The association between alcohol exposure and self-reported health status: The effect of separating former and current drinkers

Aims: To investigate the direction and degree of potential bias introduced to analyses of drinking and health status which exclude former drinkers from exposure groups. Design: Pooled analysis of 14 waves (1997–2010) of the U.S. National Health Interview Survey (NHIS). Setting: General population-ba...

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Main Authors: Liang, Wenbin, Chikritzhs, Tanya
Format: Journal Article
Published: Public Library of Science 2013
Online Access:http://hdl.handle.net/20.500.11937/8523
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author Liang, Wenbin
Chikritzhs, Tanya
author_facet Liang, Wenbin
Chikritzhs, Tanya
author_sort Liang, Wenbin
building Curtin Institutional Repository
collection Online Access
description Aims: To investigate the direction and degree of potential bias introduced to analyses of drinking and health status which exclude former drinkers from exposure groups. Design: Pooled analysis of 14 waves (1997–2010) of the U.S. National Health Interview Survey (NHIS). Setting: General population-based study. Participants: 404,462 participants, from 14 waves of the NHIS, who had known self-reported health status and alcohol consumption status. Measurements: Self-reported health status was used as the indicator of health. Two approaches were used to classify alcohol consumption: (i) separation of former drinkers and current drinkers, and (ii) combined former and current drinkers. The prevalence of fair/ poor health by alcohol use, gender and age with 95% confidence intervals was estimated. The difference in prevalence of fair/ poor health status for lifetime abstainers, former drinkers, current drinkers and drinkers (former drinkers and current drinkers combined) were compared using Poisson regression with robust estimations of variance. Findings: Excluding former drinkers from drinker groups exaggerates the difference in health status between abstainers and drinkers, especially for males. Conclusions: In cohort study analyses, former drinkers should be assigned to a drinking category based on their previous alcohol consumption patterns and not treated as a discrete exposure group.
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spelling curtin-20.500.11937-85232017-09-13T14:50:55Z The association between alcohol exposure and self-reported health status: The effect of separating former and current drinkers Liang, Wenbin Chikritzhs, Tanya Aims: To investigate the direction and degree of potential bias introduced to analyses of drinking and health status which exclude former drinkers from exposure groups. Design: Pooled analysis of 14 waves (1997–2010) of the U.S. National Health Interview Survey (NHIS). Setting: General population-based study. Participants: 404,462 participants, from 14 waves of the NHIS, who had known self-reported health status and alcohol consumption status. Measurements: Self-reported health status was used as the indicator of health. Two approaches were used to classify alcohol consumption: (i) separation of former drinkers and current drinkers, and (ii) combined former and current drinkers. The prevalence of fair/ poor health by alcohol use, gender and age with 95% confidence intervals was estimated. The difference in prevalence of fair/ poor health status for lifetime abstainers, former drinkers, current drinkers and drinkers (former drinkers and current drinkers combined) were compared using Poisson regression with robust estimations of variance. Findings: Excluding former drinkers from drinker groups exaggerates the difference in health status between abstainers and drinkers, especially for males. Conclusions: In cohort study analyses, former drinkers should be assigned to a drinking category based on their previous alcohol consumption patterns and not treated as a discrete exposure group. 2013 Journal Article http://hdl.handle.net/20.500.11937/8523 10.1371/journal.pone.0055881 Public Library of Science fulltext
spellingShingle Liang, Wenbin
Chikritzhs, Tanya
The association between alcohol exposure and self-reported health status: The effect of separating former and current drinkers
title The association between alcohol exposure and self-reported health status: The effect of separating former and current drinkers
title_full The association between alcohol exposure and self-reported health status: The effect of separating former and current drinkers
title_fullStr The association between alcohol exposure and self-reported health status: The effect of separating former and current drinkers
title_full_unstemmed The association between alcohol exposure and self-reported health status: The effect of separating former and current drinkers
title_short The association between alcohol exposure and self-reported health status: The effect of separating former and current drinkers
title_sort association between alcohol exposure and self-reported health status: the effect of separating former and current drinkers
url http://hdl.handle.net/20.500.11937/8523