Hannah McGee (RCSI) and Eric Van Lente (NUIG) on behalf of the SL Á N 2007 team at

1. 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

3. SLÁN 2007 Research Team RCSI:Professor Hannah McGee, Dr Karen Morgan, Dr Emer Shelley, Professor RuairíBrugha, 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

6. 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%

7. SLÁN 2007 SAMPLING (400 clusters:GeoDirectory)

8. 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

9. 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

10. 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

12. Alcohol use: assessment • Risky alcohol use: 6+ drinks on one occasion • Excessive alcohol use: – units consumed per week (threshold >14 for women/>21 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)

13. Alcohol: ‘risky’ drinking

14. Alcohol: risky drinking 2002 & 2007

15. Alcohol: excessive drinking (units) 1998, 2002, 2007Drank alcohol and drank above recommended units per week 1998 2002 2007 (N=6,020) (N=5,875) (N=10,185) _________________%_________%_________%____ TOTAL 15 13 8 Men 20 18 11 Women 11 8 5 ___________________________________________

17. 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-SFGeneralised 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

18. Mental Health: Energy and Vitality

19. Mental Health: Psychological Distress

20. Mental Health: Major Depressive Disorder

21. Mental Health: Generalised Anxiety Disorder

22. Mental Health: Perceived Stigma

23. 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%

24. SOCIAL WELL-BEING

25. 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

26. Social Well-being: Social Support - People you can count on

27. Social Well-being: Social Support – People who take a friendly interest

28. Social Well-being: Social Support – Ease of getting practical help

29. Social Well-being: Loneliness

30. 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

31. Alcohol: Excessive Drinking 1998, 2002, 2007