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Published on: November 8, 2024
Hostility, drinking pattern and mortality
Stephen H Boyle1, Laust Mortensen, Morten Grønbaek
1Behavioral Medicine Research Center, Duke University Medical Center, Durham, NC, USA. shboyle@duke.edu
Aims:
This study examined the association of hostility to drinking pattern and whether this association mediated the relation of hostility to mortality.
Participants And Design:
Subjects were 3326 current drinkers from the Vietnam Experience Study cohort who were followed for vital status.
Setting:
United States.
Measurements:
Hostility was measured by an abbreviated version of the Cook-Medley Hostility Scale (ACM). The alcohol variables were total monthly intake of alcohol, drinking frequency, drinks per drinking day and drinking > or = 5 drinks on at least one occasion in the past month (i.e. heavy episodic drinking).
Findings:
Regression analyses showed associations between the ACM and total monthly intake of alcohol (P < 0.0001), drinks per drinking day (P < 0.0001) and heavy episodic drinking (P < 0.0001), but not with frequency of drinking days. Hostility, drinks per drinking day, heavy episodic drinking and total monthly alcohol intake were also associated with all-cause mortality (all Ps < 0.0001). Further analyses showed that drinking pattern, particularly drinks per drinking day, may account partially for the relation of hostility to mortality.
Conclusions:
High hostility is associated with elevated mortality and a deleterious drinking pattern characterized by relatively high intake per drinking occasion. Drinking pattern could help explain the relationships between hostility and health.
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