Alcohol consumption and increased mortality in Russian men and women: A cohort study based on the mortality of relatives

A Nicholson, M Bobak, M Murphy, R Rose, M Marmot

    Research output: Contribution to journalArticle

    37 Citations (Scopus)

    Abstract

    Objective To examine the relations between frequency of alcohol consumption and of binge drinking and adult mortality in Russian men and women.

    Methods Using modified indirect demographic techniques, a convenience cohort was constructed based on survey respondents' information about their close relatives. A random sample general population of the Russian Federation of 7172 respondents (response rate 61%) provided information on 10 475 male and 3129 female relatives, including age, vital status, and frequency of alcohol consumption and binge drinking. These relatives formed the cohort analysed in this report. The outcome measure was all-cause mortality after the age of 30 years.

    Findings There was a strong linear relation between frequency of drinking and of binge drinking and all-cause mortality in men; after controlling for smoking and calendar period of birth, the relative risk of death in daily drinkers compared to occasional drinkers was 1.52 (95% confidence interval (CI) 1.33-1.75). Male binge drinkers had higher mortality than drinkers who did not binge, which persisted after adjustment for drinking frequency (adjusted relative risk 1.09, 95% CI 1.00-1.19). In women, the increased mortality was confined to a small group of those who binged at least once a month (adjusted relative risk 2.68, 95% CI 1.54-4.66).

    Conclusion The results suggest a positive association between alcohol and mortality in the Russian Federation. There was no evidence for the protective effect of drinking seen in western populations. Alcohol appears to have contributed to the high long-term mortality rates in Russian men, but it is unlikely to be a major cause of female mortality.

    Original languageEnglish
    Pages (from-to)812-819
    Number of pages8
    JournalBulletin of the World Health Organization
    Volume83
    Publication statusPublished - 2005

    Keywords

    • alcohol drinking/epidemiology/mortality
    • nuclear family
    • adult
    • men
    • women
    • sex factors
    • cohort studies
    • cross-sectional studies
    • Russian Federation
    • CORONARY-HEART-DISEASE
    • ALL-CAUSE MORTALITY
    • CARDIOVASCULAR-DISEASE
    • BINGE DRINKING
    • PATTERNS
    • RISK
    • ASSOCIATION
    • NOVOSIBIRSK
    • POPULATION
    • VOLUME

    Cite this

    Alcohol consumption and increased mortality in Russian men and women: A cohort study based on the mortality of relatives. / Nicholson, A ; Bobak, M ; Murphy, M ; Rose, R ; Marmot, M .

    In: Bulletin of the World Health Organization, Vol. 83, 2005, p. 812-819.

    Research output: Contribution to journalArticle

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    abstract = "Objective To examine the relations between frequency of alcohol consumption and of binge drinking and adult mortality in Russian men and women.Methods Using modified indirect demographic techniques, a convenience cohort was constructed based on survey respondents' information about their close relatives. A random sample general population of the Russian Federation of 7172 respondents (response rate 61{\%}) provided information on 10 475 male and 3129 female relatives, including age, vital status, and frequency of alcohol consumption and binge drinking. These relatives formed the cohort analysed in this report. The outcome measure was all-cause mortality after the age of 30 years.Findings There was a strong linear relation between frequency of drinking and of binge drinking and all-cause mortality in men; after controlling for smoking and calendar period of birth, the relative risk of death in daily drinkers compared to occasional drinkers was 1.52 (95{\%} confidence interval (CI) 1.33-1.75). Male binge drinkers had higher mortality than drinkers who did not binge, which persisted after adjustment for drinking frequency (adjusted relative risk 1.09, 95{\%} CI 1.00-1.19). In women, the increased mortality was confined to a small group of those who binged at least once a month (adjusted relative risk 2.68, 95{\%} CI 1.54-4.66).Conclusion The results suggest a positive association between alcohol and mortality in the Russian Federation. There was no evidence for the protective effect of drinking seen in western populations. Alcohol appears to have contributed to the high long-term mortality rates in Russian men, but it is unlikely to be a major cause of female mortality.",
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    T1 - Alcohol consumption and increased mortality in Russian men and women: A cohort study based on the mortality of relatives

