Evidence map›Paper›PMID 33228577›Full record

ArticleBMC psychiatry2020

Socio-economic inequalities in the association between alcohol use disorder and depressive disorder among Thai adults: a population-based study.

Sawitri Assanangkornchai, Jiraluck Nontarak, Wichai Aekplakorn, Suwat Chariyalertsak, Pattapong Kessomboon, Surasak Taneepanichskul

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Major depressive disorder-alcohol use disorder comorbidity: diagnosis, mechanisms and treatment.European archives of psychiatry and clinical neuroscience · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Sawitri AssanangkornchaiDepartment of Epidemiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand. savitree.a@psu.ac.th.ORCID 0000-0003-2174-3287
Jiraluck NontarakDepartment of Epidemiology, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Wichai AekplakornDepartment of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Suwat ChariyalertsakFaculty of Public Health, Chiang Mai University, Chiang Mai, Thailand.
Pattapong KessomboonFaculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Surasak TaneepanichskulFaculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Mahidol University · THChiang Mai University · THChulalongkorn University · THKhon Kaen University · THPrince of Songkla University · TH

Funding

Bureau of Policy and Strategy, Ministry of Public Health 57-054National Health Security Office (Thailand) -Thai Health Promotion Foundation 55-00-1177
6 · The paper itself

Abstract

backgroundPrevious evidence indicates significant associations between depressive disorders and alcohol use disorder (AUD) and their strong links with social conditions. This study aims to investigate the association between major depressive episode (MDE) and AUD across various socio-economic groups.

methodsWe analysed data from the 2014 Thai National Health Examination Survey containing a random sample of 13,177 adults aged > 20 years from the general population. The Alcohol Use Disorder Identification Test was used to classify respondents into non-problem drinking (score 0-7), hazardous drinking (score 8-15), and harmful-dependent drinking (score 16-40). MDE was identified using questions based on the DSM-IV. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were calculated using multinomial logistic regression to determine the strength of associations between MDE as a predictor and AUD as an outcome variable across different socio-economic levels.

resultsThe prevalence of MDE, hazardous, and harmful-dependent drinking was 2.5, 10.3, and 1.9%, respectively. The association between MDE and AUD was modified by wealth index, education level and area of residence. AORs for the association between MDE and harmful-dependent drinking were high among those in the highest (AOR = 8.68, 95% CI: 5.34, 14.11) and lowest (AOR = 7.14, 95% CI: 3.71, 13.73) levels of wealth index but not significant among those in the middle level (AOR = 1.78, 95% CI: 0.74, 4.25). Education had the strongest effect on the relationship between MDE and harmful-dependent drinking (AOR = 16.0, 95% CI: 10.30, 24.90 among those completing secondary school or higher and AOR = 1.44, 95% CI: 0.63, 3.33 among those completing primary school only). The association between MDE and harmful-dependent drinking was higher among people who lived in urban areas (AOR = 8.50, 95% CI: 5.50, 13.13) compared to those living in rural areas (AOR = 4.73, 95% CI: 3.31, 6.77).

conclusionSocio-economic factors modify the association between alcohol use disorder and major depressive disorder among Thai people.

Indexed as

AlcoholismMajor Depressive DisorderAdultAgedHealth SurveysHumansPrevalenceThailandYoung AdultAlcohol use disorderDepressive disorderNational surveySocio-economic status, wealth index

Identifiers

PMID33228577
PMCPMC7685597
OpenAlexW3109452487

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.