Evidence map›Paper›PMID 30281161›Full record

ArticleAlcoholism, clinical and experimental research2018

Daily Drinking Is Associated with Increased Mortality.

Sarah M Hartz, Mary Oehlert, A C Horton, Richard A Grucza, Sherri L Fisher, Robert C Culverhouse, Karl G Nelson, Scott W Sumerall, Paul C Neal, Patrice Regnier and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Sarah M HartzDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-5429-3799
Mary OehlertVA Eastern Kansas Health Care System, Leavenworth, Kansas.
A C HortonDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.
Richard A GruczaDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.
Sherri L FisherDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.
Robert C CulverhouseDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Karl G NelsonFargo VA Health Care System, Fargo, North Dakota.
Scott W SumerallVA Eastern Kansas Health Care System, Leavenworth, Kansas.
Paul C NealVA Eastern Kansas Health Care System, Leavenworth, Kansas.
Patrice RegnierVA Eastern Kansas Health Care System, Leavenworth, Kansas.
Guoqing ChenDepartment of Internal Medicine, The University of Kansas Medical Center, Kansas City, Kansas.
Alexander WilliamsDepartment of Internal Medicine, The University of Kansas Medical Center, Kansas City, Kansas.
Jagriti BhattaraiVA Eastern Kansas Health Care System, Leavenworth, Kansas.
Bradley EvanoffDepartment of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Laura J BierutDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri.
Washington University in St. Louis · USVA Eastern Kansas Health Care System · USUniversity of Kansas Medical Center · USFargo VA Health Care System · US

Funding

Subject CollectionU10AA008401 · NIAAA · SUNY DOWNSTATE MEDICAL CENTER · PI JESSICA E SALVATORE · 1989 to 2026
$162.7M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Nicotine Dependence to Smoking Cessation: Sequencing Common and Rare VariantsR01DA036583 · NIDA · WASHINGTON UNIVERSITY · PI BIERUT, LAURA J. · 2014 to 2017
$3.0M
Novel Use of Gwas for Improved Understanding of Nicotine DependenceK08DA032680 · NIDA · WASHINGTON UNIVERSITY · PI HARTZ, SARAH · 2012 to 2016
$687k
SMOKING, SUICIDE AND MENTAL HEALTH: USING POLICY CHANGE TO PROBE CAUSALITYR01DA042195 · NIDA · WASHINGTON UNIVERSITY · PI GRUCZA, RICHARD A · 2016 to 2018
$676k
AN EXAMINATION OF AGE-RELATED DISPARITIES IN MEDICATION ASSISTED TREATMENT AND ASSOCIATED OUTCOMESR21DA044744 · NIDA · WASHINGTON UNIVERSITY · PI BIERUT, LAURA J. · 2017 to 2018
$419k
DEVELOPING STRATEGIES FOR JOINT GENE-ENVIRONMENT ANALYSISR21DA033827 · NIDA · WASHINGTON UNIVERSITY · PI CULVERHOUSE, ROBERT C · 2011 to 2012
$418k
THE SHARED GENETICS OF ALCOHOL-RELATED DISORDERS AND SCHIZOPHRENIAR21AA024888 · NIAAA · WASHINGTON UNIVERSITY · PI HARTZ, SARAH · 2017 to 2018
$417k
USING TEMPORAL VARIATION IN RISK BEHAVIOR TO UNDERSTAND TRENDS IN ADOLESCENT ALCOHOL MISUSER21AA025689 · NIAAA · WASHINGTON UNIVERSITY · PI GRUCZA, RICHARD A · 2018 to 2019
$416k
Doris Duke Charitable Foundation 2015215NCATS NIH HHS UL1 TR002345NCRR NIH HHS UL1 RR024992NIAAA NIH HHS R21 AA024888NIAAA NIH HHS R21 AA025689NIAAA NIH HHS U10 AA008401NIDA NIH HHS K08 DA032680NIDA NIH HHS R01 DA036583NIDA NIH HHS R01 DA042195NIDA NIH HHS R21 DA033827NIDA NIH HHS R21 DA044744NIH HHS R01DA036583NIH HHS R01DA042195
6 · The paper itself

Abstract

backgroundThere is evidence that low-level alcohol use, drinking 1 to 2 drinks on occasion, is protective for cardiovascular disease, but increases the risk of cancer. Synthesizing the overall impact of low-level alcohol use on health is therefore complex. The objective of this paper was to examine the association between frequency of low-level drinking and mortality.

methodsTwo data sets with self-reported alcohol use and mortality follow-up were analyzed: 340,668 individuals from the National Health Interview Survey (NHIS) and 93,653 individuals from the Veterans Health Administration (VA) outpatient medical records. Survival analyses were conducted to evaluate the association between low-level drinking frequency and mortality.

resultsThe minimum risk drinking frequency among those who drink 1 to 2 drinks per occasion was found to be 3.2 times weekly in the NHIS data, based on a continuous measure of drinking frequency, and 2 to 3 times weekly in the VA data. Relative to these individuals with minimum risk, individuals who drink 7 times weekly had an adjusted hazard ratio (HR) of all-cause mortality of 1.23 (p < 0.0001) in the NHIS data, and individuals who drink 4 to 7 times weekly in the VA data also had an adjusted HR of 1.23 (p = 0.01). Secondary analyses in the NHIS data showed that the minimum risk was drinking 4 times weekly for cardiovascular mortality, and drinking monthly or less for cancer mortality. The associations were consistent in stratified analyses of men, women, and never smokers.

conclusionsThe minimum risk of low-level drinking frequency for all-cause mortality appears to be approximately 3 occasions weekly. The robustness of this finding is highlighted in 2 distinctly different data sets: a large epidemiological data set and a data set of veterans sampled from an outpatient clinic. Daily drinking, even at low levels, is detrimental to one's health.

Indexed as

Alcohol DrinkingCardiovascular DiseasesFemaleHumansMaleMiddle AgedNeoplasmsSmokingSocioeconomic FactorsSurvival AnalysisUnited StatesUnited States Department of Veterans AffairsAlcohol UseCancer MortalityCardiovascular MortalityMortality

Identifiers

PMID30281161
PMCPMC6214719
OpenAlexW2894862612

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.