Socioeconomic status, alcohol use disorders, and depression: A population-based study.
Socioeconomic status, alcohol use disorders, and depression: A population-based study.
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DOI：
10.1016/j.jad.2021.12.132
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发表时间：
2022-03-15
影响因子：
6.6
通讯作者：
Rehm J
中科院分区：
文献类型：
--
作者：
Lasserre AM;Imtiaz S;Roerecke M;Heilig M;Probst C;Rehm J
抑郁症 (DD) 和酒精使用障碍 (AUD) 经常同时发生。它们是了解当前社会经济地位较低（SES）个体“绝望死亡”人数增加的关键。本研究的目的是评估 AUD 和 DD 之间的前瞻性双向关联，以及 SES 对这两种情况的影响。全国酒精及相关疾病流行病学调查是一项代表美国成年人群的队列研究，于 2001 年至 2002 年开始，并于 3 年后进行了后续访谈。 SES 主要是作为教育程度来运作的。 AUD、DD 及其严重程度根据 DSM-5 标准定义。发生事件 DD 的风险随着基线 AUD 的新近程度和严重程度而逐渐增加，但没有观察到相反的情况。较低的 SES 是发生 AUD 或 DD 事件的独立风险。 SES 没有修改 AUD 和 DD 之间的预期关联。由于这些 AUD 类别中报告的 DD 病例数量有限，必须谨慎考虑 SES 与中度或重度 AUD 之间不存在交互作用。这一结果与 AUD 和 DD 之间的因果关系一致，并表明 AUD 的治疗干预也可能对降低 DD 率产生有益影响。较低的社会经济地位和澳元对 DD 的独立影响可能会导致弱势群体累积疾病，对健康和社会福祉造成严重后果。
Depressive disorders (DD) and alcohol use disorders (AUD) frequently co-occur. They are key to understanding the current increases in “deaths of despair” among individuals with lower socioeconomic status (SES). The aim of this study was to assess the prospective bidirectional associations between AUD and DD, as well as the effect of SES on these two conditions. The National Epidemiologic Survey on Alcohol and Related Conditions is a cohort study representative of the US adult population, which began in 2001-2002, with follow-up interviews conducted 3 years later. SES was primarily operationalized as educational attainment. AUD, DD, and their levels of severity were defined according to the DSM-5 criteria. The risk of developing an incident DD increased gradually with the recency and the severity of AUD at baseline, but the converse was not observed. Lower SES was an independent risk for incident AUD or DD. SES did not modify the prospective association between AUD and DD. The absence of interaction between SES and moderate or severe AUD for the incident DD must be considered with caution due to the limited number of DD cases reported in these AUD categories. This result is consistent with a causal relationship between AUD and DD, and suggests that therapeutic interventions for AUD may also have beneficial effects to lower DD rates. The independent effects of a lower SES and AUD on DD may result in a vulnerable population cumulating disorders with heavy consequences on health and social well-being.
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影响因子：
14.6
作者：
Gilman, Stephen E.;Sucha, Ewa;Colman, Ian
通讯作者：
Colman, Ian
DOI：
10.1111/j.1530-0277.2006.00274.x
发表时间：
2007-01-01
影响因子：
3.2
作者：
Graham, Kathryn;Massak, Agnes;Rehm, Juergen
通讯作者：
Rehm, Juergen
影响因子：
5.3
作者：
Chou, Kee-Lee;Mackenzie, Corey S.;Sareen, Jitender
通讯作者：
Sareen, Jitender
DOI：
10.1073/pnas.2024777118
发表时间：
2021-03-16
影响因子：
11.1
作者：
Case A;Deaton A
通讯作者：
Deaton A
影响因子：
4.2
作者：
Grant, BF;Dawson, DA;Pickering, R
通讯作者：
Pickering, R