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Alcohol consumption and self‐reported ( SF 12) physical and mental health among working‐aged men in a typical R ussian city: a cross‐sectional study
Author(s) -
Dissing Agnete S.,
Gil Artyom,
Keenan Katherine,
McCambridge Jim,
McKee Martin,
Oralov Alexey,
Saburova Lyudmila,
Leon David A.
Publication year - 2013
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/add.12257
Subject(s) - confidence interval , medicine , demography , cross sectional study , environmental health , population , alcohol , alcohol consumption , poison control , mental health , gerontology , psychiatry , biochemistry , chemistry , pathology , sociology
Abstract Aim To investigate the association between patterns of alcohol consumption and self‐reported physical and mental health in a population with a high prevalence of hazardous drinking. Design Cross‐sectional study of an age‐stratified random sample of a population register. Setting The city of I zhevsk, The R ussian F ederation, 2008–09. Participants A total of 1031 men aged 25–60 years (68% response rate). Measurements Self‐reported health was evaluated with the SF 12 physical ( PCS ) and mental ( MCS ) component summaries. Measures of hazardous drinking (based on frequency of adverse effects of alcohol intake including hangover, excessive drunkenness and extended episodes of intoxication lasting 2 or more days) were used in addition to frequency of alcohol consumption and total volume of beverage ethanol per year. Information on smoking and socio‐demographic factors were obtained. Findings Compared with abstainers, those drinking 10–19 litres of beverage ethanol per year had a PCS score 2.66 [95% confidence interval ( CI) = 0.76; 4.56] higher. Hazardous beverage drinking was associated with a lower PCS score [mean diff: −2.95 (95% CI = −5.28; −0.62)] and even more strongly with a lower MCS score [mean diff: −4.29 (95% CI = −6.87; −1.70)] compared to non‐hazardous drinkers, with frequent non‐beverage alcohol drinking being associated with a particularly low MCS score [−7.23 (95% CI = −11.16; −3.29)]. Adjustment for smoking and socio‐demographic factors attenuated these associations slightly, but the same patterns persisted. Adjustment for employment status attenuated the associations with PCS considerably. Conclusion Among working‐aged male adults in R ussia, hazardous patterns of alcohol drinking are associated with poorer self‐reported physical health, and even more strongly with poorer self‐reported mental health. Physical health appears to be lower in those reporting complete abstinence from alcohol compared with those drinking 10–19 litres per year.