Table 3.
Hierarchical regression model of at-risk alcohol consumption (AUDIT score ≥ 8) for Australian Rural Mental Health Study participants: steps 3 and 4 – recent difficulties, support, and current mental health
|
Step - Predictor variable |
AUDIT total score |
Univariate OR (99%CI) |
Multivariate AOR (99%CI) |
||
|---|---|---|---|---|---|
| 0-7 n=1,694 n (%) | ≥ 8 n=287 n (%) | ||||
| 3. Recent difficulties & support | |||||
| Employment status |
Employed |
898 (82) |
192 (18) |
|
|
| |
Retired |
585 (90) |
63 (9.7) |
0.50 (0.34, 0.75)** |
0.98 (0.54, 1.8) |
| |
Unable to work |
91 (85) |
16 (15) |
0.82 (0.40, 1.7) |
0.64 (0.28, 1.5) |
| |
Unemployed |
25 (76) |
8 (24) |
1.5 (0.51, 4.3) |
1.05 (0.30, 3.7) |
| |
Student/carer/home duties |
95 (92) |
8 (7.8) |
0.39 (0.15, 1.04) |
0.39 (0.14, 1.1) |
| Adverse life events |
0-2 |
1,361 (86) |
219 (14) |
|
|
| |
3-5 |
303 (85) |
54 (15) |
1.1 (0.72, 1.7) |
1.1 (0.7, 1.7) |
| |
>5 |
30 (68) |
14 (32) |
2.9 (1.2, 6.8)* |
3.3 (1.2, 8.9)* |
| Perceived prosperity: Mean (SD) |
3.20 (0.818) |
3.14 (0.790) |
0.91 (0.75, 1.1) |
0.85 (0.67, 1.1) |
|
| Community & social support: Mean (SD) |
0.030 (0.676) |
-0.110 (0.718) |
0.75 (0.60, 0.95)* |
1.03 (0.77, 1.4) |
|
| 4. Mental health – a) current psychological distress & b) service use | |||||
| K-10 category |
10-15 |
1,254 (87) |
184 (13) |
|
|
| |
16-24 |
351 (82) |
76 (18) |
1.5 (1.0, 2.2)* |
1.2 (0.78, 1.9) |
| |
25+ |
89 (77) |
27 (23) |
2.1 (1.1, 3.8)* |
1.45 (0.68, 3.1) |
| Contact with a mental health professional # |
No |
1,366 (87) |
212 (13) |
|
|
| Yes | 328 (81) | 75 (19) | 1.5 (1.01, 2.2)* | 1.2 (0.80, 1.9) | |
AOR: Adjusted Odds Ratio; CI: Confidence Interval; K-10: Kessler 10 score of psychological distress (30-day); OR: Odds Ratio; # for a mental health problem in past 12 months. Due to rounding, row percentages may not add up to exactly 100%. * P < .01, ** P < .001.