{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:44:35Z","timestamp":1786977875640,"version":"build-2736575974"},"reference-count":49,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Risky alcohol use is rising among some groups of women. This trend is concerning given their vulnerability to alcohol\u2010related harm arising from biological and socio\u2010cultural factors. Stigma, caregiving responsibilities, and limited childcare often reduce access to traditional treatment. Concurrently, population\u2010wide increases in psychological distress are driving demand for support services. Digital interventions for alcohol use like the Daybreak app may offer accessible, anonymous early intervention, helping to overcome barriers and meet unmet needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were analysed from 41\u2009052 women who registered for the Daybreak app between 2019 and 2024. Participants completed demographic questions, the Alcohol Use Disorders Identification Test\u2013Consumption (AUDIT\u2010C), and the Kessler Psychological Distress Scale (K10) online.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>AUDIT\u2010C scores differed significantly by age, with the highest scores among women aged 35\u201354\u2009years and the lowest among those aged 75 and over. Overall, 97.7% of participants scored above the recommended cut\u2010off for high\u2010risk drinking, with rates remaining stable over time. Additionally, 96.6% met the threshold for potential alcohol dependence. Based on K10 scores, 57.8% of participants reported high or very high psychological distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>By reaching women with high\u2010risk drinking and psychological distress, the Daybreak app may offer accessible support outside traditional services. Daybreak's growing use, especially among younger women, indicates that continued investment and broader promotion of digital interventions may be warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hpja.70161","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T09:47:52Z","timestamp":1770889672000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Alcohol Use, Demographics and Mental Health of Women Using a Digital Peer Support Program"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3409-475X","authenticated-orcid":false,"given":"Laura D.","family":"Robinson","sequence":"first","affiliation":[{"name":"School of Psychology University of Wollongong  Wollongong New South Wales Australia"},{"name":"Department of Quality and Health Technology University of Stavanger  Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0200-5684","authenticated-orcid":false,"given":"Isabella","family":"Ingram","sequence":"additional","affiliation":[{"name":"School of Psychology University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3552-4627","authenticated-orcid":false,"given":"Tayla J.","family":"Degan","sequence":"additional","affiliation":[{"name":"School of Psychology University of Wollongong  Wollongong New South Wales Australia"},{"name":"National Drug and Alcohol Research Centre University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3026-9978","authenticated-orcid":false,"given":"Katinka","family":"van de Ven","sequence":"additional","affiliation":[{"name":"Hello Sunday Morning  Crows Nest New South Wales Australia"},{"name":"360Edge  Elwood Victoria Australia"},{"name":"Drug Policy Modelling Program, Social Policy Research Centre University of NSW  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole K.","family":"Lee","sequence":"additional","affiliation":[{"name":"Hello Sunday Morning  Crows Nest New South Wales Australia"},{"name":"360Edge  Elwood Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13428"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2015.08.023"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13985"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v40.2.01"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.12393"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/10826088909047272"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2006.05.012"},{"key":"e_1_2_11_9_1","volume-title":"Substance Abuse Treatment: Addressing the Specific Needs of Women","author":"SAMHSA","year":"2012"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.21959"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1107560"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717002835"},{"key":"e_1_2_11_13_1","unstructured":"S.Marinos The \u2018Perfect Storm\u2019 Causing Australians Psychological Distress. 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