Alcohol consumption trajectories and self-rated health: findings from the Stockholm Public Health Cohort

Gémes, Katalin; Moeller, Jette; Engström, Karin; Sidorchuk, Anna

doi:10.1136/bmjopen-2018-028878

Cited by 14 publications

(11 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings echo other research which suggests that former drinkers have poorer self‐perceived general health [45] and are at higher risk of experiencing adverse outcomes including CHD and overall mortality than moderate drinkers [18, 46]. As a reason for the higher risk seen in former drinkers, the sick‐quitter hypothesis proposes that a substantial number of former drinkers have quit drinking for health reasons [47, 48].…”

Section: Discussionsupporting

confidence: 82%

Trajectories of alcohol consumption in relation to all‐cause mortality in patients with cardiovascular disease: a 35‐year prospective cohort study

2022

View full text Add to dashboard Cite

Background and Aims Research into alcohol consumption and cardiovascular disease (CVD) patients' prognosis has largely ignored the longitudinal dynamics in drinking behaviour. This study measured the association between alcohol consumption trajectories and mortality risk in CVD patients. Design Prospective cohort study. Setting UK‐based Whitehall II Study. Participants A total of 1306 participants with incident non‐fatal CVD (coronary heart disease/stroke) events. Measurements Up to eight repeated measures of alcohol intake were available for each patient from the most recent assessment phase pre‐incident CVD and all subsequent phases post‐incident CVD, spanning up to three decades. Six trajectory groups of alcohol consumption were identified using group‐based trajectory modelling and related to the risk of all‐cause mortality, adjusting for demographics and changes in life‐style and health status. Findings Three hundred and eighty deaths were recorded during a median follow‐up of 5 years after patients' last alcohol assessment. Compared with patients who consistently drank moderately (≤ 14 units/week), former drinkers had a greater risk of mortality (hazard ratio = 1.74, 95% confidence interval = 1.19–2.54) after adjustment for covariates. There was no significantly increased risk of mortality in long‐term abstainers, reduced moderate drinkers, stable or unstable heavy drinkers. Cross‐sectional analyses based only on drinking information at patients' last assessment found no significant differences in mortality risk for abstainers, former or heavy drinkers versus moderate drinkers. Conclusions Cardiovascular disease patients who consistently drink ≤ 14 units/week appear to have a similar risk of mortality to those who are long‐term abstainers, which does not support a protective effect of moderate drinking on total mortality. Cardiovascular disease patients who stop drinking appear to have increased mortality risk compared with continuous moderate drinkers, but this may be linked to poor self‐rated health before cardiovascular disease onset.

show abstract

Section: Discussionsupporting

confidence: 82%

Trajectories of alcohol consumption in relation to all‐cause mortality in patients with cardiovascular disease: a 35‐year prospective cohort study

2022

View full text Add to dashboard Cite

show abstract

“…The univariate regression included the crude model (model 1), whereas the multiple regression models included both the model adjusted for age and gender (model 2) and the full model that was adjusted for all the previously selected characteristics (model 3). We chose the low-risk drinking group as our reference group to align with other alcohol-related studies and because non-drinkers often experience more adverse health outcomes and, as such, are less suitable as a reference group (Rodgers et al ., 2007 ; Gémes et al ., 2019 b ). An additional analysis was performed, using a broader definition for MDD persistence defined as meeting the criteria for MDD in the prior 3-year period (instead of 12-month MDD) at the next wave.…”

Section: Methodsmentioning

confidence: 99%

Alcohol use as a predictor of the course of major depressive disorder: a prospective population-based study

