Associations between alcohol, smoking, socioeconomic status and comorbidities: Evidence from the 45 and Up Study
Associations between alcohol, smoking, socioeconomic status and comorbidities: Evidence from the 45 and Up Study
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DOI：
10.1111/dar.12104
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发表时间：
2014-03-01
影响因子：
3.8
通讯作者：
Bisquera, Alessandra
中科院分区：
文献类型：
--
作者：
Bonevski, Billie;Regan, Tim;Bisquera, Alessandra
引言和目的。了解烟草、酒精和精神健康之间的关系对于制定针对合并症的人口层面政策和个人层面治疗非常重要。目前的研究旨在检查社会人口学特征和心理健康共病与同时使用烟草和有害水平的酒精的几率有关。设计和方法。数据来自45岁及以上研究，这是一项大型队列研究，研究对象为澳大利亚新南威尔士州267153名45岁及以上的成年人。参与者完成了一项评估酒精、吸烟、心理困扰、抑郁和焦虑治疗以及一系列社会经济地位指标的调查。使用单变量分析和三个多逻辑回归模型来确定与(i)吸烟但不使用酒精的关系；（ii）饮酒但不吸烟；结果：女性、年轻、较低的个人和地区社会经济地位（SES）以及抑郁和心理困扰与吸烟单独相关。仅与酒精使用相关的因素是年龄较大、男性、较高的社会经济地位、较低的心理困扰和近期未接受抑郁症治疗。与同时危险饮酒和吸烟相关的因素包括年龄在45-64岁之间、为男性、受教育程度较低、收入较高
Introduction and Aims.Understanding how tobacco, alcohol and mental health are related is important for developing population-level policies and individual-level treatments that target comorbidities. The current study aimed to examine sociodemographic characteristics and mental health comorbidities associated with the odds of using tobacco and harmful levels of alcohol concurrently.Design and Methods.Data were drawn from the 45 and Up Study, a large cohort study with 267153 adults aged 45 years and over in New South Wales, Australia. Participants completed a survey assessing alcohol, smoking, psychological distress, treatment for depression and anxiety, and a range of socioeconomic status indicators. Univariate analyses and three multiple-logistic regression models were used to determine associations with (i) tobacco but not alcohol use; (ii) alcohol but not tobacco use; and (iii) concurrent tobacco and risky levels of alcohol use.Results.Being female, younger, lower individual and area-level socioeconomic status (SES) and depression and psychological distress were associated with tobacco use alone. Factors associated with alcohol use alone were older age, male gender, higher SES, and lower psychological distress and no recent depression treatment. Factors associated with concurrent risky alcohol consumption and tobacco use included being 45-64, being male, less education, earning