000126936 001__ 126936 000126936 005__ 20241125101140.0 000126936 0247_ $$2doi$$a10.1186/s12888-023-04993-5 000126936 0248_ $$2sideral$$a134419 000126936 037__ $$aART-2023-134419 000126936 041__ $$aeng 000126936 100__ $$0(orcid)0000-0001-6565-9699$$aOliván-Blázquez, Bárbara$$uUniversidad de Zaragoza 000126936 245__ $$aWorsening of alcohol abuse disorder in a Spanish population during the first twelve months of the COVID-19 pandemic and associated factors: retrospective, ecological and community study 000126936 260__ $$c2023 000126936 5060_ $$aAccess copy available to the general public$$fUnrestricted 000126936 5203_ $$aPurpose:To analyse: (1) Changes in clinical parameters and in the use of social healthcare resources by patients with alcohol abuse disorder between the six months prior to the start of the pandemic and the first year of the pandemic. (2) The factors related to a worsening of clinical parameters among patients with alcohol abuse disorder. Methods: A retrospective and observational study of a population who have been diagnosed with alcohol abuse disorders according to their primary health care (PHC) electronic medical records was performed. The total sample was made up of 11,384 patients. The variables (sociodemographic variables, chronic comorbidities, analytical parameters related to alcohol abuse disorder, COVID-19 infection, and use of healthcare resources) were collected in three different time periods: (i) six months before the onset of the strict lockdown, (ii) six months following the end of lockdown and (iii) from six to twelve months after the end of lockdown. Paired Student’s T-test and a multivariate logistic regression were performed. Results: Along the first year after the onset of the pandemic, between 44% and 54% of the patients suffered a decline in every clinical parameter. The number of PHC nursing, GP visits and social worker visits reduced significantly. As regards the associated factors related to deterioration of alcohol abuse disorder, being younger than 40 years old, having an income of over 18,000 euros/year and not having visited the social worker were associated with a worsening of the disorder. Conclusions: These results suggest that the impact of COVID-19 on this group has been high, and the social care offered to these patients plays a significant role in minimising the repercussions of the pandemic. 000126936 536__ $$9info:eu-repo/grantAgreement/ES/DGA/B21-20R 000126936 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000126936 590__ $$a3.4$$b2023 000126936 592__ $$a1.301$$b2023 000126936 591__ $$aPSYCHIATRY$$b79 / 279 = 0.283$$c2023$$dQ2$$eT1 000126936 593__ $$aPsychiatry and Mental Health$$c2023$$dQ1 000126936 594__ $$a5.9$$b2023 000126936 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000126936 700__ $$aLear-Claveras, Ana 000126936 700__ $$aSamper-Pardo, Mario 000126936 700__ $$0(orcid)0000-0002-1200-5904$$aLeón-Herrera, Sandra$$uUniversidad de Zaragoza 000126936 700__ $$0(orcid)0000-0002-5494-6550$$aMagallón-Botaya, Rosa$$uUniversidad de Zaragoza 000126936 7102_ $$14009$$2740$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Social 000126936 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina 000126936 773__ $$g23 (2023), 504[12 pp]$$pBMC Psychiatry$$tBMC Psychiatry$$x1471-244X 000126936 8564_ $$s1204467$$uhttps://zaguan.unizar.es/record/126936/files/texto_completo.pdf$$yVersión publicada 000126936 8564_ $$s2191238$$uhttps://zaguan.unizar.es/record/126936/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000126936 909CO $$ooai:zaguan.unizar.es:126936$$particulos$$pdriver 000126936 951__ $$a2024-11-22-12:02:26 000126936 980__ $$aARTICLE