Does early socio-economic disadvantage predict comorbid alcohol and mental health disorders?
Background: Alcohol and mental health disorders are highly prevalent in the general population, with co-occurrence recognised as a major public health issue. Socio-economic factors are frequently associated with both disorders but their temporal association is unclear. This paper examines the associ...
| Main Authors: | , , , |
|---|---|
| Format: | Journal Article |
| Published: |
Elsevier Ireland Ltd
2014
|
| Online Access: | http://hdl.handle.net/20.500.11937/72502 |
| _version_ | 1848762767156183040 |
|---|---|
| author | Salom, C. Williams, G. Najman, J. Alati, Rosa |
| author_facet | Salom, C. Williams, G. Najman, J. Alati, Rosa |
| author_sort | Salom, C. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Alcohol and mental health disorders are highly prevalent in the general population, with co-occurrence recognised as a major public health issue. Socio-economic factors are frequently associated with both disorders but their temporal association is unclear. This paper examines the association between prenatal socio-economic disadvantage and comorbid alcohol and mental health disorders at young adulthood. Methods: An unselected cohort of women was enrolled during early pregnancy in the large longitudinal Mater-University of Queensland Study of Pregnancy (MUSP), at the Mater Misericordiae Public Hospital in Brisbane, Australia. The mothers and their offspring were followed over a 21 year period. Offspring from the MUSP birth cohort who provided full psychiatric information at age 21 and whose mothers provided socioeconomic information at baseline were included (n= 2399). Participants were grouped into no-disorder, mental health disorder only, alcohol disorder only or comorbid alcohol and mental health disorders according to DSM-IV diagnoses at age 21 as assessed by the Composite International Diagnostic Interview. We used multivariate logistic regression analysis to compare associations of disorder group with single measures of prenatal socio-economic disadvantage including family income, parental education and employment, and then created a cumulative scale of socioeconomic disadvantage. Results: Greater socio-economic disadvantage was more strongly associated with comorbidity (OR 3.36; CI951.37, 8.24) than with single disorders. This relationship was not fully accounted for by maternal mental health, smoking and drinking during pregnancy. Conclusion: Multiple domains of socio-economic disadvantage in early life are associated with comorbid alcohol and mental health disorders. © 2014 Elsevier Ireland Ltd. |
| first_indexed | 2025-11-14T10:52:48Z |
| format | Journal Article |
| id | curtin-20.500.11937-72502 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:52:48Z |
| publishDate | 2014 |
| publisher | Elsevier Ireland Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-725022018-12-13T09:32:17Z Does early socio-economic disadvantage predict comorbid alcohol and mental health disorders? Salom, C. Williams, G. Najman, J. Alati, Rosa Background: Alcohol and mental health disorders are highly prevalent in the general population, with co-occurrence recognised as a major public health issue. Socio-economic factors are frequently associated with both disorders but their temporal association is unclear. This paper examines the association between prenatal socio-economic disadvantage and comorbid alcohol and mental health disorders at young adulthood. Methods: An unselected cohort of women was enrolled during early pregnancy in the large longitudinal Mater-University of Queensland Study of Pregnancy (MUSP), at the Mater Misericordiae Public Hospital in Brisbane, Australia. The mothers and their offspring were followed over a 21 year period. Offspring from the MUSP birth cohort who provided full psychiatric information at age 21 and whose mothers provided socioeconomic information at baseline were included (n= 2399). Participants were grouped into no-disorder, mental health disorder only, alcohol disorder only or comorbid alcohol and mental health disorders according to DSM-IV diagnoses at age 21 as assessed by the Composite International Diagnostic Interview. We used multivariate logistic regression analysis to compare associations of disorder group with single measures of prenatal socio-economic disadvantage including family income, parental education and employment, and then created a cumulative scale of socioeconomic disadvantage. Results: Greater socio-economic disadvantage was more strongly associated with comorbidity (OR 3.36; CI951.37, 8.24) than with single disorders. This relationship was not fully accounted for by maternal mental health, smoking and drinking during pregnancy. Conclusion: Multiple domains of socio-economic disadvantage in early life are associated with comorbid alcohol and mental health disorders. © 2014 Elsevier Ireland Ltd. 2014 Journal Article http://hdl.handle.net/20.500.11937/72502 10.1016/j.drugalcdep.2014.06.011 Elsevier Ireland Ltd restricted |
| spellingShingle | Salom, C. Williams, G. Najman, J. Alati, Rosa Does early socio-economic disadvantage predict comorbid alcohol and mental health disorders? |
| title | Does early socio-economic disadvantage predict comorbid alcohol and mental health disorders? |
| title_full | Does early socio-economic disadvantage predict comorbid alcohol and mental health disorders? |
| title_fullStr | Does early socio-economic disadvantage predict comorbid alcohol and mental health disorders? |
| title_full_unstemmed | Does early socio-economic disadvantage predict comorbid alcohol and mental health disorders? |
| title_short | Does early socio-economic disadvantage predict comorbid alcohol and mental health disorders? |
| title_sort | does early socio-economic disadvantage predict comorbid alcohol and mental health disorders? |
| url | http://hdl.handle.net/20.500.11937/72502 |