A study in BMCPsychiatry finds that individuals with a mental health condition and problematic alcohol use are more likely to experience physical multimorbidity. The authors suggest better integration of alcohol and mental health treatment services.
]. These findings indicate that alcohol use may increase the risk of alcohol attributable physical diseases in individuals with MHPs.The APMS 2014 covers a wide range of physical health conditions and uses validated measures for both mental health problems and alcohol use, although many are self-reported, introducing some desirability bias [].
In terms of physical NCDs, the variable used referred to physical health conditions experienced since the age of 16 without restricting the analysis to health conditions that occurred only in the last 12 months.
The lack of association between hazardous drinking and physical NCDs may be attributable to the way the MHPs and HD groups were created. Guided by the limited sample size, individuals were considered as hazardous drinkers if they scored ≥ 8 on the AUDIT including those who drink at an increasing risk level rather than only those with higher risk drinking or possible dependence. Higher risk drinking may have shown an association with other NCDs.
Finally, although survey weighting addressed selection probabilities and non-response to a certain extent to make the results representative of the target population, the sample had a predominantly white ethnicity, reducing the generalisability to other ethnic groups.
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