An 11-year mortality follow-up to the 1984 National Alcohol Survey is proposed for three ethnic groups: Blacks, White, and Hispanics. This study would allow to test hypotheses about: the differential impact of moderate drinking for different age categories, the influence of ethnicity on the alcohol consumption - mortality relationship, the confounding influence of social class and social integration on the risk curve for alcohol consumption and mortality, and the interaction of social class and ethnicity with respect to alcohol-related mortality. Since the follow-up is based on an alcohol survey, alcohol consumption is measured in a way that allows to estimate the influence on mortality of average drinking as well as of drinking patterns. Furthermore, two follow-up surveys 1989/90 and 1992 on sub-samples of the 1984 respondents make it possible to test the effects of changing drinking patterns over the life course. Finally, the original survey contained variables to adjust for the possible confounding influence of smoking, and for the """"""""unhealthy abstainer"""""""" effect. Dependent on whether statistical assumptions are met, either proportional hazard modelling or logistic regression techniques will be used to test the hypotheses. The mortality information will be collected through the National Death Index (NDI) and subsequent contacting of the vital statistics offices of in the appropriate states.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA010960-02
Application #
2457494
Study Section
Clinical and Treatment Subcommittee (ALCP)
Project Start
1996-08-01
Project End
1998-07-31
Budget Start
1997-08-01
Budget End
1998-07-31
Support Year
2
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Western Consortium for Public Health
Department
Type
DUNS #
City
Berkeley
State
CA
Country
United States
Zip Code
94704
Kerr, William C; Greenfield, Thomas K; Bond, Jason et al. (2011) Racial and ethnic differences in all-cause mortality risk according to alcohol consumption patterns in the national alcohol surveys. Am J Epidemiol 174:769-78
Roerecke, Michael; Greenfield, Thomas K; Kerr, William C et al. (2011) Heavy drinking occasions in relation to ischaemic heart disease mortality-- an 11-22 year follow-up of the 1984 and 1995 US National Alcohol Surveys. Int J Epidemiol 40:1401-10
Greenfield, Tom K; Rehm, Jurgen; Rogers, John D (2002) Effects of depression and social integration on the relationship between alcohol consumption and all-cause mortality. Addiction 97:29-38
Rehm, J; Greenfield, T K; Rogers, J D (2001) Average volume of alcohol consumption, patterns of drinking, and all-cause mortality: results from the US National Alcohol Survey. Am J Epidemiol 153:64-71
Greenfield, T K (1998) Evaluating competing models of alcohol-related harm. Alcohol Clin Exp Res 22:52S-62S