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Changes in drinking habits in middle-aged British men.

G Wannamethee, A G Shaper

    The Journal of the Royal College of General Practitioners
    |October 1, 1988
    PubMed
    Summary

    Heavy drinkers tend to reduce alcohol intake over time, especially after illness diagnosis. Ex-drinkers show higher disease rates, so they shouldn

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    Area of Science:

    • Epidemiology
    • Public Health
    • Behavioral Science

    Background:

    • Understanding long-term alcohol consumption patterns is crucial for public health.
    • Previous studies often used non-drinkers as a baseline, potentially introducing bias.

    Purpose of the Study:

    • To investigate changes in alcohol consumption over five years in middle-aged men.
    • To examine the influence of health status and occupational class on drinking behavior changes.
    • To assess the health outcomes of non-drinkers and ex-drinkers compared to current drinkers.

    Main Methods:

    • Longitudinal study of 7735 middle-aged men in British general practices (1978-80 and 1983-85).
    • Data collection on drinking habits, occupational class, and diagnosed illnesses, including ischaemic heart disease.
    • Comparison of illness rates between drinkers, non-drinkers, and ex-drinkers.

    Main Results:

    • Heavier initial drinkers were more likely to reduce consumption.
    • Manual workers showed a greater tendency to decrease drinking than non-manual workers.
    • Men diagnosed with ischaemic heart disease or acquiring multiple illnesses were more likely to reduce alcohol intake.
    • Non-drinkers and ex-drinkers exhibited higher rates of diagnosed illnesses, particularly cardiovascular issues, compared to drinkers.

    Conclusions:

    • Moderate to heavy drinkers often reduce or cease drinking, especially after illness diagnosis.
    • Non-drinkers and ex-drinkers represent a group with higher morbidity and should not be used as a baseline in alcohol-disease studies.
    • Health status significantly influences alcohol consumption changes over time.

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