Nondrinker Mortality Risk in the United States

Rogers, Richard G.; Krueger, Patrick M.; Miech, Richard A.; Lawrence, Elizabeth; Kemp, Robert

doi:10.1007/s11113-013-9268-7

Cited by 20 publications

(19 citation statements)

References 83 publications

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“…Light to moderate alcohol consumption differs from most other health behaviors in that it is positively associated with SES: compared to adults with lower incomes and levels of educational attainment, individuals with higher incomes and levels of educational attainment are more likely to be current regular drinkers and less likely to abstain from drinking or drink infrequently (Rogers et al 2013). Yet we found a slight inverse relationship between SES and exposure to problem drinking.…”

Section: Discussionmentioning

confidence: 99%

Alcohol's Collateral Damage: Childhood Exposure to Problem Drinkers and Subsequent Adult Mortality Risk

Rogers¹,

Lawrence²,

Montez³

2016

Social Forces

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The importance of childhood circumstances, broadly defined, for shaping adult health and longevity is well-established. But the significance of one of the most prevalent childhood adversities—exposure to problem drinkers—has been understudied from a sociological perspective and remains poorly understood. We address this gap by drawing on cumulative inequality theory, using data from the 1988–2011 National Health Interview Survey-Linked Mortality Files, and estimating Cox proportional hazards models to examine the relationship between exposure to problem drinkers in childhood and adult mortality risk. Childhood exposure to problem drinkers is common (nearly 1 in 5 individuals were exposed) and elevates adult overall and cause-specific mortality risk. Compared to individuals who had not lived with a problem drinker during childhood, those who had done so suffered 17 percent higher risk of death (p<.001) over the follow-up period, net of age, sex, and race/ethnicity. We find compelling evidence that the duration, source, and intensity of exposure to problem drinkers in childhood contributes to inequality in adult mortality risk. Favorable socioeconomic status in adulthood does not ameliorate the consequences of childhood exposure to problem drinkers. The primary intervening mechanisms are risky behaviors, including adult drinking and smoking. The findings—which reveal that the influence of problem drinking is far-reaching and long-term—should inform policies to improve childhood circumstances, reduce detrimental effects of problem drinking, and increase life expectancy.

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Section: Discussionmentioning

confidence: 99%

Alcohol's Collateral Damage: Childhood Exposure to Problem Drinkers and Subsequent Adult Mortality Risk

Rogers¹,

Lawrence²,

Montez³

2016

Social Forces

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“…We control for BMI because it has been associated with alcohol consumption and identified as a major risk factor for overall mortality, and is one of the very few if only physiological measurements available in the data set. Because drinking and smoking are interrelated (Dawson, 2000b; Rogers et al 2013), it is important to control for the effects of cigarette consumption. Drug use and mental health conditions may also be related to drinking, but were not included in the dataset.…”

Section: Methodsmentioning

confidence: 99%

Drinking problems and mortality risk in the United States

Rogers

Boardman

Pendergast

et al. 2015

Drug and Alcohol Dependence

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Objective We examine the links between 41 problems related to alcohol consumption and the risk of death among adults in the United States. Method We use Cox proportional hazards models and data from the nationally representative prospective National Health Interview Survey-Linked Mortality Files (NHIS-LMF). Results Drinking problems are relatively common among moderate and heavy drinkers and these problems are associated with increases in the risk of death. The strongest associations between problem drinking and mortality involved cases in which physicians, family members, or friends intervened to suggest reduced drinking. Losing one's job because of drinking problems within their lifetime (HR=1.36, 95% confidence interval [CI]: 1.11, 1.65) was strongly linked to mortality risk. Social risks were equally or more strongly linked to mortality than physiological consequences of alcohol abuse such as lifetime reports of needing a drink to stop shaking or getting sick (HR=1.23, 95% CI: 1.09, 1.40). Most importantly, these associations were evident despite statistical controls for alcohol consumption levels and demographic, social, economic, behavioral, health, and geographic factors. Conclusions Our results highlight the independent and additive effects of alcohol-related problems and alcohol consumption levels on the risk of death. We recommend that studies examining the mortality risks of alcohol consumption take into account drinking status and also specific drinking-related problems, paying particular attention to social problems related to alcohol use or abuse.

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“…This study builds on a parallel article examining the risk of death of nondrinkers (Rogers et al 2013) that uses Latent Class Analysis to categorise different nondrinker statuses. While innovative, a tradeoff of the Latent Class Analysis used in the prior article is that it sacrificed information on specific reasons for nondrinking.…”

Section: Our Contributionmentioning

confidence: 99%

Lifetime abstainers and mortality risk in the United States

Rogers¹,

Krueger²,

Miech³

et al. 2014

Populationyearbook

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We examine variability in mortality risk among heterogeneous nondrinking statuses. We employ Cox proportional hazard models and the United States National Health Interview Survey-Linked Mortality Files (NHIS-LMF) to examine the risk of death associated with drinking and nondrinking statuses, net of demographic, socioeconomic, behavioural, health and geographic factors. Mortality risk is low for light drinkers and many individuals who abstain from drinking-including those who abstain for religious and moral reasons, have a responsibility to family, were brought up not to drink and are not social. Mortality is higher among former, infrequent and moderate drinkers, and among individuals who abstain because they do not like the taste of alcohol, are concerned that they will lose control or are concerned about adverse consequences. Unsurprisingly, mortality risk is by far the highest for heavy drinkers. Our results show that reasons for abstention capture heterogeneity in the risk of death among lifetime abstainers.

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Nondrinker Mortality Risk in the United States

Cited by 20 publications

References 83 publications

Alcohol's Collateral Damage: Childhood Exposure to Problem Drinkers and Subsequent Adult Mortality Risk

Alcohol's Collateral Damage: Childhood Exposure to Problem Drinkers and Subsequent Adult Mortality Risk

Drinking problems and mortality risk in the United States

Lifetime abstainers and mortality risk in the United States

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