Associations of alcohol use, mental health and socioeconomic status in England : Findings from a representative population survey

Puddephatt, JA and Jones, A and Gage, SH and Fear, NT and Field, M and McManus, S and McBride, O and Goodwin, L (2021) Associations of alcohol use, mental health and socioeconomic status in England : Findings from a representative population survey. Drug and Alcohol Dependence, 219: 108463. ISSN 0376-8716

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Background Alcohol use and mental health problems often co-occur, however, little is known about how this varies by type of mental health problem and to what extent associations are explained by socioeconomic status (SES). Our study examined the prevalence and associations of non-drinking, hazardous use, and harmful/probable dependence in individuals who do and do not meet criteria for different mental health problems and whether associations remained after adjustment for SES. Methods A secondary analysis of an English dataset, 2014 Adult Psychiatric Morbidity Survey (N = 7,218), was conducted. The Alcohol Use Disorder Identification Test was used to categorise participants as non-drinking, low risk, hazardous use and harmful/probable dependence. Mental health problems were screened using a range of validated tools. Multinomial logistic regression analyses were used to address study aims. Results The prevalence of non-drinking, hazardous and harmful/probable dependence was higher among those meeting criteria for a mental health problem. After adjustment for SES, non-drinking was most common in those meeting criteria for probable psychotic disorder (MOR = 3.42, 95 %CI = 1.74–6.70), hazardous use in those meeting criteria for anti-social personality disorder (MOR = 2.66, 95 %CI = 1.69–4.20) and harmful/probable dependence in those meeting criteria for borderline personality disorder (MOR = 9.77, 95 % CI = 4.81–19.84). Conclusions There were marked increases in the odds of reporting both non-drinking and harmful drinking among those meeting criteria for a mental health problem, particularly more severe problems. Our findings indicate that the relationship between alcohol and mental health is more complex and comorbid alcohol and mental health problems should be treated in parallel with access to both services.

Item Type:
Journal Article
Journal or Publication Title:
Drug and Alcohol Dependence
Additional Information:
This is the author’s version of a work that was accepted for publication in Drug and Alcohol Dependence. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Drug and Alcohol Dependence, 219, 2021 DOI: 10.1016/j.drugalcdep.2020.108463
Uncontrolled Keywords:
?? alcohol usemental healthcomorbiditysocioeconomic characteristicsepidemiologypsychiatry and mental healthtoxicologypharmacologypharmacology (medical) ??
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Deposited On:
22 Feb 2022 12:30
Last Modified:
28 Nov 2023 11:38