Young adults' physical distancing behaviors during the initial months of the COVID-19 pandemic: Adherence to guidelines and associations with alcohol use behavior.

Throughout the COVID-19 pandemic, the scientific and public health communities have become increasingly focused on understanding young adults' physical distancing behaviors and the role that young adults have on viral potentiation and community spread. In the present study, we surveyed a group of 560 young adults (ages 22-28) from the greater Seattle area in April 2020, during statewide "shelter-in-place" recommendations, to examine young adults' self-reported adherence to physical distancing guidelines. Self-report measures were used to identify strong adherers and poor adherers, which we then compared in terms of engagement in specific physical distancing behaviors and alcohol use behaviors pertaining to physical distancing adherence. We found that most young adults are classified as strong adherers, and that poor adherers reported more frequent violations of physical distancing guidelines including having friends over to their residence or going over to other residences. Poor adherers were also significantly more likely to engage in high-risk alcohol use behavior, such as heavy episodic drinking, compared to those young adults who were classified as strong adherers. Our results provide initial evidence that young adults who engage in high-risk drinking may be at greater risk for non-adherence to government recommended physical distancing guidelines. This deeper understanding of young adult behavior during the COVID-19 pandemic can better inform public health outreach to increase physical distancing adherence currently, as well as in preparation for future contagious health crises that may require societal-level adherence to behavioral guidelines.