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National Research Council of Brazil","award":["grant number 433426\/2018-7"],"award-info":[{"award-number":["grant number 433426\/2018-7"]}]},{"name":"Rio Grande Municipal Department of Health. National Research Council of Brazil","award":["305754\/2015-7"],"award-info":[{"award-number":["305754\/2015-7"]}]},{"name":"Rio Grande Municipal Department of Health. National Research Council of Brazil","award":["309570\/2019-0"],"award-info":[{"award-number":["309570\/2019-0"]}]},{"name":"Rio Grande Municipal Department of Health. National Research Council of Brazil","award":["grant 19\/2551-0001732-4"],"award-info":[{"award-number":["grant 19\/2551-0001732-4"]}]},{"name":"Foundation for the Research Support of the State of Rio Grande do Sul","award":["grant number 433426\/2018-7"],"award-info":[{"award-number":["grant number 433426\/2018-7"]}]},{"name":"Foundation for the Research Support of the State of Rio Grande do Sul","award":["305754\/2015-7"],"award-info":[{"award-number":["305754\/2015-7"]}]},{"name":"Foundation for the Research Support of the State of Rio Grande do Sul","award":["309570\/2019-0"],"award-info":[{"award-number":["309570\/2019-0"]}]},{"name":"Foundation for the Research Support of the State of Rio Grande do Sul","award":["grant 19\/2551-0001732-4"],"award-info":[{"award-number":["grant 19\/2551-0001732-4"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT  Objective: Investigate changes in alcohol consumption and the association between maternal depression and anxiety, considering the moderating effect of social isolation during the COVID-19 pandemic, using a population-based cohort from Brazil.  Methods: Data were obtained from the WebCovid-19 study, a web-based follow-up of the 2019 Rio Grande (RS), Brazil, birth cohort, with 1,077 and 1,033 postpartum women participating in waves I and II, respectively. Changes in maternal alcohol consumption were self-reported, while depression and anxiety were assessed using the Edinburgh Postnatal Depression Scale and the Generalised Anxiety Scale. Crude and adjusted negative binomial regression was conducted, including tests for moderation by social isolation.  Results: Of the 781 mothers included, 57.3% reported staying home \u22655 days in the last week, and 5.0% increased alcohol consumption during the pandemic. Median depression and anxiety scores were 8.0 (interquartile range \u2014 IQR 3\u201313) and 6.0 (IQR 3\u201310), respectively. Mothers who increased alcohol consumption had a 5-point (95% confidence interval \u2014 95%CI 3.0\u20137.0) and 4.2-point (95%CI 2.6\u20135.9) increase in depression and anxiety scores, respectively. Social isolation duration did not significantly modify the effect of alcohol consumption on mental health.  Conclusion: Increased alcohol consumption during the pandemic was associated with higher depression and anxiety scores. The hypothesised moderating effect of longer isolation on this association remains a possibility.<\/jats:p>","DOI":"10.1590\/1980-549720260002","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T15:05:53Z","timestamp":1769785553000},"source":"Crossref","is-referenced-by-count":1,"title":["Alcohol consumption, mental health, and the moderating role of social isolation during the COVID-19 pandemic in southern Brazil"],"prefix":"10.1590","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9558-937X","authenticated-orcid":false,"given":"Francine","family":"Costa","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5049-2435","authenticated-orcid":false,"given":"Thais","family":"Martins-Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9 Luiz","family":"Girotto","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura Cunha","family":"Goulart","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor Alves Modesto e","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3538-7228","authenticated-orcid":false,"given":"Rafaela Costa","family":"Martins","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande,  Brazil; Universidade Federal de Pelotas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4580-3849","authenticated-orcid":false,"given":"Cauane","family":"Blumenberg","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande,  Brazil; Universidade Federal de Pelotas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4690-5791","authenticated-orcid":false,"given":"Marina Xavier","family":"Carpena","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0864-0486","authenticated-orcid":false,"given":"Juraci Almeida","family":"Cesar","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5264-5914","authenticated-orcid":false,"given":"Christian Loret de","family":"Mola","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande,  Brazil; Universidade Federal de Pelotas,  Brazil; Universidad Cientifica del Sur,  Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","series-title":"Listings of WHO's response to COVID-19 [Internet]","year":"2022"},{"issue":"10","key":"ref2","doi-asserted-by":"crossref","first-page":"3740","DOI":"10.3390\/ijerph17103740","article-title":"Depression and anxiety in Hong Kong during COVID-19","volume":"17","author":"Choi EPH","year":"2020","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/02791072.2020.1836435","article-title":"Loneliness, mental health, and substance use among US young adults during COVID-19","volume":"53","author":"Horigian VE","year":"2021","journal-title":"J Psychoactive Drugs"},{"issue":"9608","key":"ref4","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/S0140-6736(08)60136-1","article-title":"An overview of mortality and sequelae of preterm birth from infancy to adulthood","volume":"371","author":"Saigal