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Chad Blair: Why We Drink So Much During The Pandemic - Honolulu Civil Beat

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An old buddy from my high school days texted me the other day a line that’s making its way around the internet: “Thirty days sober, folks. Not consecutively, but here and there over the years. I’m estimating.”

Then I heard from a local lobbyist worried about the prospects of a bill that was in limbo at the Hawaii Legislature.

“I’ve been drinking so much lately,” she lamented.

(Good news: the bill passed. I am not sure about the drinking.)

And then there was this from a good friend of mine in town.

“I would drink less if there weren’t so many good deals,” she said. “I mean, Costco has a fantastic bottle of wine for just $8.”

I share these anecdotal bits because I have been thinking a lot about drinking lately. It’s not a laughing matter. COVID-19 has had a dramatic effect on consumption levels since it began its onslaught more than 14 months ago.

“Even before the pandemic began, some Americans were drinking significantly more alcohol than they had in decades past — with damaging consequences,” The New York Times reported last month.

It cited 2020 findings from researchers at the National Institute on Alcohol Abuse and Alcoholism that said per capita consumption from 1999 through 2017 increased by 8% and the number of alcohol-related deaths doubled, many caused by liver disease.

The Times said the trend regarding women and alcohol was “particularly concerning.”

While the number of men who reported drinking stayed mostly the same, the proportion of women who did so increased 10% “and the number of women who reported binge drinking, or consuming roughly four or more drinks in about two hours, increased by 23%. (For men, binge drinking is about five or more drinks in that period.)”

‘Stress, Boredom, Loneliness’

Meanwhile, alcohol sales, along with tobacco sales, “rose dramatically” during the early stages of the pandemic, “with possible major consequences for both physical and mental health.”

That comes from a Forbes report in March, which cited a new study: “Between April and June last year, sales of alcoholic beverages increased by 34% compared to the same period of time in 2019, with tobacco sales increasing by 13%.”

A Martini Splash. Flickr: TIGER500

“These are significant jumps, and show that the stress, boredom and loneliness caused by the pandemic may have led to increased alcohol and tobacco use,” said the study’s lead author, Brian Lee, a hepatologist and liver transplant specialist with Keck Medicine and the USC Institute for Addiction Science.

It’s important to keep in mind that alcohol (like tobacco) has always been a killer, “a major contributor to deaths linked to physical injuries, interpersonal violence, motor vehicle crashes, self-harm and other harmful outcomes,” as Yusuf Ransome, a Yale public health professor explained.

Contributing to that is the fact that alcohol is viewed as “socially acceptable,” the Times reported, which can distort the long-term health impacts of excessive alcohol use.

It is a significant impact. Between 2000 and 2016, according to the Journal of the American Medical Association, alcohol-related deaths increased for white men (2.3% per year on average) and white women (4.1%), “with middle-aged white Americans accounting for the highest increase in deaths.”

Drinking is also a problem in varying degrees, says JAMA, among Blacks, Hispanics, Asian Americans, Native Americans and Pacific Islanders.

Why do so many of us drink more booze during this pandemic? Because we are anxious and depressed. Research shows that we turn to liquor to handle stress during difficult times — as happened in the period following the Sept. 11, 2001, attacks, for example.

Cigarette and marijuana use also increased after 9/11, but that’s a topic for another column.

More recently, the assault on the U.S. Capitol made it difficult for many to go “dry” in January, a “social-media fueled month” of voluntary sobriety.

“I am of color, watching the Confederate flag being paraded in the Capitol, it was the worst,” Nina McConigley, an assistant honors professor at the University of Wyoming in Laramie, told the Times. “The act of a hot warm dinner and nice wine, it felt self-preserving.”

‘Essential Product’

It’s not easy to escape the pervasiveness of alcohol in our culture, including here at home. Because of COVID-19, local restaurants have pushed to allow for carryout and home delivery of drinks. Hawaiian Airlines says it will resume alcohol service on flights starting June 1.

It should come as little surprise that a survey from American Addiction Centers reported that one in three Hawaii residents deemed alcohol an “essential product” during the pandemic — even more than toilet paper.

(Delaware had the highest percentage of people — 67% — favoring hooch, while South Dakota had the least at just 9%.)

At least we are not like New Jersey, which is offering a “shot and a beer” for residents who get their first vaccine dose in May and visit participating breweries in the state.

Worried about your drinking during the pandemic? I’ll close with a couple of tips that might help, which I culled from yet another Times article (it seems that readers of The New York Times drink a lot):

  • Make a plan every Sunday to limit drinking to a specific amount each day of the week and stick to it. This is known as “precommitment.”
  • Talk to your spouse, friends or family about your plan to drink less. “They can hold you accountable and help you find healthier ways to manage your stress.”
  • Set up rules to slow your drinking — for example, each glass of wine you drink has to last at least one hour.
  • Try substituting sparkling water or another beverage for your usual drink.

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