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Worsening of health and a cessation or reduction in alcohol consumption to special occasion drinking across three decades of the life-course

Ng Fat, L; Cable, N; Shelton, N; (2015) Worsening of health and a cessation or reduction in alcohol consumption to special occasion drinking across three decades of the life-course. Alcoholism: Clinical and Experimental Research , 39 (1) pp. 166-174. 10.1111/acer.12596. Green open access

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Abstract

Background: Ex-drinkers suffer from worse health than drinkers; however, whether a worsening of health is associated with a change in drinking status from early adulthood has not been previously investigated. We assesses whether a worsening of health is associated with a cessation in consumption or reduction to special occasion drinking from early adulthood to middle age. Methods: Multinomial logistic regression assessing whether a change in self-reported limiting longstanding illness (LLI) was associated with ceasing alcohol consumption, or a reduction to special occasion drinking compared with being a persistent drinker from age 23 in separate models at ages 33, 42 and 50. All models adjusted for sex, poor psychosocial health, education, marital and children in the household. Sample included participants from Great Britain followed longitudinally in the National Child Development Study (NCDS) from ages 23 to 33 (N=5,529),42 (N=4,787) and 50 (N=4,476). Results: Developing a LLI from the previous wave was associated with ceasing alcohol consumption at ages 33 (OR= 2.71, 95%CI= 1.16-4.93), 42 (OR=2.44, 95%CI=1.24-4.81) and 50 (OR=3.33, 95%CI=1.56-7.12) and a reduction to special occasion drinking at ages 42 (OR=2.04, 95%CI=1.40-2.99) and 50 (OR=2.04, 95%CI= 1.18-3.53). Having a persistent LLI across two waves increased the odds of ceasing consumption at ages 42 (OR=3.22, 95%CI=1.06-9.77) and 50 (OR=4.03, 95%CI=1.72-9.44), and reducing consumption to special occasion drinking at ages 33 (OR=3.27, 95%CI=1.34-8.01) and 42 (OR=2.25, 95%CI=1.23-4.50)). Persistent drinkers at older ages had the best overall health suffering less from previous poor health compared with those who reduced or ceased consumption at an earlier time-point. Conclusion: Developing a LLI was associated with a cessation in alcohol consumption and a reduction in consumption to special occasion drinking from early adulthood. Persistent drinkers who drank at least till 50 were the healthiest overall. Health selection is likely to influence non-drinking across the life course.

Type: Article
Title: Worsening of health and a cessation or reduction in alcohol consumption to special occasion drinking across three decades of the life-course
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/acer.12596
Publisher version: https://doi.org/10.1111/acer.12596
Language: English
Additional information: Copyright © 2015 by the Research Society on Alcoholism. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Keywords: Alcohol, Lifecourse, Limiting, Longstanding illness, Non-drinking
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/1455564
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