TY  - JOUR
PY  - 2017//
TI  - Alcohol consumption and all-cause mortality: an analysis of general practice database records for patients with long-term conditions
JO  - Journal of epidemiology and community health
A1  - Stewart, Duncan
A1  - Han, Lu
A1  - Doran, Tim
A1  - McCambridge, Jim
SP  - 729
EP  - 735
VL  - 71
IS  - 8
N2  - BACKGROUND: Alcohol is a risk factor for ill health and reduced life expectancy, but little is known about the impact of alcohol on mortality for people with existing long-term conditions. We used primary care data from the Clinical Practice Research Datalink (CPRD) to study relationships between alcohol consumption and all-cause mortality among general practice patients with long-term conditions. <br><br>METHODS: Data were accessed from a sample of 125 general practices from the CPRD database. Adult patients with long-term health conditions, a record of alcohol consumption in CPRD and at least 1 year of follow-up data between 2000 and 2014 (n=95 991) were matched to the Office for National Statistics (ONS) mortality register. <br><br>RESULTS: In Cox proportional hazards regression models, mortality was higher for patients consuming 25-34 units of alcohol per week (HR 1.26, 95% CI 1.12 to 1.42) and 35 units or more (HR 1.71, 95% CI 1.51 to 1.94), compared with those drinking 1-7 units per week. Patterns of mortality risk were the same for men and women. Heavy drinking increased mortality risk in combination with smoking (HR 4.04, 95% CI 3.41 to 4.79) and high levels of deprivation (HR 3.01, 95% CI 2.40 to 3.79). <br><br>CONCLUSIONS: Heavier drinkers with long-term conditions are at significantly greater risk of death than lighter drinkers. The findings support the UK Chief Medical Officers' guidance on having similar low-risk alcohol consumption guidelines for men and women. More needs to be done to tackle alcohol consumption among patients with long-term conditions.<br><br>© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.<p />  <p>Language: en</p>
LA  - en
SN  - 0143-005X
UR  - http://dx.doi.org/10.1136/jech-2017-209241
ID  - ref1
ER  -