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Self-Reported Disability Type and Risk of Alcohol-Induced Death - A Longitudinal Study Using Nationally
Jonathan Aram1, Natalie Slopen2, Candace Cosgrove3
1Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, USA.
Substance Use & Misuse
|April 18, 2024
Summary
Adults with disabilities face a higher risk of alcohol-induced death, particularly those with complex activity, vision, or mobility limitations. Prevention strategies should target these high-risk groups for tailored interventions.
Area of Science:
- Public Health
- Epidemiology
- Disability Studies
Background:
- Disability is linked to alcohol misuse and drug overdose deaths.
- The association between disability and alcohol-induced death is understudied.
Purpose of the Study:
- To quantify the risk of alcohol-induced death among US adults with various types of disabilities.
- To identify specific disability types associated with elevated alcohol-induced mortality risk.
Main Methods:
- Analysis of a nationally representative longitudinal sample of US adults (Mortality Disparities in American Communities study, n=3,324,000).
- Mortality outcomes ascertained through the National Death Index from 2008 to 2019.
- Adjusted hazard ratios (aHRs) estimated for disability type and alcohol-induced death, controlling for covariates.
Main Results:
- 4000 alcohol-induced deaths occurred during 12 years of follow-up.
- Highest risks observed for complex activity limitation (aHR=1.7), vision limitation (aHR=1.6), and mobility limitation (aHR=1.4).
- Cognitive and hearing limitations showed smaller, non-significant associations with alcohol-induced death.
Conclusions:
- The risk of alcohol-induced death significantly varies by disability type.
- Prevention efforts should prioritize adults with complex activity, vision, mobility, or multiple limitations.
- Tailored interventions, including early alcohol use disorder treatment and improved access to opportunities, are recommended.
Keywords:
Alcohol drinkingdisabled personsepidemiologymortalitymortality disparities in American communities studyMore Related Videos
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