Une \u00e9tude longitudinale men\u00e9e aux \u00c9tats-Unis analyse l\u2019\u00e9volution de la consommation d\u2019alcool chez des adultes expos\u00e9s \u00e0 plusieurs catastrophes et les liens avec la sant\u00e9 mentale. Les donn\u00e9es proviennent de la cohorte STRONG (Survey of Trauma, Resilience, and Opportunity among Neighborhoods in the Gulf), regroupant 941 adultes de la r\u00e9gion de la c\u00f4te du Golfe, suivis sur cinq vagues d\u2019enqu\u00eate entre 2016 et 2024. La p\u00e9riode couvre plusieurs \u00e9v\u00e9nements majeurs : mar\u00e9e noire de Deepwater Horizon, ouragans et pand\u00e9mie de COVID-19.<\/p>\n
\u00c0 l\u2019aide de mod\u00e8les de croissance par classes latentes, les auteurs identifient quatre trajectoires de consommation d\u2019alcool sur neuf ans : une trajectoire \u00ab faible et stable \u00bb (36 % des participants), une trajectoire \u00ab \u00e9lev\u00e9e et stable \u00bb (47 %), une trajectoire \u00ab en diminution \u00bb (11 %) et une trajectoire \u00ab en augmentation \u00bb (7 %). Les personnes appartenant au groupe de consommation \u00ab \u00e9lev\u00e9e et stable \u00bb sont en moyenne plus jeunes, plus dipl\u00f4m\u00e9es, et moins souvent des femmes ou des personnes noires. Les expositions aux catastrophes pr\u00e9sentent des diff\u00e9rences limit\u00e9es entre groupes ; seules l\u2019exposition \u00e0 la mar\u00e9e noire et les perturbations li\u00e9es \u00e0 la COVID-19 apparaissent associ\u00e9es aux profils de consommation d\u2019alcool.<\/p>\n
Des mod\u00e8les mixtes lin\u00e9aires montrent des liens diff\u00e9renci\u00e9s entre ces trajectoires de consommation et l\u2019\u00e9volution de deux dimensions de la sant\u00e9 mentale : la d\u00e9pression et l\u2019\u00ab anxi\u00e9t\u00e9 de maladie \u00bb (pr\u00e9occupation excessive d\u2019avoir ou de d\u00e9velopper une maladie grave). Sur la dur\u00e9e de suivi, les sympt\u00f4mes d\u00e9pressifs augmentent chez les personnes ayant une consommation d\u2019alcool \u00ab \u00e9lev\u00e9e et stable \u00bb ou \u00ab en augmentation \u00bb. L\u2019anxi\u00e9t\u00e9 de maladie augmente dans les groupes \u00ab \u00e9lev\u00e9e et stable \u00bb et \u00ab en diminution \u00bb. Ces r\u00e9sultats sugg\u00e8rent que les trajectoires de consommation d\u2019alcool et celles de la sant\u00e9 mentale apr\u00e8s des catastrophes sont h\u00e9t\u00e9rog\u00e8nes mais \u00e9troitement li\u00e9es, et que la persistance ou l\u2019augmentation de la consommation d\u2019alcool s\u2019associe \u00e0 une aggravation de la d\u00e9pression, tandis que l\u2019anxi\u00e9t\u00e9 de maladie suit des dynamiques distinctes.<\/p>\n
Pour les pouvoirs publics, cette \u00e9tude signale l\u2019importance de prendre en compte la diversit\u00e9 des trajectoires individuelles de consommation d\u2019alcool dans les strat\u00e9gies de pr\u00e9vention et d\u2019intervention en contexte de catastrophes, ainsi que l\u2019articulation entre consommation d\u2019alcool, d\u00e9pression et anxi\u00e9t\u00e9 de maladie. Les auteurs soulignent la n\u00e9cessit\u00e9 d\u2019approches cibl\u00e9es, adapt\u00e9es aux profils de consommation et au contexte sp\u00e9cifique des \u00e9v\u00e9nements subis. L\u2019\u00e9tude se limite \u00e0 une population r\u00e9gionale aux \u00c9tats\u2011Unis, ce qui restreint la g\u00e9n\u00e9ralisation directe \u00e0 d\u2019autres contextes, mais offre des \u00e9l\u00e9ments de comparaison int\u00e9ressants pour le suivi et la conception des politiques de sant\u00e9 publique et de pr\u00e9vention des risques psychosociaux apr\u00e8s crise.(contenu r\u00e9sum\u00e9 en fran\u00e7ais par l’IA)\u00a0Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" Une \u00e9tude longitudinale men\u00e9e aux \u00c9tats-Unis analyse l\u2019\u00e9volution de la consommation d\u2019alcool chez des adultes expos\u00e9s \u00e0 plusieurs catastrophes et les liens avec la sant\u00e9 mentale. Les donn\u00e9es proviennent de […]<\/p>\n","protected":false},"author":1,"featured_media":10675,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[26],"tags":[234,227,226],"class_list":["post-20885","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-donnees-etudes-evaluation-et-prospective","tag-rand","tag-ia","tag-sources-etrangeres"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/20885","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=20885"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/20885\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/10675"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=20885"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=20885"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=20885"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}