    AU - Nicholson, A

    AU - Bobak, M

    AU - Murphy, M

    AU - Rose, R

    AU - Marmot, M

    PY - 2005

    Y1 - 2005

    N2 - Objective To examine the relations between frequency of alcohol consumption and of binge drinking and adult mortality in Russian men and women.Methods Using modified indirect demographic techniques, a convenience cohort was constructed based on survey respondents' information about their close relatives. A random sample general population of the Russian Federation of 7172 respondents (response rate 61%) provided information on 10 475 male and 3129 female relatives, including age, vital status, and frequency of alcohol consumption and binge drinking. These relatives formed the cohort analysed in this report. The outcome measure was all-cause mortality after the age of 30 years.Findings There was a strong linear relation between frequency of drinking and of binge drinking and all-cause mortality in men; after controlling for smoking and calendar period of birth, the relative risk of death in daily drinkers compared to occasional drinkers was 1.52 (95% confidence interval (CI) 1.33-1.75). Male binge drinkers had higher mortality than drinkers who did not binge, which persisted after adjustment for drinking frequency (adjusted relative risk 1.09, 95% CI 1.00-1.19). In women, the increased mortality was confined to a small group of those who binged at least once a month (adjusted relative risk 2.68, 95% CI 1.54-4.66).Conclusion The results suggest a positive association between alcohol and mortality in the Russian Federation. There was no evidence for the protective effect of drinking seen in western populations. Alcohol appears to have contributed to the high long-term mortality rates in Russian men, but it is unlikely to be a major cause of female mortality.

    AB - Objective To examine the relations between frequency of alcohol consumption and of binge drinking and adult mortality in Russian men and women.Methods Using modified indirect demographic techniques, a convenience cohort was constructed based on survey respondents' information about their close relatives. A random sample general population of the Russian Federation of 7172 respondents (response rate 61%) provided information on 10 475 male and 3129 female relatives, including age, vital status, and frequency of alcohol consumption and binge drinking. These relatives formed the cohort analysed in this report. The outcome measure was all-cause mortality after the age of 30 years.Findings There was a strong linear relation between frequency of drinking and of binge drinking and all-cause mortality in men; after controlling for smoking and calendar period of birth, the relative risk of death in daily drinkers compared to occasional drinkers was 1.52 (95% confidence interval (CI) 1.33-1.75). Male binge drinkers had higher mortality than drinkers who did not binge, which persisted after adjustment for drinking frequency (adjusted relative risk 1.09, 95% CI 1.00-1.19). In women, the increased mortality was confined to a small group of those who binged at least once a month (adjusted relative risk 2.68, 95% CI 1.54-4.66).Conclusion The results suggest a positive association between alcohol and mortality in the Russian Federation. There was no evidence for the protective effect of drinking seen in western populations. Alcohol appears to have contributed to the high long-term mortality rates in Russian men, but it is unlikely to be a major cause of female mortality.

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    KW - nuclear family

    KW - adult

    KW - men

    KW - women

    KW - sex factors

    KW - cohort studies

    KW - cross-sectional studies

    KW - Russian Federation

    KW - CORONARY-HEART-DISEASE

    KW - ALL-CAUSE MORTALITY

    KW - CARDIOVASCULAR-DISEASE

    KW - BINGE DRINKING

    KW - PATTERNS

    KW - RISK

    KW - ASSOCIATION

    KW - NOVOSIBIRSK

    KW - POPULATION

    KW - VOLUME

    M3 - Article

    VL - 83

    SP - 812

    EP - 819

    JO - Bulletin of the World Health Organization

    JF - Bulletin of the World Health Organization

    SN - 0042-9686

    ER -