{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T20:38:44Z","timestamp":1790195924220,"version":"4.1.0"},"reference-count":81,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The study aimed to identify associations between menopause, alcohol use, and mental health. Particularly examining how menopause symptoms may relate to alcohol behaviours in midlife women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>An online mixed methods cross-sectional survey study was conducted to gather data on menopause-related symptoms, alcohol use, mental health, and well-being among women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A sample of 936 women aged 40\u201365 was recruited for the study. Quantitative measures assessed menopause symptoms, alcohol use and associated harm, mental health, and overall well-being. Qualitative data were collected through text responses to explore motives for drinking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Perimenopausal participants, compared to pre- or postmenopausal women, reported the highest levels of menopause symptoms, negative reinforcement drinking motives (e.g. drinking to cope), negative mood, and the lowest well-being scores. Additionally, negative reinforcement motives partially mediated the relationship between menopausal symptoms and hazardous drinking. Qualitative findings showed that women often drank as a coping mechanism, while some avoided alcohol due to its potential to worsen menopausal symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study provides new insights into the associations between menopausal symptoms, alcohol use, and mental health in midlife women. The findings highlight the complex factors driving alcohol use and avoidance, suggesting that tailored interventions are needed for women in midlife. This research underscores the importance of addressing alcohol-related risks in this under-researched group, given the potential for significant harm.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057251359767","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T09:27:56Z","timestamp":1759915676000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Women\u2019s alcohol use in mid-life: Identifying associations between menopause symptoms, drinking behaviour, and mental health"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3577-3276","authenticated-orcid":false,"given":"Emma L.","family":"Davies","sequence":"first","affiliation":[{"name":"Centre for Psychological Research, Oxford Brookes University, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3823-3275","authenticated-orcid":false,"given":"Sam","family":"Burton","sequence":"additional","affiliation":[{"name":"School of Psychology, Liverpool John Moores University, UK"},{"name":"Department of Women\u2019s and Children\u2019s Health, Faculty of Life Sciences &amp; Medicine, School of Life Course and Population Sciences, King\u2019s College London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Monk","sequence":"additional","affiliation":[{"name":"Department of Psychology, Edge Hill University, Ormskirk, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Murdoch","sequence":"additional","affiliation":[{"name":"School of Psychology, Liverpool John Moores University, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiluned","family":"Pearce","sequence":"additional","affiliation":[{"name":"Centre for Psychological Research, Oxford Brookes University, UK"},{"name":"Division of Psychiatry, University College London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3267-7318","authenticated-orcid":false,"given":"Abigail K.","family":"Rose","sequence":"additional","affiliation":[{"name":"School of Psychology, Liverpool John Moores University, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v40.3.03"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2018.03.006"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyu094"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-022-01336-7"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000001793"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2017.180"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.8063"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/gme.0b013e3181450fc2"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2015.00037"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2020.106557"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10389-023-02141-7"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000000631"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/da.22771"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13293-020-00314-7"},{"issue":"4","key":"e_1_3_3_16_2","first-page":"274","article-title":"Alcohol\u2019s effects on female reproductive function","volume":"26","author":"Emanuele MA","year":"2002","unstructured":"Emanuele MA, Wezeman F, Emanuele NV. Alcohol\u2019s effects on female reproductive function. Alcohol Res Health 2002; 26(4): 274\u2013281.","journal-title":"Alcohol Res Health"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0187698"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2021.745263"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/jnr.23963"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.yhbeh.2009.10.001"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1210\/endocr\/bqae088"},{"issue":"4","key":"e_1_3_3_22_2","first-page":"308","article-title":"Use and misuse of alcohol among older women","volume":"26","author":"Blow FC","year":"2002","unstructured":"Blow FC, Barry KL. Use and misuse of alcohol among older women. Alcohol Res Health 2002; 26(4): 308\u2013315.","journal-title":"Alcohol Res Health"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2020.108463"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2017.07.010"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0378-5122(96)82006-8"},{"key":"e_1_3_3_27_2","first-page":"41","volume-title":"Measuring alcohol consumption: psychosocial and biological methods","author":"Sobell LC","year":"1993","unstructured":"Sobell LC, Sobell MB. Timeline Followback: a technique for assessing self-reported alcohol consumption. In: Litten RZ, Allen JP (eds) Measuring alcohol consumption: psychosocial and biological methods. Humana Press, 1993, pp.41\u201372."