Alcohol intake and incidence of coronary disease in Australian aborigines

Burke, V., Lee, A. H., Hunter, E., Spargo, R., Smith, R., Beilin, L. J. and Puddey, I. B. (2007) Alcohol intake and incidence of coronary disease in Australian aborigines. Alcohol and Alcoholism, 42 2: 119-124.


Author Burke, V.
Lee, A. H.
Hunter, E.
Spargo, R.
Smith, R.
Beilin, L. J.
Puddey, I. B.
Title Alcohol intake and incidence of coronary disease in Australian aborigines
Journal name Alcohol and Alcoholism   Check publisher's open access policy
ISSN 0735-0414
Publication date 2007
Sub-type Article (original research)
DOI 10.1093/alcalc/agl102
Volume 42
Issue 2
Start page 119
End page 124
Total pages 6
Place of publication Oxford
Publisher Oxford University Press
Language eng
Subject 321202 Epidemiology
321207 Indigenous Health
321217 Health Counselling
Abstract Aims: To examine risk for coronary heart disease (CHD) and cardiovascular disease (CVD) in relation to alcohol in a cohort of Australian Aborigines. Methods: In 1988-1989, alcohol intake, drinking pattern, and beverage preference were elicited by interviewer-administered questionnaire in Western Australian Aborigines (258 men, 256 women) and cardiovascular outcomes ascertained through linkage to mortality and hospital admission records to 2002. Results: In proportional hazards models, risk for CHD, relative to lifetime abstainers, was significantly increased in ex-drinkers [Hazard ratio (HR) 2.29, 95% CL 1.23, 4.27], those drinking 41-60 g/day in men or 21-40 g/day in women (HR 2.80, 95% CL 1.04, 7.53), and those drinking > 150 g/day for men or > 100 g/day for women (HR 2.25, 95% CL 1.03, 4.90) with a J-shaped relationship. Low-to-moderate drinkers had lower waist girth, exercised more, and had a lower prevalence of overweight and smoking than at-risk drinkers. A preference for wine was associated with lower HR (0.28, 95% CL 0.10, 0.95). With CVD, only ex-drinkers showed significantly increased risk (HR 1.87, 95% CL 1.20, 2.91). Conclusions: More favourable health-related behaviours in low-to-moderate drinkers suggest that lower risk could be mediated by lifestyle, as proposed in other populations.
Keyword Substance Abuse
Heart disease
Drinking Pattern
Cardiovascular-disease
Kimberley Aborigines
Ex-drinkers
Lifestyle
Mortality
Risk
Men
Consumption
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Population Health Publications
 
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