BACKGROUND Excessive alcohol use and alcohol use disorders (AUDs) are serious medical problems in general populations. Alcohol use is associated with stressful events. Thus it is possible that problems with alcohol use increase in association with disasters. It is important to know the extent to which disasters contribute to these problems in exposed populations. METHODS This review focused on the associations of alcohol use, problematic alcohol use, and AUDs with disasters. Alcohol variables were examined for predisaster to postdisaster changes and differences between samples according to disaster exposures. RESULTS In all, 44 studies were found that addressed the association of alcohol variables with disaster. Much of this research had substantive methodological difficulties limiting the conclusions. Most research examining changes in alcohol use after disasters reported increases, but the increases were clinically small, amounting to ≤1 drink per day, and alcohol use returned to predisaster levels over time. The research on problematic alcohol use provided little evidence of an association with disasters. The studies of AUDs did not support their association with disaster. CONCLUSIONS Even without clear evidence that disasters cause increases in alcohol use problems, it is important in the postdisaster setting to assess problems of alcohol use along with psychopathology.

中文翻译：

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对与灾害相关的饮酒和疾病的系统评价。

背景过度饮酒和酒精使用障碍(AUD)是一般人群中的严重医学问题。饮酒与压力事件有关。因此，与灾难相关的饮酒问题可能会增加。重要的是要了解灾害在多大程度上导致了受灾人群的这些问题。方法 本综述侧重于酒精使用、有问题的酒精使用和 AUDs 与灾难的关联。根据灾难暴露情况，检查酒精变量以了解灾前到灾后的变化以及样本之间的差异。结果 总共发现 44 项研究解决了酒精变量与灾难的关联。大部分研究都存在限制结论的实质性方法论困难。大多数检查灾难后饮酒变化的研究都报告了增加，但临床上增加的幅度很小，每天 ≤ 1 杯，随着时间的推移，饮酒量会恢复到灾前水平。关于有问题的酒精使用的研究几乎没有提供与灾难有关的证据。AUD 的研究不支持它们与灾难的关联。结论 即使没有明确的证据表明灾难会导致饮酒问题增加，在灾后环境中评估饮酒问题和精神病理学也很重要。AUD 的研究不支持它们与灾难的关联。结论 即使没有明确的证据表明灾难会导致饮酒问题增加，在灾后环境中评估饮酒问题和精神病理学也很重要。AUD 的研究不支持它们与灾难的关联。结论 即使没有明确的证据表明灾难会导致饮酒问题增加，在灾后环境中评估饮酒问题和精神病理学也很重要。