},{"key":"e_1_3_3_28_2","volume-title":"AUDIT. The Alcohol Use Disorders Identification Test. Guidelines for use in primary care","author":"Babor T","year":"2001","unstructured":"Babor T, Higgins-Biddle JC, Saunders J, et al. AUDIT. The Alcohol Use Disorders Identification Test. Guidelines for use in primary care. 2nd ed. World Health Organization, 2001.","edition":"2"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agu095"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2024.2374292"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.6.2.117"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.799769"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/0164027504268574"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1159\/000376585"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbef.2017.12.004"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-12-78"},{"key":"e_1_3_3_37_2","unstructured":"Hayes AF. PROCESS: a versatile computational tool for observed variable mediation moderation and conditional process modeling (white paper) 2012. http:\/\/www.afhayes.com\/public\/process2012.pdf"},{"issue":"1","key":"e_1_3_3_38_2","first-page":"42","article-title":"Defining exploratory-descriptive qualitative (EDQ) research and considering its application to healthcare","volume":"4","author":"Hunter D","year":"2019","unstructured":"Hunter D, McCallum J, Howes D. Defining exploratory-descriptive qualitative (EDQ) research and considering its application to healthcare. J Nurs Health Care 2019; 4(1): 42\u201363.","journal-title":"J Nurs Health Care"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1177\/1609406917733847"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1080\/13645579.2020.1805550"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-022-02261-7"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1111\/aphw.12090"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2012.3719"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2008.07.002"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17218178"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2006.09.006"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2012.04.006"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000436"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-12-91"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.3109\/10673229709030550"},{"key":"e_1_3_3_52_2","first-page":"375","volume-title":"The Oxford handbook of substance use disorders","author":"Cooper ML","year":"2015","unstructured":"Cooper ML, Kuntsche E, Levitt A, et al. Motivational models of substance use: a review of theory and research on motives for using alcohol, marijuana, and tobacco. In: Sher KJ (ed.) The Oxford handbook of substance use disorders, vol. 1. Oxford University Press, 2015, pp.375\u2013421."},{"key":"e_1_3_3_53_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2017.08.020"},{"key":"e_1_3_3_54_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.abrep.2022.100469"},{"key":"e_1_3_3_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2021.103453"},{"key":"e_1_3_3_56_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-023-01112-z"},{"key":"e_1_3_3_57_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30222-6"},{"issue":"2","key":"e_1_3_3_58_2","first-page":"5","article-title":"The role of stress, trauma, and negative affect in alcohol misuse and alcohol use disorder in women","volume":"40","author":"Guinle MIB","year":"2020","unstructured":"Guinle MIB, Sinha R. The role of stress, trauma, and negative affect in alcohol misuse and alcohol use disorder in women. Alcohol Res 2020; 40(2): 5.","journal-title":"Alcohol Res"},{"key":"e_1_3_3_59_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.3.022806.091424"},{"key":"e_1_3_3_60_2","doi-asserted-by":"publisher","DOI":"10.1080\/10550887.2010.489450"},{"key":"e_1_3_3_61_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-069197"},{"key":"e_1_3_3_62_2","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/6358624"},{"key":"e_1_3_3_63_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2021.03.001"},{"key":"e_1_3_3_64_2","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S430203"},{"key":"e_1_3_3_65_2","doi-asserted-by":"publisher","DOI":"10.31372\/20200502.1092"},{"key":"e_1_3_3_66_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsmc.2018.04.011"},{"key":"e_1_3_3_67_2","doi-asserted-by":"publisher","DOI":"10.4103\/jmh.jmh_123_21"},{"key":"e_1_3_3_68_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.17290"},{"issue":"2","key":"e_1_3_3_69_2","first-page":"13","article-title":"Sleep and alcohol use in women","volume":"40","author":"Inkelis SM","year":"2020","unstructured":"Inkelis SM, Hasler BP, Baker FC. Sleep and alcohol use in women. Alcohol Res 2020; 40(2): 13.","journal-title":"Alcohol Res"},{"key":"e_1_3_3_70_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530-0277.2010.01417.x"},{"key":"e_1_3_3_71_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2008.12.008"},{"key":"e_1_3_3_72_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2015.07.016"},{"key":"e_1_3_3_73_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114518003677"},{"key":"e_1_3_3_74_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-213"},{"key":"e_1_3_3_75_2","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/dat063"},{"issue":"4","key":"e_1_3_3_76_2","first-page":"47","article-title":"Perimenopause and menopause: an opportunity to engage, inform, and empower women to live well","volume":"8","author":"Nappi RE","year":"2023","unstructured":"Nappi RE, Schaudig K. Perimenopause and menopause: an opportunity to engage, inform, and empower women to live well. Eur Med J 2023; 8(4): 47\u201353.","journal-title":"Eur Med J"},{"key":"e_1_3_3_77_2","doi-asserted-by":"publisher","DOI":"10.1177\/10398562231165439"},{"key":"e_1_3_3_78_2","doi-asserted-by":"publisher","DOI":"10.1177\/0963721417704394"},{"key":"e_1_3_3_79_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2018.04.009"},{"key":"e_1_3_3_80_2","volume-title":"Menopause: identification and management","author":"National Institute for Health and Care Excellence","year":"2024","unstructured":"National Institute for Health and Care Excellence. Menopause: identification and management. NICE (NG23), 2024."},{"key":"e_1_3_3_81_2","doi-asserted-by":"publisher","DOI":"10.4274\/tjod.79836"},{"key":"e_1_3_3_82_2","doi-asserted-by":"publisher","DOI":"10.3758\/s13428-014-0533-4"}],"container-title":["Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057251359767","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17455057251359767","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057251359767","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:29:31Z","timestamp":1777710571000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17455057251359767"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":81,"alternative-id":["10.1177\/17455057251359767"],"URL":"https:\/\/doi.org\/10.1177\/17455057251359767","relation":{},"ISSN":["1745-5057","1745-5065"],"issn-type":[{"value":"1745-5057","type":"print"},{"value":"1745-5065","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"article-number":"17455057251359767"}}