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The relationship between alcohol intake and mortality in Whites, Blacks and Hispanics using the NHIS Mortality Linked Data Set
Author(s) -
Smit Ellen,
Sempos Christopher T,
Rehm Jurgen,
Huguet Nathalie,
Crespo Carlos J
Publication year - 2010
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.24.1_supplement.943.5
Subject(s) - medicine , demography , quartile , national health interview survey , national death index , alcohol intake , ethnic group , gerontology , confidence interval , alcohol , environmental health , population , hazard ratio , sociology , anthropology , biochemistry , chemistry
We examined alcohol intake and all cause mortality in White, Black and Hispanic adults using the 1988 and 1990 National Health Interview Survey (NHIS). The NHIS and National Death Index are public use data sets with follow‐up for mortality through 2002. Alcohol intake was classified as: Lifetime abstainers (<12 drinks ever); Irregular abstainers (< 12 drinks in any 1 year, none in the past year); Former drinkers (12+ in 1 year but not in past year); and Current drinkers: <1 drink/week, 1–2 drinks/week, 3–6 drinks/week, 1 drink/day, and 2+ drinks/day. Proportional hazards analyses adjusted for BMI, age, smoking and education were conducted using SUDAAN (n=73,541). Compared to lifetime abstainers, an inverse association with mortality was observed in White men and women who consumed 1–2 drinks/week (p<0.01), and White men who consumed 3–6 drinks/week (p=0.05). Trends were similar, but not significant for Blacks or Hispanics. For current drinking quartiles, White men and women in the highest quartile were at greater risk for mortality than the lowest quartile, relative risk=1.18 (95% CI 1.04–1.33) and 1.24 (95% CI 1.07–1.43) respectively. No association was observed for Black men or Hispanic men and women; however, Black women in quartile 2 were at increased risk for mortality. Our findings suggest racial ethnic differences in the relationship of alcohol and mortality. Supported by NIAAA R21 AA015085‐01 (Crespo, PI)