SLN 2007: The National Adult Health And Lifestyle Survey: Introduction and Overview of Mental Health

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SLÁN 2007 The National Adult Health And
Lifestyle Survey Introduction and Overview of
Mental Health And Social Well-Being Results

• Hannah McGee (RCSI) and
• Eric Van Lente (NUIG)
• on behalf of the SLÁN 2007 team at
• RCSI, NUIG, UCC and ESRI

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SLÁN 2007 Research Team

• RCSI Professor Hannah McGee, Dr Karen Morgan,
• Dr Emer Shelley, Professor Ruairí Brugha,
  Professor Ronan Conroy,
• Ms Nuala Tully, Mr Mark Ward
• ESRI Dr Dorothy Watson, Professor Richard Layte
  Survey Unit staff
• UCC Professor Ivan Perry, Ms Janas Harrington,
  Ms Jennifer Lutomski
• NUIG Professor Margaret Barry, Dr Michal
  Molcho, Mr Eric Van Lente

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SLÁN 2007 Methods

• Age N
  RR
• _____________________________________
• Main survey 18 10,364 62
• _____________________________________
• BMI/Waist Circ 18-44 967 58
• _____________________________________
• Physical exam 45 1,207 66

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SLÁN 2007 SAMPLING (400 clustersGeoDirectory)
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SLÁN 2007 Methods

• Randomly selected participants
• Interviews at home
• Face-to-face interview (35 mins approx)
  self-completed food questionnaire (10 mins
  approx.)
• Irish version available
• Shortened translated self-completion
  questionnaire for non-English speakers Russian,
  Polish, Lithuanian and Chinese
• Interviews - Nov 2006 to Oct 2007

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SLÁN 2007 Core Themes I

• General health
• - self-rated health, health-service use,
  screening
• Mental health
• - mental-health index, depression anxiety
  screening, self-harm, stigma
• Physical activity
• - activities in the last week, barriers and
  intentions
• Diet nutrition
• - foods eaten, eating patterns, food poverty
• Smoking
• - intentions to quit, advice, home smoking
  rules

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SLÁN 2007 Core Themes II

• Alcohol Other Drugs
• - frequency, quantity, problems caused, drug use
• Injury
• - Type, cause, impact
• Social Well-being
• - Social contact, environment, support
• Socioeconomic profile
• - Demographics, education, occupation, income,
  health financing

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Alcohol use assessment

• Risky alcohol use 6 drinks on one occasion
• Excessive alcohol use units consumed per week
  (threshold gt14 for women/gt21 for men)
• Alcohol screening tool - AUDIT-C (Alcohol Use
  Disorders Identification Test Consumption) -
  3-item alcohol screen
• Question on interpersonal impact of alcohol use
  (work, relationships)

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Alcohol risky drinking
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Alcohol risky drinking 2002 2007
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Alcohol excessive drinking (units) 1998, 2002,
2007Drank alcohol and drank above recommended
units per week
1998 2002 2007 (N6,020)
(N5,875) (N10,185) __________________
_____________________ TOTAL 15 13 8 Men
20 18 11 Women 11 8
5 ___________________________________________
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Mental Health Topics

• Questions on three distinction components of
  Mental Health
• 1/ Positive mental health
• SF-36 Energy Vitality Index / EVI
• 2/ Non-specific psychological distress
• SF-36 Psychological Distress / Mental Health
  Index
• 3/ Diagnosed mental health problems
• CIDI-SF Major Depressive Disorder
• CIDI-SF Generalised Anxiety Disorder
• In addition
• Self-harm reported in past year
• item from the CASE Lifestyle and Coping
  Questionnaire
• Perceived stigma of mental health problems
• Item from the Mental Health Association of Ireland

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Mental Health Energy and Vitality
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Mental Health Psychological Distress
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Mental Health Major Depressive Disorder
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Mental Health Generalised Anxiety Disorder
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Mental Health Perceived Stigma
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Mental Health Self-Harm

• Question asked In the last 12 months have you
  deliberately taken and overdose (e.g. of pills or
  other medication) or tried to harm yourself in
  some other way (such as cut yourself)?
• Percentage of respondents who self-harmed 0.4
  
• (40 respondents out of about 10,000)
• Breakdown by gender
• men 0.43 women 0.38
• Breakdown by age group
• 18-29 0.6 30-44 0.5 45-64 0.3 65 0.1
• Breakdown by social class
• SC 1-2 0.2 SC 3-4 0.4 SC 5-6 0.2

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SOCIAL WELL-BEING
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Social Well-being Topics

• Questions on three aspects of Social Well-being
• Perceived social support
• Oslo Social Support Scale items cover
• 1/ People you can count on
• 2/ People who take an interest in what you do
• 3/ Ease of getting practical help
• Loneliness
• RCSI Loneliness item
• Involvement in community activities
• items from the West of Scotland Twenty-07 Study

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Social Well-being Social Support - People you
can count on
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Social Well-being Social Support People who
take a friendly interest
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Social Well-being Social Support Ease of
getting practical help
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Social Well-being Loneliness
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Social Well-being Community Involvement
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General Well-being Quality of Life
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Further Reports

• Nutrition Report
• lead institution UCC available December 2008
• Mental Health Social Well-being
• lead institution NUIG available end 2008
• Northern Ireland/Republic of Ireland Comparison
  Report
• lead institution RCSI available February 2009
• Policy Report
• lead institution RCSI available Spring 2009
• Questionnaires, reports and slides available to
• download at www.slan07.ie

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Alcohol Excessive Drinking 1998, 2002, 2007