PMID- 8116824
OWN - NLM
STAT- MEDLINE
DCOM- 19940331
LR  - 20190825
IS  - 0145-6008 (Print)
IS  - 0145-6008 (Linking)
VI  - 17
IP  - 6
DP  - 1993 Dec
TI  - Alcohol use, other traits, and risk of unnatural death: a prospective study.
PG  - 1156-62
AB  - This study prospectively explores relations of usual alcohol intake in a Northern 
      California population of 128,934 persons to risk of subsequent unnatural death. 
      Of 385 such deaths during the 8-year study period, 88 were due to motor vehicle 
      accidents (MVAs), 106 to suicide, 52 to homicide, and 139 to miscellaneous other 
      unnatural causes. Comparisons of ex-drinkers and 5 levels of current drinkers to 
      lifelong abstainers were studied by Cox proportional hazards models with 9 
      covariates. In adjusted analyses, persons reporting intake of 6 or more drinks 
      daily were at greatly increased risk of death from suicide (6 times) and homicide 
      (7 times), and at moderately increased risk of death from MVAs (2 times). Lighter 
      and ex-drinkers were not at significantly increased risk for all unnatural deaths 
      or any of its subsets. Among persons reporting 6 or more drinks/day, women and 
      persons below 50 years of age were at especially high risk, but Blacks and Whites 
      were at similar risk. Persons who usually drank liquor or wine were at greater 
      risk for MVAs than those who usually drank beer; beverage choice was unrelated to 
      the other causes of death. Among other covariates, men and not married persons 
      were at higher risk and college graduates at lower risk, for each cause of death. 
      The only major racial difference was a lower risk of suicide for Blacks (versus 
      Whites). These data provide considerable detail about usual alcohol use and risk 
      of unnatural death. They point to special need for preventive efforts among 
      younger persons and women, with particular attention to suicide and homicide.
FAU - Klatsky, A L
AU  - Klatsky AL
AD  - Department of Medicine, Kaiser Permanente Medical Care Program, Oakland, CA 
      94611.
FAU - Armstrong, M A
AU  - Armstrong MA
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Alcohol Clin Exp Res
JT  - Alcoholism, clinical and experimental research
JID - 7707242
SB  - IM
MH  - Accidents/mortality/psychology
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Alcohol Drinking/adverse effects/*mortality/psychology
MH  - Alcoholic Beverages/adverse effects
MH  - Alcoholism/*mortality/psychology
MH  - California/epidemiology
MH  - *Cause of Death
MH  - Death, Sudden/*etiology
MH  - Female
MH  - Homicide/psychology/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Risk Factors
MH  - Smoking/adverse effects/mortality
MH  - Suicide/psychology/statistics & numerical data
MH  - *Violence
EDAT- 1993/12/01 00:00
MHDA- 1993/12/01 00:01
CRDT- 1993/12/01 00:00
PHST- 1993/12/01 00:00 [pubmed]
PHST- 1993/12/01 00:01 [medline]
PHST- 1993/12/01 00:00 [entrez]
AID - 10.1111/j.1530-0277.1993.tb05221.x [doi]
PST - ppublish
SO  - Alcohol Clin Exp Res. 1993 Dec;17(6):1156-62. doi: 
      10.1111/j.1530-0277.1993.tb05221.x.