Black-white differences in the relationship between alcohol drinking patterns and mortality among US men and women

C.L. Jackson, F.B. Hu, I. Kawachi, D.R. Williams, K.J. Mukamal and E.B. Rimm

American Journal of Public Health, 2015, vol. 105, S534-S543

Abstract: Objectives. We investigated Black-White differences in the association between average alcohol drinking patterns and all-cause mortality. Methods. We pooled nationally representative samples of 152 180 adults in the National Health Interview Survey from 1997 to 2002 with mortality follow-up through 2006. Usual drinking days per week and level of alcohol consumed per day were based on self-report. We used race- and gender-specific Cox proportional hazards regression analyses to adjust for physical activity, smoking status, and other potential confounders. Results. Over 9 years, 13 366 deaths occurred from all causes. For men, the lowest multivariable-adjusted hazard ratio (HR) for total mortality among drinkers was 0.81 among White men who consumed 1 to 2 drinks 3 to 7 days per week (compared with abstainers) and Black men who abstained. For women, the lowest mortality risk was among White women (HR = 0.71) consuming 1 drink per day 3 to 7 days per week and Black women (HR = 0.72) consuming 1 drink on 2 or fewer days per week. Conclusions. Risks and benefits of alcohol consumption in relation tomortality risk were dependent on race- and gender-specific drinking patterns.

Keywords: adult; African American; Caucasian; cause of death; cross-sectional study; drinking behavior; epidemiology; ethnology; female; human; interview; male; middle aged; mortality; risk factor; socioeconomics; United States, Adult; African Americans; Alcohol Drinking; Cause of Death; Cross-Sectional Studies; European Continental Ancestry Group; Female; Humans; Interviews as Topic; Male; Middle Aged; Risk Factors; Socioeconomic Factors; United States (search for similar items in EconPapers)
Date: 2015
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302615_9

DOI: 10.2105/AJPH.2015.302615

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