Schouten

Have

Tuithof

et al. 2023

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

Aims There are indications that problematic alcohol use may negatively impact the course of major depressive disorder (MDD). However, most studies on alcohol use and adverse MDD outcomes are conducted amongst MDD populations with (severe) alcohol use disorder in psychiatric treatment settings. Therefore, it remains unclear whether these results can be generalised to the general population. In light of this, we examined the longitudinal relationship between alcohol use and MDD persistence after a 3-year follow-up amongst people with MDD from the general population. Methods Data were derived from the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2), a psychiatric epidemiological prospective study comprising four waves amongst the adult Dutch general population (n = 6.646). The study sample (n = 642) consisted of those with 12-month MDD who participated at the follow-up wave. The outcome was 12-month MDD persistence after the 3-year follow-up, which was assessed via the Composite International Diagnostic Interview version 3.0. Weekly alcohol consumption was operationalised as non-drinking (0 drinks), low-risk drinking (⩽7 drinks; reference), at-risk drinking (women 8–13 drinks, men 8–20 drinks) and high-risk drinking (women ⩾14, men ⩾21 drinks). We performed univariate and multiple logistic regression analyses, which were adjusted for various socio-demographic and health-related factors. Results The majority (67.4%) of the MDD sample were female, while the mean age was 47.1 years. Amongst these, 23.8% were non-drinkers, 52.0% were low-risk drinkers and 14.3% and 9.4% were at-risk and high-risk drinkers, respectively. Around one-quarter of the sample (23.6%) met the criteria for a persistent MDD after 3-year follow-up. No statistically significant association was found between alcohol use and MDD persistence, either for the crude model or the adjusted models. In comparison to low-risk drinking, the full adjusted model showed no statistically significant associations between MDD persistence and non-drinking (odds ratio (OR) = 1.15, p = 0.620), at-risk drinking (OR = 1.25, p = 0.423), or high-risk drinking (OR = 0.74, p = 0.501). Conclusions Contrary to our expectations, our findings showed that alcohol use was not a predictor of MDD persistence after 3-year follow-up amongst people with MDD from the general population.

show abstract

“…Several epidemiological studies have demonstrated that regular tobacco use and harmful alcohol consumption are crucial determinants of cardiovascular diseases (CVDs) [ 1 , 2 , 3 ]. Although the majority of these findings come from cross-sectional analyses, increasing longitudinal evidence has shown that persistent patterns of tobacco and alcohol consumption influence CVDs [ 4 , 5 , 6 ]. The association between smoking patterns and chronic diseases and all-cause mortality is well documented [ 7 ], and longitudinal research has shown the health benefits of smoking cessation, particularly if it occurs early in life [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Association between Lifetime Tobacco Use and Alcohol Consumption Trajectories and Cardiovascular and Chronic Respiratory Diseases among Older People

Madero-Cabib

Bambs

2021

IJERPH

View full text Add to dashboard Cite

Background: We identify representative types of simultaneous tobacco use and alcohol consumption trajectories across the life course and estimate their association with cardiovascular and chronic respiratory diseases (CVDs and CRDs) among older people in Chile. Methods: We used data from a population-representative, face-to-face and longitudinal-retrospective survey focused on people aged 65–75 (N = 802). To reconstruct trajectory types, we employed weighted multichannel sequence analysis. Then, we estimated their associations with CVDs and CRDs through weighted logistic regression models. Results: Long-term exposure to tobacco use and alcohol consumption across life are associated with the highest CVD and CRD risks. Long-term nonsmokers and nondrinkers do not necessarily show the lowest CVDs and CRDs risks if these patterns are accompanied by health risk factors such as obesity or social disadvantages such as lower educational levels. Additionally, trajectories showing regular consumption in one domain but only in specific periods of life, whether early or late, while maintaining little or no consumption across life in the other domain, lead to lower CVDs or CRDs risks than trajectories indicating permanent consumption in both domains. Conclusions: A policy approach that considers CVDs and CRDs as conditions that strongly depend on previous individual experiences in diverse life domains can contribute to the improved design and evaluation of preventive strategies of tobacco use and alcohol consumption across the life course.

show abstract

Alcohol consumption trajectories and self-rated health: findings from the Stockholm Public Health Cohort

Cited by 14 publications

References 34 publications

Trajectories of alcohol consumption in relation to all‐cause mortality in patients with cardiovascular disease: a 35‐year prospective cohort study

Trajectories of alcohol consumption in relation to all‐cause mortality in patients with cardiovascular disease: a 35‐year prospective cohort study

Alcohol use as a predictor of the course of major depressive disorder: a prospective population-based study

Association between Lifetime Tobacco Use and Alcohol Consumption Trajectories and Cardiovascular and Chronic Respiratory Diseases among Older People

Contact Info

Product

Resources

About