Factors associated with drinking behaviour during COVID-19 social distancing and lockdown among adults in the UK

To assess what factors were associated with reported changes to usual alcohol drinking behaviour during the start of lockdown in the United Kingdom (UK).

Online cross-sectional survey of 30,375 adults in the UK from 21st March to 4th April 2020 (sample weighted). Logistic regression models were used to examine sociodemographic, drinking and COVID-19 factors associated with i) drinking less and ii) drinking more (versus same as usual).

Of 22,113 drinkers, 48.1 % reported drinking about the same, 25.7 % reported drinking less, and 26.2 % reported drinking more than usual over the past week. Drinking less was independently associated with being younger (OR = 0.88, p < .001), male (OR = 0.76, p < .001), BAME (OR = 0.76, p = .028), low income (OR = 0.74, p < .001), having COVID-19 (OR = 2.04, p < .001), adhering to COVID-19 protective behaviours (OR = 1.58, p = .020), stress about becoming ill from COVID-19 (OR = 1.26, p = .004) and not being a key worker (OR = 0.87, p = .030). Drinking more was independently associated with being younger (OR = 0.73, p < .001), female (OR = 1.36, p < .001), post-16 qualifications (OR = 1.21, p = .012), high income (OR = 1.43, p < .001), stress about catching (OR = 1.22, p = .020) or becoming ill from COVID-19 (OR = 1.28, p < .001), stress about finances (OR = 1.43, p < .001), and having an anxiety disorder (OR = 1.24, p = .011).

In a large, population sample of adults in the UK, around a quarter of drinkers reported drinking more alcohol and a quarter drinking less than usual during the COVID-19 related lockdown. Certain groups, such as those who are younger, female, of high socioeconomic position, have an anxiety disorder, and are stressed about finances or COVID-19 may need targeted alcohol reduction support during lockdown.