Alcohol and men's health

Bell, Steven; Britton, Annie

doi:10.1002/tre.206

Cited by 4 publications

(4 citation statements)

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“…Consequently, it could be inferred that targeting interventions to those with poor mental health (as well as introducing measures to ensure that those with normal/good mental health do not deteriorate) would have a beneficial effect in terms of reducing heavy drinking. This may also elicit favorable knock-on effects in terms of improving general physical health and reducing the risk of chronic diseases, as heavy drinking itself is associated with an increased risk of a range of health problems [ 102 , 103 ] including cardiovascular disease [ 104 - 109 ], cancer, [ 110 , 111 ] and mortality [ 47 , 112 - 114 ]. Furthermore, the finding that mental health affects alcohol consumption may shed some light on the growing literature examining common mental disorders as risk factors for cardiovascular disease [ 115 - 119 ] and all-cause mortality [ 120 - 122 ], because alcohol consumption may be one of many mediators in this relationship.…”

Section: Discussionmentioning

confidence: 99%

An exploration of the dynamic longitudinal relationship between mental health and alcohol consumption: a prospective cohort study

Bell

Britton

2014

BMC Med

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BackgroundDespite intense investigation, the temporal sequence between alcohol consumption and mental health remains unclear. This study explored the relationship between alcohol consumption and mental health over multiple occasions, and compared a series of competing theoretical models to determine which best reflected the association between the two.MethodsData from phases 5 (1997 to 1999), 7 (2002 to 2004), and 9 (2007 to 2009) of the Whitehall II prospective cohort study were used, providing approximately 10 years of follow-up for 6,330 participants (73% men; mean ± SD age 55.8 ± 6.0 years). Mental health was assessed using the Short Form (SF)-36 mental health component score. Alcohol consumption was defined as the number of UK units of alcohol drunk per week. Four dynamic latent change score models were compared: 1) a baseline model in which alcohol consumption and mental health trajectories did not influence each other, 2) and model in which alcohol consumption influenced changes in mental health but mental health exerted no effect on changes in drinking and 3) vice versa, and (4) a reciprocal model in which both variables influenced changes in each other.ResultsThe third model, in which mental health influenced changes in alcohol consumption but not vice versa, was the best fit. In this model, the effect of previous mental health on upcoming change in alcohol consumption was negative (γ = -0.31, 95% CI -0.52 to -0.10), meaning that those with better mental health tended to make greater reductions (or shallower increases) in their drinking between occasions.ConclusionsMental health appears to be the leading indicator of change in the dynamic longitudinal relationship between mental health and weekly alcohol consumption in this sample of middle-aged adults. In addition to fuelling increases in alcohol consumption among low-level consumers, poor mental health may also be a maintaining factor for heavy alcohol consumption. Future work should seek to examine whether there are critical levels of alcohol intake at which different dynamic relationships begin to emerge between alcohol-related measures and mental health.

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Section: Discussionmentioning

confidence: 99%

An exploration of the dynamic longitudinal relationship between mental health and alcohol consumption: a prospective cohort study

Bell

Britton

2014

BMC Med

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“…The proportion of men that drinks alcohol in Uganda is much lower than that of many developed countries but a considerable proportion of drinkers (almost nine out of ten) is reported by their spouses to be occasionally drunk. For example 88% of men take alcohol in the UK [ 44 ] as opposed to 55% of men in Uganda [ 32 ]. However, 59% of those who drink in UK get drunk [ 45 ] compared to 88% among the Ugandan men who drink alcohol.…”

Section: Discussionmentioning

confidence: 99%

Problem drinking and physical intimate partner violence against women: evidence from a national survey in Uganda

et al. 2012

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Background Problem drinking has been identified as a major risk factor for physical intimate partner violence (PIPV) in many studies. However, few studies have been carried on the subject in developing countries and even fewer have a nationwide perspective. This paper assesses the patterns and levels of PIPV against women and its association with problem drinking of their sexual partners in a nationwide survey in Uganda. Methods The data came from the women’s dataset in the Uganda Demographic and Health Survey of 2006. Problem drinking among sexual partners was defined by women’s reports that their partner got drunk sometimes or often and served as the main independent variable while experience of PIPV by the women was the main dependent variable. In another aspect problem drinking was treated an ordinal variable with levels ranging from not drinking to getting drunk often. A woman was classified as experiencing PIPV if her partner pushed or shook her; threw something at her; slapped her; pushed her with a fist or a harmful object; kicked or dragged her, tried to strangle or burn her; threatened/attacked her with a knife/gun or other weapon. General chi-square and chi-square for trend analyses were used to assess the significance of the relationship between PIPV and problem drinking. Multivariate analysis was applied to establish the significance of the relationship of the two after controlling for key independent factors. Results Results show that 48% of the women had experienced PIPV while 49.5% reported that their partners got drunk at least sometimes. The prevalence of both PIPV and problem drinking significantly varied by age group, education level, wealth status, and region and to a less extent by occupation, type of residence, education level and occupation of the partner. Women whose partners got drunk often were 6 times more likely to report PIPV (95% CI: 4.6-8.3) compared to those whose partners never drank alcohol. The higher the education level of the women the less the likelihood of experiencing PIPV (p trend < 0.001). Similar relationship was found between wealth status and experiencing PIPV. Conclusions Problem drinking among male partners is a strong determinant of PIPV among women in Uganda. PIPV prevention measures should address reduction of problem drinking among men. Longerterm prevention measures should address empowerment of women including ensuring higher education, employment and increased income.

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“…Models were adjusted for a variety of baseline covariates including age (centered on the sample mean), gender (male reference group; Bell and Britton, ; Van de Velde et al., ), and ethnicity (White [referent] or non‐White) (Chartier et al., ; Weich et al., ). Socioeconomic position (Batty et al., ; Lorant et al., ) was divided into 3 categories on the basis of occupation type: high (consisting of professional/managerial occupations), intermediate (reference, made up of skilled manual and skilled nonmanual roles), and low (partly skilled, unskilled, or inadequately described).…”

Section: Methodsmentioning

confidence: 99%

Heavy Drinking Days and Mental Health: An Exploration of the Dynamic 10-Year Longitudinal Relationship in a Prospective Cohort of Untreated Heavy Drinkers

Bell

Orford

Britton

2015

Alcohol Clin Exp Res

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Alcohol and men's health

Abstract: Excessive alcohol consumption has serious implications for physical, psychological and social wellbeing, although there is inconclusive evidence of the role of alcohol in the aetiology of male‐specific disorders. Copyright © 2011 Wiley Interface Ltd

Cited by 4 publications

References 12 publications

An exploration of the dynamic longitudinal relationship between mental health and alcohol consumption: a prospective cohort study

An exploration of the dynamic longitudinal relationship between mental health and alcohol consumption: a prospective cohort study

Problem drinking and physical intimate partner violence against women: evidence from a national survey in Uganda

Heavy Drinking Days and Mental Health: An Exploration of the Dynamic 10-Year Longitudinal Relationship in a Prospective Cohort of Untreated Heavy Drinkers

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