Mediating role of psychological distress and alcohol use in socioeconomic disparities in deaths of despair: a causal mediation analysis using record linkage data
Low SES, psychological distress and alcohol use are key risk factors for deaths of despair. Intervention targeting mental health and alcohol use, especially through SES-specific and sex-specific approaches, may help reduce inequalities in these preventable causes of death.
Authors
- Carolin Kilian (ORCID: https://orcid.org/0000-0001-5913-6488)
- Charlotte Probst (ORCID: https://orcid.org/0000-0003-4360-697X)
- Jürgen T. Rehm (ORCID: https://orcid.org/0000-0001-5665-0385)
- Yachen Zhu (ORCID: https://orcid.org/0000-0002-8192-6168)
- Aurélie M. Lasserre (ORCID: https://orcid.org/0000-0003-3925-6663)
- Laura Llamosas‐Falcón (ORCID: https://orcid.org/0000-0003-4718-9376)
Institutions
- Centre for Addiction and Mental Health (CA)
- Universität Hamburg (DE)
- University of Southern Denmark (DK)
- University of Toronto (CA)
- Addiction Switzerland (CH)
- University Medical Center Hamburg-Eppendorf (DE)
- Region of Southern Denmark (DK)
- Public Health Ontario (CA)
- Public Health Agency (GB)
- Alcohol Research Group (US)
- University of Lausanne (CH)
Publication Details
- Journal
- Journal of Epidemiology & Community Health
- Published
- 2025-10-09
- DOI
- https://doi.org/10.1136/jech-2025-224372
- Citations
- 1
- Primary Topic
- Health disparities and outcomes
- Type
- article
- Field-Weighted Citation Impact
- 2.17
Funders
- National Science Foundation
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
- National Institutes of Health