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Mental health and alcohol consumption among university students in the post-pandemic context: an exploratory cross-sectional study in Portugal

2026-01-16Documento de Trabalho Acesso aberto
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datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorMoreira, Teresa
dc.contributor.authorGuimarães, Maria Inês
dc.contributor.authorSilveira, Augusta
dc.contributor.authorLoibl, Beatriz
dc.contributor.authorGuedes Lopes, Beatriz
dc.contributor.authorAlves Ribeiro Ferraz, Hugo Filipe
dc.contributor.authorCastro, Inês
dc.contributor.authorMira de Almeida, Sofia
dc.contributor.authorLopes Cardoso, Inês
dc.contributor.authorPereira Rodrigues, Sandra Beatriz
dc.contributor.authorLima, Andreia Maria Novo
dc.date.accessioned2026-05-11T12:36:22Z
dc.date.available2026-05-11T12:36:22Z
dc.date.issued2026-01-16
dc.description.abstractIntroduction: The COVID-19 pandemic had significant effects on mental health and lifestyle behaviours, especially among university students who experienced academic disruptions, social isolation, and fewer social interactions. Alcohol consumption has long been part of student culture. Still, the influence of post-pandemic academic reintegration on drinking patterns and psychological distress remains relatively unexplored, particularly in countries like Portugal, where student traditions heavily shape consumption habits. This study aimed to describe the prevalence of alcohol consumption, depression, anxiety, and stress in a sample of Portuguese university students during the post-pandemic academic period, and to explore associations with sociodemographic variables. Methods: A cross-sectional study was conducted in November 2021 with 90 students from a private higher education institution in northern Portugal. Data were collected via an online questionnaire including sociodemographic information, the Alcohol Use Disorders Identification Test (AUDIT), and the Depression, Anxiety and Stress Scale (DASS-21). Result: The majority of the participants were not at risk of alcohol addiction (95.3%). In total, 15.1% of students reported anxiety symptoms ranging from severe to extremely severe. A binomial logistic regression was performed to ascertain the effects of being away from home and psychological distress (DASS-42 score), on the likelihood that participants were at risk of alcohol addiction (Level 3 and 4 in the AUDIT scale). The logistic regression model was statistically significant, χ2(2) = 9.20, p = 0.010. Living away from home was associated with a substantially lower likelihood of high-risk status (B = −2.79, p = 0.034), corresponding to an odds ratio of 0.06, indicating a strong protective effect. DASS-42 total score was positively associated with high-risk status (B = 0.04, p = 0.039), such that higher psychological distress increased the odds of being classified as high risk. Conclusions: The findings reveal a low prevalence of alcohol risk but heightened symptoms of anxiety, depression, and stress. Psychological distress notably increases the likelihood of hazardous alcohol use, emphasising the importance of targeted mental health and alcohol-use interventions among university students.eng
dc.identifier.citationMoreira, M. T., Guimarães, M. I., Silveira, A., Loibl, B., Guedes, B., Ferraz, H., Castro, I., Mira de Almeida, S., Cardoso, I. L., Rodrigues, S., & Lima, A. (2026). Mental Health and Alcohol Consumption Among University Students in the Post-Pandemic Context: An Exploratory Cross-Sectional Study in Portugal. Healthcare, 14(2), 223. https://doi.org/10.3390/healthcare14020223
dc.identifier.doi10.3390/healthcare14020223
dc.identifier.issn2227-9032
dc.identifier.urihttp://hdl.handle.net/10284/15419
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://www.mdpi.com/2227-9032/14/2/223
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAlcohol use
dc.subjectUniversity students
dc.subjectDepression
dc.subjectAnxiety
dc.subjectPsychological stress
dc.subjectCOVID-19
dc.titleMental health and alcohol consumption among university students in the post-pandemic context: an exploratory cross-sectional study in Portugaleng
dc.typeworking paper
dspace.entity.typePublication
oaire.citation.issue223
oaire.citation.titleHealthcare
oaire.citation.volume14
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
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person.familyNameGuedes Lopes
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person.givenNameTeresa
person.givenNameMaria Inês
person.givenNameAugusta
person.givenNameBeatriz
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person.givenNameHugo Filipe
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person.givenNameSandra Beatriz
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