Ethnicity and alcohol consumption among US adults with diabetes

Vaeth, Patrice A C; Caetano, Raúl; Durazo, Eva M

doi:10.1016/j.annepidem.2014.07.007

Cited by 9 publications

(5 citation statements)

References 27 publications

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“…It should also be noted that levels of drinking have been shown to differ between ethnicities . However, drinking levels in our study cohort appeared fairly even amongst all ethnicities, with the proportion of heavy drinkers ranging from 39% to 47% heavy drinkers except for non‐Hispanic Asians (20%).…”

Section: Discussionmentioning

confidence: 48%

Ethnic influence on nonalcoholic fatty liver disease prevalence and lack of disease awareness in the United States, 2011–2016

Yeo

Cheung

et al. 2020

J Intern Med

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Background Nonalcoholic fatty liver disease (NAFLD) is a rising global disease associated with clinical and economic burdens. Objectives We aimed to quantify NAFLD prevalence and awareness to provide stakeholders necessary information to combat NAFLD burden. Methods This study utilizes data from the National Health and Nutrition Examination Survey 2011–2016 and included 4538 adult participants who did not have heavy drinking or viral hepatitis history. The US fatty liver index defined NAFLD and NAFLD fibrosis score defined fibrosis. NAFLD awareness was captured by questionnaire. Results Amongst the study population of 4538 persons, NAFLD prevalence was 32.5%, lowest in non‐Hispanic Blacks (18.0%) and Asians (18.1%), highest amongst Mexican Americans (48.4%). Within the NAFLD group, advanced fibrosis was highest in non‐Hispanic Blacks (28.5%) and lowest amongst non‐Hispanic Asians (2.7%). Of the 1473 (97.5%) NAFLD participants who answered NAFLD awareness question, 90% visited a healthcare centre at least once in the past year, but only 5.1% were aware of having NAFLD. On weighted population estimates, 77.33 million persons had NAFLD, 17.63 million had advanced fibrosis, and 73.39 million NAFLD participants were not aware of having NAFLD. Conclusions Of 77.33 million people in the United States have NAFLD with 17.63 million having advanced fibrosis, with lowest prevalence in non‐Hispanic Asians and highest in Mexican Americans. A conundrum exists amongst non‐Hispanic Blacks who have low NAFLD prevalence but highest prevalence of advanced fibrosis. Awareness of NAFLD was low across all ethnicities. Effort is needed to improve disease awareness whilst addressing NAFLD clinical burden across ethnicities.

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Section: Discussionmentioning

confidence: 48%

Ethnic influence on nonalcoholic fatty liver disease prevalence and lack of disease awareness in the United States, 2011–2016

Yeo

Cheung

et al. 2020

J Intern Med

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“…Irregular heavy drinking occasions may play a role in explaining the differences between studies and in the reviews (e.g. [196,197]), but there are not enough epidemiological studies on diabetes including this dimension of alcohol exposure to settle this question.…”

Section: Diabetes Mellitusmentioning

confidence: 99%

The relationship between different dimensions of alcohol use and the burden of disease—an update

et al. 2017

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Background and aimsAlcohol use is a major contributor to injuries, mortality and the burden of disease. This review updates knowledge on risk relations between dimensions of alcohol use and health outcomes to be used in global and national Comparative Risk Assessments (CRAs).MethodsSystematic review of reviews and meta‐analyses on alcohol consumption and health outcomes attributable to alcohol use.For dimensions of exposure: volume of alcohol use, blood alcohol concentration and patterns of drinking, in particular heavy drinking occasions were studied. For liver cirrhosis, quality of alcohol was additionally considered. For all outcomes (mortality and/or morbidity): cause of death and disease/injury categories based on International Classification of Diseases (ICD) codes used in global CRAs; harm to others.ResultsIn total, 255 reviews and meta‐analyses were identified. Alcohol use was found to be linked causally to many disease and injury categories, with more than 40 ICD‐10 three‐digit categories being fully attributable to alcohol. Most partially attributable disease categories showed monotonic relationships with volume of alcohol use: the more alcohol consumed, the higher the risk of disease or death. Exceptions were ischaemic diseases and diabetes, with curvilinear relationships, and with beneficial effects of light to moderate drinking in people without heavy irregular drinking occasions. Biological pathways suggest an impact of heavy drinking occasions on additional diseases; however, the lack of medical epidemiological studies measuring this dimension of alcohol use precluded an in‐depth analysis. For injuries, except suicide, blood alcohol concentration was the most important dimension of alcohol use. Alcohol use caused marked harm to others, which has not yet been researched sufficiently.ConclusionsResearch since 2010 confirms the importance of alcohol use as a risk factor for disease and injuries; for some health outcomes, more than one dimension of use needs to be considered. Epidemiological studies should include measurement of heavy drinking occasions in line with biological knowledge.

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“…Sleeping pill use was any reported use over the last month. Alcohol use was scored as current drinkers who binge drink (≥5 drinks in a day in the previous year) versus abstainers, ex-drinkers and current drinkers who did not binge (Vaeth et al, 2014). Persons missing alcohol data were assigned to the nonbinge category.…”

Section: Methodsmentioning

confidence: 99%

Individual differences in habitual short sleep duration and dysfunction: Subjective health versus objective cardiovascular disease risk.

2021

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Objective: The adverse health effects of short sleep duration (i.e., six or fewer hours per night) are well established, including an increased risk of cardiovascular disease (CVD) and related mortality. However, there is heterogeneity in perceived sleep need among habitual short sleepers (HSS), with a sizable minority reporting no sleep-related daytime dysfunction. It has not been determined whether health risk associated with short sleep duration is consistent across individuals with and without reported dysfunction. The current study examined self-rated health (SRH), previously demonstrated to predict CVD risk, and objective CVD risk among HSS with and without reported dysfunction in the National Health and Nutrition Examination Surveys (NHANES). Method: Participants were adults age 40-79 in the 2005-2008 Assessments included the single item SRH (poor to excellent), self-reported average sleep duration, and selfreported daytime sleep-related dysfunction. Ten-year atherosclerotic CVD and high lifetime CVD risk ($39%) were calculated using previously validated algorithms. Results: HSS with no reported dysfunction rated their overall health significantly better than those with reported dysfunction; however, the "no dysfunction" HSS group evidenced modestly, though significantly, higher 10-year CVD risk compared with their dysfunction-reporting counterparts. High lifetime CVD risk, including younger adults age 20-39, was slightly higher for persons not reporting dysfunction, with the exception of short sleepers at the highest level of dysfunction who had the highest prevalence of high lifetime risk. Conclusions: Findings suggest that the absence of perceived sleep-related dysfunction does not confer lower CVD risk, despite higher SRH.

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Ethnicity and alcohol consumption among US adults with diabetes

Cited by 9 publications

References 27 publications

Ethnic influence on nonalcoholic fatty liver disease prevalence and lack of disease awareness in the United States, 2011–2016

Ethnic influence on nonalcoholic fatty liver disease prevalence and lack of disease awareness in the United States, 2011–2016

The relationship between different dimensions of alcohol use and the burden of disease—an update

Individual differences in habitual short sleep duration and dysfunction: Subjective health versus objective cardiovascular disease risk.

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