Risky Alcohol Use: An Epidemic Inside the COVID-19 Pandemic NIH COVID-19 Research

alcohol and covid

Alcohol consumption may make your symptoms worse, according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA).

Is it possible to develop an alcohol intolerance after clearing the initial COVID-19 infection?

CHICAGO, July 22, 2024 — Two new, basic animal research studies shed light on alcohol consumption and the heart. The first study may help explain why binge drinking sometimes causes an irregular heartbeat and a possible way to prevent it. The second study investigated why alcohol may have a negative impact on heart function in women taking estrogen replacement therapy.

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However, this study did report that males binged more during the pandemic (Silczuk, 2020). In a large study with teenagers in Canada, there was an overall increase in the frequency of alcohol use. However, in this study, the increase was significant only for females and not males when the analysis was separated by gender (Dumas et al., 2020). Depending on the timing of a patient’s drinking, some drugs may take longer to be metabolized, resulting in higher than optimal levels of the medication in the person’s system, Gutierrez says.

COVID-19 Poses Unique Challenges For Alcohol Drinkers

  1. You and your community can take steps to improve everyone’s health and quality of life.
  2. There is an increased need for treatment for alcohol and other substance use related problems during the pandemic.
  3. During the COVID-19 pandemic, many potential risk groups have been identified, such as those with obesity, diabetes, preexisting organ injuries, and several other conditions.
  4. While flattening the curve is the nation’s priority right now, we understand that the unique needs of an individual battling alcoholism are equally as urgent—maybe even more so during this time of social distancing and home quarantines.

Drinking water is not a treatment for high blood pressure but it can help you sustain healthier blood pressure, whether you have hypertension or not. Drinking enough water on a daily basis and staying hydrated is an important way to manage your health and blood pressure. In contrast, seven studies reported an increase in the use of alcohol during the pandemic (Ahmed et al., 2020, Boehnke et al., 2020, Gritsenko et al., 2020, Lechner et al., 2020, Rogers et al., 2020, Sidor and Rzymski, 2020, Sun et al., 2020). Electronic searches of databases (MEDLINE, Embase, PsycINFO, CINAHL, Sociological Abstracts) were conducted using a combination of keywords relating to alcohol and other substance use during the Covid-19 pandemic.

alcohol and covid

More news from Yale Medicine

Whether it’s the opioid crisis or climate change, these are all things that we know will have catastrophic effects, but which, if we muster the full will and the resources of our health system, we can be far more effective [at addressing] than we are today. But this may fall short of your individual needs based on your age, sex, diet, general health, level of physical activity, and even certain medications you take (such as diuretics). Most health providers recommend drinking six to eight 8-ounce glasses of water per day to supplement the water you get from the foods. At the same time, vasopressin causes the constriction (narrowing) of blood vessels, thereby increasing blood pressure, sometimes precipitously.

The Centers for Disease Control and Prevention defines excessive alcohol use as binge drinking, heavy drinking, alcohol use by people under the minimum legal drinking age, and alcohol use by pregnant women. AUD is a clinical diagnosis that indicates someone’s drinking is causing distress and harm. AUD can range from mild to severe, depending on the severity of the symptoms. In Greece, a study performed on 705 adults, exploring the drinking habits before and during the COVID-19 pandemic, revealed that the consumption by drink type was broadly similar, but more people drank alone (8.0 % vs. 29.0 %) or with their life partners (20.2 % vs. 40.7 %) than with friends (68.2 % vs. 18.5 %).

While misuse of surrogate alcohol should be avoided at all costs, both during the COVID‐19 global crisis and once it is over, the “diversion” of alcoholic beverages to other life‐saving uses is clearly warranted during the current pandemic. Then I remember my team brought me data showing the difference in the hospitalization rates between Black and white New Yorkers during the Omicron wave after we had closed that vaccination gap, and Black New Yorkers were apixaban eliquis twice as likely to be hospitalized during Omicron as white New Yorkers. Keeping well hydrated can help normalize your blood pressure if you’ve been diagnosed with hypertension or are prehypertensive. To estimate your individual needs, speak with your healthcare provider—particularly if you have or are at risk of hypertension. When sodium levels are abnormally high (hypernatremia) or abnormally low (hyponatremia), these functions can be severely impaired.

