@article{ref1,
title="Associations of alcohol use, mental health and socioeconomic status in England: findings from a representative population survey",
journal="Drug and alcohol dependence",
year="2020",
author="Fear, Nicola T. and Gage, Suzanne H. and Jones, Andrew and Puddephatt, Jo-Anne and Goodwin, Laura and McBride, Orla and McManus, Sally and Field, Matt",
volume="219",
number="",
pages="e108463-e108463",
abstract="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. <br><br>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. <br><br>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). <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="0376-8716",
doi="10.1016/j.drugalcdep.2020.108463",
url="http://dx.doi.org/10.1016/j.drugalcdep.2020.108463"
}