Covid-19 shelter-in-place, modified reopening orders, and order compliance impact on adolescent alcohol use and drinking contexts in California: A longitudinal analysis

•Modified reopening associated with decreases in adolescent alcohol use quantity.•Modified reopening associated with decreases in alcohol use at other’s homes.•SIP order compliance in social and outdoor contexts associated with less drinking.•SIP compliance associated with less adolescent drinking f...

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Bibliographic Details
Published in:Addictive behaviors 2023-08, Vol.143, p.107707-107707, Article 107707
Main Authors: Kristina Wharton, M., Balassone, Anna, Thomas, Sue, Treffers, Ryan, Paschall, Mallie J., Lam, Lee, Lipperman-Kreda, Sharon
Format: Article
Language:English
Subjects:
Adolescent
Alcohol Drinking - epidemiology
Alcohol Use
Alcohol Use Contexts
California - epidemiology
COVID-19
COVID-19 - prevention & control
Emergency Shelter
Humans
Pandemics
Shelter-in-Place
Underage Drinking
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Summary:•Modified reopening associated with decreases in adolescent alcohol use quantity.•Modified reopening associated with decreases in alcohol use at other’s homes.•SIP order compliance in social and outdoor contexts associated with less drinking.•SIP compliance associated with less adolescent drinking frequency and quantity. This study evaluated how Shelter-in-Place (SIP), modified reopening orders, and self-reported compliance with these orders have affected adolescent alcohol frequency and quantity of use across contexts during the COVID-19 pandemic. Differences-in-differences (DID) models and multi-level modeling analyses were conducted on longitudinal data collected as part of a larger study on alcohol use among adolescents in California. 1,350 adolescents at baseline contributed 7,467 observations for a baseline and 5 six-month follow-up surveys. Analytic samples ranged from 3,577–6,245 participant observations based on models. Alcohol use outcomes included participant frequency (days) and quantity (number of whole drinks) of alcohol use in past 1-month and past 6-month periods. Context-specific alcohol use outcomes included past 6-month frequency and quantity of use at: restaurants, bars/nightclubs, outside, one’s own home, another’s home, and fraternities/sororities. Participant self-reported compliance with orders in essential business/retail spaces and at outdoor/social settings were also assessed. Our DID results indicated that being under a modified reopening order was associated with decreases in past 6-month quantity of alcohol use (IRR = 0.72, CI = 0.56–0.93, p 
ISSN:0306-4603
1873-6327
DOI:10.1016/j.addbeh.2023.107707