{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T15:14:01Z","timestamp":1790435641497,"version":"4.1.0"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T00:00:00Z","timestamp":1724803200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T00:00:00Z","timestamp":1724803200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Research and Development Committee, East Tennessee State University","award":["RDC #20-014SM"],"award-info":[{"award-number":["RDC #20-014SM"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chronic Stress"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Binge drinking and heavy alcohol use are highly prevalent among college students. During the COVID-19 pandemic, due to lockdown restrictions and other challenges, many college students were burdened with loneliness, which can contribute to chronic stress, and substance use. The current study explores the association between loneliness and various levels of alcohol use among college students in the rural, underserved region of Central Appalachia, USA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected from a regional sample (n\u2009=\u2009320) of college age adults, age 18-25 in the Central Appalachian region. The UCLA-3 item Loneliness Scale (UCLA-3) was used in the study to evaluate loneliness. Logistic regression analysis was conducted to assess the association between levels of loneliness and three separate outcomes, including past year binge drinking, past year heavy alcohol use, and past year weekly alcohol use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 25.5% of the participants reported severe loneliness, 33.6% reported moderate, and 40.9% reported low levels of loneliness. Results of the adjusted models revealed that severe loneliness was associated with higher odds of heavy alcohol use (AOR\u2009=\u20091.89, 95% CI [1.02, 3.50]) and binge drinking (AOR\u2009=\u20092.96, 95% CI [1.16, 7.51]), and not associated with weekly alcohol use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study found that higher levels of loneliness were linked to both binged drinking and heavy alcohol use. Further efforts for counseling and treatment among college students who are burdened with severe loneliness should be considered. The chronic stress associated with severe loneliness needs to be further addressed, particularly among emerging adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24705470241264909","type":"journal-article","created":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T10:39:22Z","timestamp":1724841562000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Loneliness and Alcohol use among College Students During the COVID-19 Pandemic in Rural Appalachia"],"prefix":"10.1177","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3446-9216","authenticated-orcid":false,"given":"Manik","family":"Ahuja","sequence":"first","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Miller-Slough","sequence":"additional","affiliation":[{"name":", East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Adebayo-Abikoye","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Callon","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Psychology, Binghamton University, Binghamton, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Haubner","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"McKenzie G.","family":"Dooley","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minakshi","family":"Bansal","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thiveya","family":"Sathiyaseelan","sequence":"additional","affiliation":[{"name":", Big Stone Gap"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Pons","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arpana","family":"Karki","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kawther","family":"Al Ksir","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brook","family":"Samuel","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phoebe","family":"Tchoua","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trisha","family":"Schuver","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Fernandopulle","sequence":"additional","affiliation":[{"name":"East Tennessee State University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,28]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Substance Abuse and Mental Health Services Administration (SAMHSA). Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Health. HHS Publ No PEP19-5068 NSDUH Ser H-54. Published online 2019."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/acer.12541."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.3.321"},{"key":"e_1_3_2_5_2","article-title":"Schulenberg JE","author":"Jang JB","year":"1991","unstructured":"Jang JB, Patrick ME, Keyes KM, Hamilton AD, Schulenberg JE. Frequent binge drinking among US adolescents, 1991 to 2015. Pediatrics. 2017;139(6):e20164023. doi:10.1542\/peds.2016-4023. 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