Alcohol and Tobacco Use in a Tuberculosis Treatment Cohort during South Africa's COVID-19 Sales Bans: A Case Series.

Journal: International journal of environmental research and public health

Volume: 18

Issue: 10

Year of Publication: 2021

Affiliated Institutions:  Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Tygerberg , South Africa. Section of Infectious Diseases, Department of Medicine, Boston Medical Center, Boston, MA , USA. Department of Biostatistics, School of Public Health, Boston University, Boston, MA , USA. Department of Science and Innovation, National Research Foundation Centre of Excellence in Biomedical Tuberculosis Research, South Africa Medical Research Council for Tuberculosis Research, Stellenbosch University, Tygerberg , South Africa.

Abstract summary 

South Africa temporarily banned alcohol and tobacco sales for about 20 weeks during the COVID-19 lockdown. We described changes in alcohol and tobacco consumption after implementation of these restrictions among a small number of participants in a tuberculosis treatment cohort.The timeline follow-back procedure and Fägerstrom test for nicotine dependence was used to collect monthly alcohol and tobacco use information. We report changes in heavy drinking days (HDD), average amount of absolute alcohol (AA) consumed per drinking day, and cigarettes smoked daily during the alcohol and tobacco ban compared to use prior to the ban.Of the 61 participants for whom we have pre-ban and within-ban alcohol use information, 17 (27.9%) reported within-ban alcohol use. On average, participants reported one less HDD per fortnight (interquartile range (IQR): -4, 1), but their amount of AA consumed increased by 37.4 g per drinking occasion (IQR: -65.9 g, 71.0 g). Of 53 participants who reported pre-ban tobacco use, 17 (32.1%) stopped smoking during the ban. The number of participants smoking >10 cigarettes per day decreased from 8 to 1.From these observations, we hypothesize that policies restricting alcohol and tobacco availability seem to enable some individuals to reduce their consumption. However, these appear to have little effect on the volume of AA consumed among individuals with more harmful patterns of drinking in the absence of additional behavior change interventions.

Authors & Co-authors:  Myers Bronwyn B Carney Tara T Rooney Jennifer J Malatesta Samantha S White Laura F LF Parry Charles D H CDH Bouton Tara C TC Ragan Elizabeth J EJ Horsburgh Charles Robert CR Warren Robin M RM Jacobson Karen R KR

Study Outcome 

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Citations :  Singh S., Sharma P., Balhara Y.P.S. The impact of nationwide alcohol ban during the COVID-19 lockdown on alcohol use-related internet searches and behaviour in India: An infodemiology study. Drug Alcohol Rev. 2020 doi: 10.1111/dar.13187.
Authors :  11
Identifiers
Doi : 5449
SSN : 1660-4601
Study Population
Male,Female
Mesh Terms
COVID-19
Other Terms
COVID;South Africa;alcohol policy;alcohol sales ban;heavy drinking
Study Design
Cohort Study,Case Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
Switzerland