Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/28966
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Alcohol problems and all-cause mortality in men and women: Predictive capacity of a clinical screening tool in a 21-year follow-up of a large, UK-wide, general population-based survey
Author(s): David Batty, G
Hunt, Kate
Emslie, Carol
Lewars, Heather
Galec, Catharine
Contact Email: kate.hunt@stir.ac.uk
Keywords: Alcohol problems
All-cause mortality
Predictive capacity
Issue Date: Apr-2009
Date Deposited: 27-Feb-2019
Citation: David Batty G, Hunt K, Emslie C, Lewars H & Galec C (2009) Alcohol problems and all-cause mortality in men and women: Predictive capacity of a clinical screening tool in a 21-year follow-up of a large, UK-wide, general population-based survey. Journal of Psychosomatic Research, 66 (4), pp. 317-321. https://doi.org/10.1016/j.jpsychores.2008.09.021
Abstract: Objective: While the relation between alcohol consumption and mortality has been well explored, little is known about the link between alcohol problems and mortality in general population-based studies, particularly among women. This was the objective of the present study. Methods: In this prospective cohort study, 5333 non-abstaining individuals (2539 women) from the UK-wide Health and Lifestyle Survey (aged 42.9 years at study induction) completed the CAGE questionnaire of alcohol problems and participated in a medical examination in 1984/1985; they were then followed up for mortality experience until 2005. Results: Alcohol problems at baseline were less common in women (2.4%) than in men (7.8%). A total of 21 years of follow-up gave rise to 1201 deaths. Elevated rates of mortality were evident in persons reporting symptoms of alcohol problems in comparison to those who did not. In gender-stratified analyses, alcohol problems were more strongly associated with mortality risk in women (age-adjusted hazards ratio: 2.25; 95% confidence interval: 1.22-4.12) than in men (1.49; 1.12-1.99), although this effect modification was not statistically significant (P value for interaction=0.125). Controlling for a range of covariates-including socioeconomic position, co-morbidity (somatic and psychiatric), and alcohol intake-had essentially no impact on these associations. Conclusion: The CAGE questionnaire may have some utility in routine health assessments in the general population.
DOI Link: 10.1016/j.jpsychores.2008.09.021
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