Dataset Information

Alcohol consumption trajectories and self-rated health: findings from the Stockholm Public Health Cohort.

ABSTRACT:

Objective

To investigate whether poor self-rated health and psychological distress are differentially associated with drinking trajectories over time.

Methods

From the Stockholm Public Health Cohort, two subcohorts surveyed in 2002-2010-2014 and 2006-2010-2014 (n=23?794?and n=34?667 at baseline, respectively) were used. Alcohol consumption, self-rated health, psychological distress (measured by General Health Questionnaire-12), lifestyle factors and longstanding illness were assessed by questionnaires. Demographic and socioeconomic variables were obtained by register linkage. Logistic regression was fitted to assess the associations with eight alcohol consumption trajectories, which were constructed among 30?228 individuals (13?898 and 16?330 from the 2002 and 2006 subcohorts, respectively) with measures of consumption at three time points.

Results

Compared with stable moderate drinkers, all other trajectories were associated with poor self-rated health with multiadjusted OR for stable non-drinkers of 2.35 (95% CIs 1.86 to 2.97), unstable non-drinkers (OR=2.58, 95%?CI 1.54 to 3.32), former drinkers (OR=2.81, 95%?CI 2.31 to 3.41) and stable heavy drinkers (OR=2.16, 95%?CI 1.47 to 3.20). The associations were not fully explained by sociodemographic and lifestyle factors and longstanding illness. Former drinking, but no other trajectories, was associated with psychological distress (OR=1.24; 95%?CI 1.10 to 1.41).

Conclusion

We found a U-shape association between alcohol trajectories and self-rated health, but not with psychological distress. Compared with stable moderate drinking, former drinking was associated with the highest odds of both poor self-rated health and psychological distress. The study confirms the importance of a life-course approach to examining the effect of alcohol consumption on health and highlights the poorer general and mental health status of non-drinkers who were former drinkers.

SUBMITTER: Gemes K

PROVIDER: S-EPMC6701653 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Publications

Alcohol consumption trajectories and self-rated health: findings from the Stockholm Public Health Cohort.

Gémes Katalin K Moeller Jette J Engström Karin K Sidorchuk Anna A

BMJ open 20190818 8

<h4>Objective</h4>To investigate whether poor self-rated health and psychological distress are differentially associated with drinking trajectories over time.<h4>Methods</h4>From the Stockholm Public Health Cohort, two subcohorts surveyed in 2002-2010-2014 and 2006-2010-2014 (n=23 794 and n=34 667 at baseline, respectively) were used. Alcohol consumption, self-rated health, psychological distress (measured by General Health Questionnaire-12), lifestyle factors and longstanding illness were asses ...[more]

PMID: 31427328

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Project description:Background and aimsAlcohol consumption changes markedly over the life course, with important implications for health and social development. Assessment of these patterns often relies on cross-sectional data, which cannot fully capture how individuals' drinking changes as they age. This study used data from 18 waves of a general population panel survey to measure drinking trajectories over the life course in Australia.Design and settingLongitudinal survey data from the Household, Income and Labour Dynamics in Australia (HILDA) survey between 2001 and 2018.ParticipantsA total of 20 593 individuals ages 15 or above in two samples assessing quantity-frequency (n = 20 569, 52.0% female) and risky single occasion drinking (RSOD), respectively, (n = 17 340, 52.5% female), interviewed as part of HILDA.MeasurementsUsual quantity of alcohol consumed per drinking occasion; frequency of drinking occasions per week; average daily consumption, calculated by combining reported usual quantity and frequency; and average reported frequency of RSOD per week.FindingsMultilevel, mixed effects models run with fractional polynomial terms found similar male and female alcohol consumption trajectories for quantity-frequency and RSOD measures. Usual quantity of alcohol consumed per drinking occasion (5.4 drinks for men, 3.8 for women) and RSOD frequency (0.56 occasions/week for men, 0.38 for women) peaked in young adulthood, whereas frequency of drinking occasions (2.5 occasions/week for men, 1.7 for women) peaked in middle age. Middle-age drinkers had the highest average daily consumption of alcohol (1.4 drinks/day for 54-year-old men, 0.6 drinks for 57-year-old women) and engaged in RSOD slightly less than young adults.ConclusionsAlcohol consumption in Australia appears to vary substantially over the life course, with usual quantity per drinking occasion and frequency of risky single occasion drinking peaking during early adulthood and average daily consumption and frequency of consumption peaking in middle age.

Dataset Information

Alcohol consumption trajectories and self-rated health: findings from the Stockholm Public Health Cohort.

Objective

Methods

Results

Conclusion

Publications

Alcohol consumption trajectories and self-rated health: findings from the Stockholm Public Health Cohort.

Similar Datasets

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