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•Many people were ordered to shelter-in-place during the COVID-19 pandemic.•Harmful alcohol use increased notably during the first six months of the pandemic.•Increased alcohol use was greatest for those under lockdown/stay-at-home orders.•Excessive pandemic-drinking is concerning, as it may lead to other harmful behaviors.
To determine whether the past half-year of COVID-19-related lockdowns, stay-at-home orders, and social isolation were associated with changes in high-risk alcohol use, a total of 5,931 individuals completed the Alcohol Use Disorders Identification Test (AUDIT) at one of six time points from April through September 2020. Over the 6-month period, hazardous alcohol use and likely dependence increased month-by-month for those under lockdowns compared to those not under restrictions. This increase in harmful alcohol use and related behaviors is likely to have prolonged adverse psychosocial, interpersonal, occupational, and health impacts as the world attempts to recover from the pandemic crisis.