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Associations between interrelated dimensions of socio-economic status, higher risk drinking and mental health in South East London: A cross-sectional study

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  • Sadie Boniface
  • Dan Lewer
  • Stephani L Hatch
  • Laura Goodwin

Abstract

Aim: To examine patterns of hazardous, harmful and dependent drinking across different socio-economic groups, and how this relationship may be explained by common mental disorder. Methods and findings: Between 2011–2013, 1,052 participants (age range 17–91, 53% female) were interviewed for Phase 2 of the South East London Community Health study. Latent class analysis was used to define six groups based on multiple indicators of socio-economic status in three domains. Alcohol use (low risk, hazardous, harmful/dependent) was measured using the Alcohol Use Disorders Identification Test and the presence of common mental disorder was measured using the revised Clinical Interview Schedule. Multinomial regression was used to explore associations with hazardous, harmful and dependent alcohol use, including after adjustment for common mental disorder. Conclusions: Across distinct socio-economic groups in a large inner-city sample, we found important differences in harmful and dependent drinking, only some of which were explained by common mental disorder. The increased risk of harmful or dependent drinking across classes which are very distinct from each other suggests differing underlying drivers of drinking across these groups. A nuanced understanding of alcohol use and problems is necessary to understand the inequalities in alcohol harms.

Suggested Citation

  • Sadie Boniface & Dan Lewer & Stephani L Hatch & Laura Goodwin, 2020. "Associations between interrelated dimensions of socio-economic status, higher risk drinking and mental health in South East London: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-12, February.
  • Handle: RePEc:plo:pone00:0229093
    DOI: 10.1371/journal.pone.0229093
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    References listed on IDEAS

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    1. Emma Beard & Jamie Brown & Robert West & Colin Angus & Alan Brennan & John Holmes & Eileen Kaner & Petra Meier & Susan Michie, 2016. "Deconstructing the Alcohol Harm Paradox: A Population Based Survey of Adults in England," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-17, September.
    2. Emma Beard & Jamie Brown & Robert West & Eileen Kaner & Petra Meier & Susan Michie, 2019. "Associations between socio-economic factors and alcohol consumption: A population survey of adults in England," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-15, February.
    3. Stephani L Hatch & Charlotte Woodhead & Souci Frissa & Nicola T Fear & Maria Verdecchia & Robert Stewart & Abraham Reichenberg & Craig Morgan & Paul Bebbington & Sally McManus & Traolach Brugha & Bwal, 2012. "Importance of Thinking Locally for Mental Health: Data from Cross-Sectional Surveys Representing South East London and England," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-11, December.
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