S","year":"2008","journal-title":"Lancet"},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1007\/s00737-015-0549-5","article-title":"PREPP: postpartum depression prevention through the mother-infant dyad","volume":"19","author":"Werner EA","year":"2016","journal-title":"Arch Womens Ment Health"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/j.jad.2020.12.042","article-title":"Post-partum depression: a cross-sectional study of women enrolled in a conditional cash transfer program in 30 Brazilian cities","volume":"281","author":"Santos IS","year":"2021","journal-title":"J Affect Disord"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1007\/BF01065866","article-title":"The association of alcoholism and anxiety","volume":"64","author":"Brady KT","year":"1993","journal-title":"Psychiatric Q"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"106114","DOI":"10.1016\/j.addbeh.2019.106114","article-title":"Prevalence of binge drinking and its association with mental health conditions and quality of life in Singapore","volume":"100","author":"Lee YY","year":"2020","journal-title":"Addict Behav"},{"issue":"8","key":"ref9","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1097\/01.alc.0000175072.17623.f8","article-title":"Follow-up study of anxiety disorder and alcohol dependence in comorbid alcoholism treatment patients","volume":"29","author":"Kushner MG","year":"2005","journal-title":"Alcohol Clin Exp Res"},{"key":"ref10","first-page":"1","article-title":"Alcohol consumption predicts incidence of depressive episodes across 10 years among older adults in 19 countries","volume":"148","author":"Keyes KM","year":"2019","journal-title":"Int Rev Neurobiol"},{"issue":"10","key":"ref11","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1017\/S003329172100180X","article-title":"Using Mendelian randomization analysis to better understand the relationship between mental health and substance use: a systematic review","volume":"51","author":"Treur JL","year":"2021","journal-title":"Psychol Med"},{"issue":"suppl 2","key":"ref12","article-title":"Association between health behaviors and depression: findings from the 2019 Brazilian National Health Survey","volume":"24","author":"Barros MBA","year":"2021","journal-title":"Rev Bras Epidemiol"},{"issue":"6","key":"ref13","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1590\/1516-4446-2020-0650","article-title":"Prevalence and correlates of major depressive disorder: a systematic review","volume":"42","author":"Guti\u00e9rrez-Rojas L","year":"2020","journal-title":"Braz J Psychiatry"},{"issue":"5","key":"ref14","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1177\/1039856220943024","article-title":"Alcohol consumption and alcohol-related problems during the COVID-19 pandemic: a narrative review","volume":"28","author":"Ramalho R","year":"2020","journal-title":"Australas Psychiatry"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"108621","DOI":"10.1016\/j.drugalcdep.2021.108621","article-title":"What is associated with the increased frequency of heavy episodic drinking during the COVID-19 pandemic?","volume":"221","author":"Valente JY","year":"2021","journal-title":"Data from the PAHO regional web-based survey. 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testing indirect effects through prototype favorability among African American youth","volume":"42","author":"Cleveland MJ","year":"2018","journal-title":"Alcohol Clin Exp Res"},{"issue":"4","key":"ref33","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1590\/1516-4446-2020-1673","article-title":"Maternal mental health before and during the COVID-19 pandemic in the 2019 Rio Grande birth cohort","volume":"43","author":"Mola CL","year":"2021","journal-title":"Braz J Psychiatry"},{"issue":"3","key":"ref34","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1590\/1516-4446-2020-1628","article-title":"Increased depression and anxiety during the COVID-19 pandemic in Brazilian mothers: a longitudinal study","volume":"43","author":"Mola CL","year":"2021","journal-title":"Braz J Psychiatry"},{"issue":"6","key":"ref35","doi-asserted-by":"crossref","first-page":"e291","DOI":"10.1016\/S2468-2667(19)30059-3","article-title":"Prevalence of maternal mental illness among children and 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outcome effects above the statistical level, with methodological implications for future studies","volume":"82","author":"Angst F","year":"2017","journal-title":"J Clin Epidemiol"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"115890","DOI":"10.1016\/j.socscimed.2023.115890","article-title":"The impact of the COVID-19 pandemic on alcohol and tobacco consumption: evidence from Peru","volume":"325","author":"Sara R","journal-title":"Soc Sci Med 2023"},{"issue":"3","key":"ref43","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1089\/jwh.2015.5284","article-title":"Depression and posttraumatic stress symptoms after perinatal loss in a population-based sample","volume":"25","author":"Gold KJ","year":"2016","journal-title":"J Womens Health (Larchmt)"}],"container-title":["Revista Brasileira de Epidemiologia"],"original-title":["Consumo de \u00e1lcool, sa\u00fade mental e o papel moderador do isolamento social durante a pandemia de COVID-19 no sul do Brasil"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1415-790X2026000101002&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T15:05:59Z","timestamp":1769785559000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1415-790X2026000101002&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":43,"alternative-id":["S1415-790X2026000101002"],"URL":"https:\/\/doi.org\/10.1590\/1980-549720260002","relation":{},"ISSN":["1980-5497","1415-790X"],"issn-type":[{"value":"1980-5497","type":"electronic"},{"value":"1415-790X","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e260002"}}