Time-series analyses comparing periods of lockdown, where individuals were restricted in their movement, to the previous year, showed that alcohol problems increased during lockdown (Grigoletto et al., 2020, Leichtle et al., 2020). For example, in one study of data taken from hospitals in Italy, when compared to the same time period in 2019, despite a lower number of attendances to the Emergency Department, the absolute number of patients presenting with severe alcohol intoxication increased (25 vs. 15). This number increased further immediately after the easing of lockdown measures (11.3%) (Grigoletto et al., 2020).

alcohol and covid

And if those cells aren’t functioning properly, SARS-CoV-2 virus particles could have easier access to the lungs. We offer a safe treatment environment for those seeking freedom from addiction and a community of like-minded and caring individuals to oversee your entire recovery journey. If you’re unable to leave your home, we have also begun hosting free, virtual 12-Step meetings for those impacted by COVID-19.

Soon after, the World Health Organization (WHO) also suggested that people cut back on drinking, since alcohol can increase the risk of experiencing complications from COVID-19. Study limitations include that measures are self-reports, which may be subject to social desirability bias. Additionally, not all baseline respondents completed wave 2, although nonrespondents did not significantly differ from completers on any of the outcome measures at baseline. Nonetheless, these results suggest that examination of whether increases in alcohol use persist as the pandemic continues and whether psychological and physical well-being are subsequently affected may be warranted.

In the following paragraphs, this idea is further explored against the backdrop of the alcohol policy response to COVID‐19, and health and safety implications are discussed. One recent published review and meta-analysis suggests a very significant increase in depression during the pandemic; Bueno-Notival et al., (2021) suggest that the pooled prevalence of depression, across twelve studies was 25%, compared to a global estimate of 3.44% in 2017, which would indicate a 7-fold increase. The review included large studies from a number of countries and the finding seems valid.

alcohol and covid

Many people pick up a drink as a way to relieve stress and don’t realize that those initial, relaxing effects are short-lived and that alcohol actually stimulates the body’s stress response, says Sinha. Moderate drinking is up to one drink (about 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of distilled spirits) per day for women and two drinks for men. High-risk drinking for women is the consumption of four or more drinks on any day or eight or more drinks per week. For men, it is five or more drinks on any day or 15 or more drinks per week.

History of alcohol use could be an important predictor for disease severity and ICU admission, and could contribute to treatment strategy for COVID‐19 patients with chronic alcohol consumption and alcohol use disorders (AUDs). Therefore, the role of alcohol consumption on severity of illness in patients with COVID‐19 should be explored, and a history of alcohol consumption should be included as a probable risk addiction as a brain disease revised factor of disease severity in COVID‐19 studies. Six studies reported a statistically significant role of younger age in increasing drug use during lockdown. Ballivian et al., (2020) report that being younger predicted drug use during quarantine. Czeisler et al. (2020) reported that substance use increase was most reported in persons aged 18–24 years and that prevalence decreased progressively with age.

The one scenario in which alcohol could indeed be considered essential based on evidence is the diversion of beverage alcohol to be used for disinfecting purposes. Given supply shortages of food‐grade and pharmaceutical ethanol at the beginning of the pandemic, several countries permitted the temporary use of fuel‐ and technical‐grade alcohol, which contains more impurities than beverage alcohol (Deutsche Apothekenzeitung, 2020; Law Business Research, 2020). Shortly thereafter, safety concerns were raised over the high levels of carcinogens and other potentially addiction relapse harmful substances contained in some of these alcohols (Cable News Network, 2020). Moreover, several methanol poisonings due to the ingestion of hand sanitizers were observed in North America, leading the U.S. Food and Drug Administration to recall several products (Federal Drug Administration (FDA), 2020). Though studies are lacking as to how much dehydration impacts hypertension, animal studies conducted by Monash University reported that chronic dehydration not only worsens high blood pressure in mice but also increases the risk of severe kidney damage.

As with certain foods, it requires experimentation to determine personal tolerance. But for a 20-something working in a high-pressure job that required a lot of socializing with clients, it was hard. “Above and beyond being diagnosed with a life-long illness at 22, I couldn’t do one of the things that allowed me to fit in with my peers, colleagues, and clients,” says Aswani-Omprakash, who is now 40. Friends, dates, and co-workers would sometimes look at her like she had “nine heads,” she says, when she wouldn’t order a drink. Tina Aswani-Omprakash vividly remembers the day that led her to give up drinking forever. These are increases of 27% among boys and men, and 35% among girls and women from just a few years earlier (2016–2017).

Although some people turn to alcohol, there are many other ways of coping with feelings of depression and anxiety. According to the European WHO, alcohol plays no role in supporting the immune system to fight a viral infection. Consult a healthcare professional about whether you can drink alcohol while using these medications.

If you do drink, talk with your doctor about the benefits and risks of consuming alcohol in moderation. Some people should not drink at all, like women who are pregnant or trying to get pregnant, people under age 21 and people with certain health conditions. The Association does not recommend drinking wine or any other form of alcohol to gain potential health benefits.

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