PMID- 12713203
OWN - NLM
STAT- MEDLINE
DCOM- 20030820
LR  - 20190901
IS  - 0096-882X (Print)
IS  - 0096-882X (Linking)
VI  - 64
IP  - 2
DP  - 2003 Mar
TI  - Changes in drinking status, serious illness and mortality.
PG  - 278-85
AB  - OBJECTIVE: We studied the relationship of drinking and abstaining with all-cause 
      mortality in a two-measurement-point prospective study to assess the importance 
      of drinking change versus stability among the healthy and seriously ill. METHOD: 
      The National Health and Nutrition Examination Survey I (NHANES I) and follow-up 
      of men and women (age 22-49 and 50+) at first measurement (1971-74) who survived 
      until second measurement (1982-84) were followed in death records for 10 years 
      (1993). Cox proportional hazards models evaluated those with and without serious 
      illness. RESULTS: We found no elevated mortality risk for consistent never 
      drinkers, but consistent heavier drinkers were at higher all-cause risk among 
      men. Groups of abstainers significantly differed for mortality risk, and illness 
      was implicated in these differences. New drinkers who formerly abstained did not 
      improve their chances for longevity. Heavier drinking men who decreased 
      consumption increased their chances for survival. CONCLUSIONS: Abstinence per se 
      is not a risk factor for all-cause mortality, but heavier drinking is a risk 
      factor among men. Adoption of drinking among former abstainers does not improve 
      chances for survival. Reduction in consumption among heavier drinking men 
      improves chances for survival.
FAU - Fillmore, Kaye Middleton
AU  - Fillmore KM
AD  - Department of Social and Behavioral Science, University of California, San 
      Francisco, Box 0612, San Francisco, California 94143-0612, USA. 
      kmfalc@itsa.ucsf.edu
FAU - Kerr, William C
AU  - Kerr WC
FAU - Bostrom, Alan
AU  - Bostrom A
LA  - eng
GR  - K01 AA00073/AA/NIAAA NIH HHS/United States
GR  - R01 AA07034/AA/NIAAA NIH HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Stud Alcohol
JT  - Journal of studies on alcohol
JID - 7503813
SB  - IM
MH  - Adult
MH  - Aged
MH  - Alcohol Drinking/*epidemiology/mortality
MH  - Chronic Disease/*epidemiology/mortality
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Temperance/statistics & numerical data
MH  - United States/epidemiology
EDAT- 2003/04/26 05:00
MHDA- 2003/08/21 05:00
CRDT- 2003/04/26 05:00
PHST- 2003/04/26 05:00 [pubmed]
PHST- 2003/08/21 05:00 [medline]
PHST- 2003/04/26 05:00 [entrez]
AID - 10.15288/jsa.2003.64.278 [doi]
PST - ppublish
SO  - J Stud Alcohol. 2003 Mar;64(2):278-85. doi: 10.15288/jsa.2003.64.278.