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Kinouani S, Macalli M, Arsandaux J, Montagni I, Texier N, Schück S, Tzourio C. Factors related to increased alcohol misuse by students compared to non-students during the first Covid-19 lockdown in France: the Confins study. BMC Public Health 2024; 24:646. [PMID: 38424644 PMCID: PMC10905779 DOI: 10.1186/s12889-024-18182-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 02/22/2024] [Indexed: 03/02/2024] Open
Abstract
BACKGROUND The closure of bars and lockdowns related to the Covid-19 pandemic changed alcohol use levels in France during the spring of 2020. We wondered whether this sudden cessation of social interactions impacted students more than non-students and what factors specific to students would explain the increase in alcohol misuse. The aims of this study were to compare self-reported changes in alcohol misuse (alcohol intake and binge-drinking frequency) during the first Covid-19 lockdown from March 17 to May 10, 2020, between French students and non-students and describe factors associated with this alcohol misuse in each subgroup. METHODS Data collected in the Confins study from April 8 to May 10, 2020, were used in cross-sectional analyses stratified by student status. Multiple logistic regression was performed to estimate the association between self-reported increase in alcohol intake or binge-drinking frequency (at least six drinks of alcohol on one occasion) and demographic, socioeconomic, and clinical factors, as well as conditions associated with the Covid-19 pandemic. The population-attributable fraction was then used to estimate the contribution of identified risk factors to increased alcohol misuse in students and non-students. RESULTS Among both students and non-students, a self-reported decrease or no change in alcohol intake or binge-drinking was more common than an increase. However, the risk factors explaining an increase in alcohol intake differed among students (≥ 25 years old, not working or studying in the health field, and having suicidal ideation during the last 7 days) and non-students (having a medical diagnosis of mental disorders). The risk factors explaining an increase in binge-drinking frequency were similar in the two subgroups (being a tobacco smoker before lockdown and not practicing any physical activity during the last 7 days), except suicidal thoughts, which was a risk factor for alcohol misuse specific to students. CONCLUSIONS These results highlight the vulnerability of certain French students to alcohol misuse and the necessity of combining both mental health and substance use-related screening in the student population.
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Affiliation(s)
- Shérazade Kinouani
- Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, Team HEALTHY, UMR1219, Bordeaux, 33000, France.
- Department of General Practice, University of Bordeaux, 146 Rue Léo Saignat, Bordeaux, 33000, France.
| | - Mélissa Macalli
- Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, Team HEALTHY, UMR1219, Bordeaux, 33000, France
| | - Julie Arsandaux
- Nantes Université, Univ Angers, Laboratoire de Psychologie Des Pays de La Loire, LPPL, UR 4638, Nantes, F-44000, France
| | - Ilaria Montagni
- Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, Team HEALTHY, UMR1219, Bordeaux, 33000, France
| | - Nathalie Texier
- Kappa Santé, 4 Rue de Cléry, Paris, 75002, France
- Kap Code, 28 Rue d'Enghien, Paris, 75010, France
| | - Stéphane Schück
- Kappa Santé, 4 Rue de Cléry, Paris, 75002, France
- Kap Code, 28 Rue d'Enghien, Paris, 75010, France
| | - Christophe Tzourio
- Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, Team HEALTHY, UMR1219, Bordeaux, 33000, France
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Obradovic I, Pasquereau A, Spilka S, Andler R, Douchet MA, Guignard R, Beck F, Nguyen-Thanh V. État des lieux de la situation du tabagisme en France : tendances observées et nouveaux enjeux. SANTE PUBLIQUE (VANDOEUVRE-LES-NANCY, FRANCE) 2023; 35:19-33. [PMID: 38423958 DOI: 10.3917/spub.pr1.0021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2024]
Abstract
This article reports changes in tobacco and vaping consumption in France over the last thirty years and the issues they raise for public authorities in terms of prevention and management of the social and health consequences. This report is the result of a joint analysis by Santé publique France (SpF) and the French Monitoring Center for Drugs and Drug Addiction (OFDT). It shows that there has been a "generational shift" in tobacco consumption and social representations of cigarettes since the mid-2010s, with a sharp decline in tobacco initiation among adolescents, which has become less common and reported at an older age, which was one of the objectives of the national tobacco reduction plans. However, smoking remains fairly stable among adults, predominantly among men, with gaps between men and women persisting since the early 2000s. Beyond the gender gap, social disparities in consumption remain significant, both among youth and adults. However, while the prevalence of smoking is no longer increasing, the prevalence of vaping is rising, which is a public health concern since some of these practices involve nicotine consumption. This also entails the risk of a "renormalization" of the act of smoking, a matter of concern for health authorities in France as in other European countries. The analysis concludes that the statistical information system and qualitative surveys need to be adapted to ensure a reliable monitoring of the situation, taking into account the rapid transformations of the market.
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Guignard R, Quatremère G, Pasquereau A, Jartoux C, Salvaing L, Caline G, Beck F, Nguyen Thanh V. Barriers Against and Motivations for Quitting Smoking during the COVID-19 Health Crisis: Results of a Qualitative Study in France. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13051. [PMID: 36293628 PMCID: PMC9602125 DOI: 10.3390/ijerph192013051] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 10/06/2022] [Accepted: 10/09/2022] [Indexed: 06/16/2023]
Abstract
The COVID-19 epidemic and its psychological, economic and social consequences could have an impact on the evolution of tobacco-smoking prevalence and attitudes towards quitting. The aim of this study is to analyse the specific characteristics of the motivations for and barriers against smoking cessation in this period. The study is based on qualitative data collected from late 2020 to early 2021 in France from 89 smokers with a low or intermediate socio-economic level. Among the motivations for quitting smoking, health concerns and the financial cost of cigarettes carried increased importance among the smokers in this period. Inversely, perceived stress, isolation, and a lack of social or healthcare support prevented some smokers from attempting to quit. These results are useful for explaining the evolution of smoking prevalence and preparing future interventions in the context of the health crisis and its aftermath. They highlight the relevance of educational messages, of the promotion of validated smoking-cessation aids and, in particular, remote support, as well as the implementation of community-based actions.
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Affiliation(s)
- Romain Guignard
- Santé Publique France, The French National Public Health Agency, 12 Rue Du Val d'Osne, CEDEX, 94415 Saint-Maurice, France
| | - Guillemette Quatremère
- Santé Publique France, The French National Public Health Agency, 12 Rue Du Val d'Osne, CEDEX, 94415 Saint-Maurice, France
| | - Anne Pasquereau
- Santé Publique France, The French National Public Health Agency, 12 Rue Du Val d'Osne, CEDEX, 94415 Saint-Maurice, France
| | - Cécile Jartoux
- Santé Publique France, The French National Public Health Agency, 12 Rue Du Val d'Osne, CEDEX, 94415 Saint-Maurice, France
| | - Laure Salvaing
- Kantar Public, 3 Avenue Pierre Masse, 75014 Paris, France
| | | | - François Beck
- Santé Publique France, The French National Public Health Agency, 12 Rue Du Val d'Osne, CEDEX, 94415 Saint-Maurice, France
| | - Viêt Nguyen Thanh
- Santé Publique France, The French National Public Health Agency, 12 Rue Du Val d'Osne, CEDEX, 94415 Saint-Maurice, France
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