Previous 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. We 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. The 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). Socio-economic factors modify the association between alcohol use disorder and major depressive disorder among Thai people.

中文翻译：

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一项基于人群的研究表明，泰国成年人中饮酒障碍和抑郁症之间的社会经济不平等现象

先前的证据表明，抑郁症和饮酒障碍（AUD）之间存在显着关联，并且与社交状况之间存在密切联系。这项研究旨在调查各个社会经济群体中的主要抑郁症发作（MDE）与AUD之间的关联。我们分析了2014年泰国国家健康检查调查中的数据，该数据随机抽取了13177名年龄在20岁以上的普通成年人。酒精使用障碍识别测试用于将受访者分为无问题饮酒（0-7），危险饮酒（8-15）和有害依赖饮酒（16-40）。使用基于DSM-IV的问题确定了MDE。使用多项对数回归计算校正后的优势比（AOR）和95％置信区间（CI），以确定在不同社会经济水平下作为预测变量的MDE与作为结果变量的AUD之间的关联强度。MDE，有害和有害依赖性饮酒的患病率分别为2.5％，10.3和1.9％。MDE和AUD之间的关联已根据财富指数，教育水平和居住地区进行了修改。财富指数最高（AOR = 8.68，95％CI：5.34，14.11）和最低（AOR = 7.14，95％CI：3.71，13.73）的人群中，MDE与有害依赖饮酒之间的AOR较高但在中等水平的受访者中并不显着（AOR = 1.78，95％CI：0.74，4.25）。教育对MDE和有害依赖饮酒之间关系的影响最大（在完成中学或更高学历的学生中，AOR = 16.0，95％CI：10.30，24.90，在完成初等教育的学生中AOR = 1.44，95％CI：0.63，3.33仅学校）。与农村地区（AOR = 4.73，95％CI：3.31，6.77）相比，居住在城市地区（AOR = 8.50，95％CI：5.50，13.13）的人群中MDE与有害依赖饮酒之间的关联性更高。 ）。社会经济因素改变了泰国人的饮酒障碍和重度抑郁症之间的联系。与农村地区（AOR = 4.73，95％CI：3.31，6.77）相比，居住在城市地区（AOR = 8.50，95％CI：5.50，13.13）的人群中MDE与有害依赖饮酒之间的关联性更高。 ）。社会经济因素改变了泰国人的饮酒障碍和重度抑郁症之间的联系。与农村地区（AOR = 4.73，95％CI：3.31，6.77）相比，居住在城市地区（AOR = 8.50，95％CI：5.50，13.13）的人群中MDE与有害依赖饮酒之间的关联性更高。 ）。社会经济因素改变了泰国人的饮酒障碍和重度抑郁症之间的联系。