- Title
- Associations between alcohol, smoking, socioeconomic status, and co-morbidities: evidence from the 45 and Up study
- Creator
- Bonevski, Billie; Reagan, Tim; Baker, Amanda L.; Bisquera, Alessandra
- Relation
- Drug and Alcohol Review Vol. 33, Issue 2, p. 169-176
- Publisher Link
- http://dx.doi.org/10.1111/dar.12104
- Publisher
- Wiley-Blackwell Publishing
- Resource Type
- journal article
- Date
- 2014
- Description
- 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 267 153 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 <$30 000, being employed, and living in lower-SES areas, treatment for depression, and high distress on the Kessler-10. Discussion and Conclusions: Results suggest strong links between SES, treatment for depression, psychological distress, and concurrent tobacco and alcohol use. This has implications for public health policies and clinical treatment for tobacco and alcohol use, suggesting greater emphasis on addressing multiple health and social concerns.
- Subject
- smoking cessation; alcohol consumption; socioeconomic status; comorbidity; mental health
- Identifier
- http://hdl.handle.net/1959.13/1043603
- Identifier
- uon:14214
- Identifier
- ISSN:0959-5236
- Rights
- This is the peer reviewed version of the following article: Bonevski, B., Regan, T., Paul, C., Baker, A.L. and Bisquera, A. (2014), Concurrent alcohol and smoking. Drug Alcohol Rev, 33: 169-176., which has been published in final form at https://doi.org/10.1111/dar.12104. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
- Language
- eng
- Full Text
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| Thumbnail | File | Description | Size | Format | |||
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| View Details Download | ATTACHMENT02 | Author final version | 268 KB | Adobe Acrobat PDF | View Details Download |