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Populations of farmers face significant health risks, including injury, mental illness, and in some cases, heavy alcohol use. However, there is little research on farmers\u2019 use of substances beyond alcohol. This study examines factors relating to Irish farmers\u2019 disordered alcohol and substance use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In accordance with STROBE guidelines for cross\u2010sectional research and reporting, we examined disordered alcohol and substance use in 351 Irish farmers using the Alcohol Use Disorders Identification Tool (AUDIT) and Drug Use Disorders Identification Tool (DUDIT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>While 28% of farmers did not drink, 40% of those who did drink exceeded the AUDIT threshold for disordered use. Similarly, while 95% of farmers did not use substances, 78% of farmers who did use substances exceeded the DUDIT threshold for disordered use. Age was the most important risk factor for disordered alcohol and substance use and correlated with other main risk factors: lower income, no children, part\u2010time farmer, and full\u2010time off\u2010farm roles. Disordered drinking was highest in farmers engaged in full\u2010time education.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This population of Irish farmers report broadly healthy alcohol and substance use behaviors. Irish farmers may serve as a model group whose strengths can be utilized in interventions within and beyond the Irish farming community. Our results confirm the importance of analyzing demographic factors in farmers\u2019 drinking and identify younger farmers as especially at\u2010risk for harmful alcohol and substance use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12783","type":"journal-article","created":{"date-parts":[[2023,7,22]],"date-time":"2023-07-22T12:50:42Z","timestamp":1690030242000},"page":"173-180","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Disordered alcohol and substance use in Irish farmers: A cross\u2010sectional survey"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2001-0746","authenticated-orcid":false,"given":"Siobh\u00e1n","family":"O'Connor","sequence":"first","affiliation":[{"name":"School of Health and Human Performance Dublin City University Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra M.","family":"Malone","sequence":"additional","affiliation":[{"name":"School of Health and Human Performance Dublin City University Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0003-1689","authenticated-orcid":false,"given":"Joseph","family":"Firnhaber","sequence":"additional","affiliation":[{"name":"School of Health and Human Performance Dublin City University Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Branagh R.","family":"O\u2019 Shaughnessy","sequence":"additional","affiliation":[{"name":"School of Social Work and Social Policy Trinity College Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John G.","family":"McNamara","sequence":"additional","affiliation":[{"name":"Teagasc \u2010 Irish Agriculture and Food Development Authority Farm Health and Safety Knowledge Transfer Unit Kildalton Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donnla","family":"O'Hagan","sequence":"additional","affiliation":[{"name":"School of Health and Human Performance Dublin City University Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/1059924X.2021.1988020"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.2478\/pielxxiw-2020-0009"},{"issue":"6","key":"e_1_2_7_4_1","first-page":"384","article-title":". 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