drinking three more regularly. Dr. Fiellin also notes that alcohol can slow the function of cells (responsible for clearing pathogens from the lungs) that line the respiratory tract. And if those cells aren’t functioning properly, SARS-CoV-2 virus particles could have easier access to the lungs.
Furthermore, use of medications like Non-Steroidal Anti-Inflammatory Drugs in patients with alcohol use disorder poses a risk of hepatotoxicity. Additionally, during the COVID-19 pandemic, states tended to prioritize the economic concerns of restaurants and related businesses and may have inadvertently increased availability and access to alcohol. However, the public health data are conclusive that when states increase availability and access to alcohol, e.g., by adding more stores or extending days and hours of sale, then alcohol consumption and related harm also increase 34,35. This study demonstrates that over a third of participants reported that their alcohol consumption had increased due to increased availability of alcohol during COVID-19. States should tommy lee alcohol consider such data when making decisions about the strength and severity of their alcohol laws during future public heath emergencies. We’ve also seen more people end up in hospitals due to alcohol misuse and its consequences, including withdrawal symptoms and liver disease.
Some studies report relative increase in drinking among black and non-Hispanic population 27,37▪▪. In a study from the UK on persons with registered alcohol use disorders prelockdown 38, there was greater relapse secondary to lockdown; past abstinence attempts were not protective, and people who relapsed had increased harmful drinking. From a total of 455 titles on COVID-19 and alcohol, 227 abstracts were screened, and 95 articles were reviewed (on November 25th, 2020). The immediate effect was an increase in alcohol related emergencies including alcohol withdrawal, related suicides, and methanol toxicity. Although there are mixed findings with respect to changes in the quantity of drinking, there are reports of binge/heavy drinking during the lockdown as well as relapse postlockdown. Psychological, social, biological, economic and policy-related factors appear to influence the changes in drinking.
If this is correct, it would support the first hypothesis posited by alcohol policy experts 11 that alcohol consumption would increase during COVID-19, due, in part, to stress. The COVID-19 pandemic has also seen serious repercussions for vulnerable groups with substance use disorders (SUD), including alcohol 2. The pandemic has resulted in changes in patterns of drinking, an increase in alcohol withdrawal, disruption in access to care, and increase in illicit alcohol availability 3.