This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Findings From the NHANES I Epidemiologic Follow-up Study

Robert F. Anda, MD, MS; David F. Williamson, PhD, MS; Patrick L. Remington, MD, MPH

JAMA. 1988;260(17):2529-2532.

Abstract
Use of alcohol is an important risk factor for fatal injuries. However, little information on the relationship between self-reported alcohol use and subsequent risk of fatal injury is available. Therefore, we examined the relationship between the usual number of drinks consumed per occasion and the incidence of fatal injuries in a cohort of US adults. Using data on self-reported alcohol use obtained from 13 251 adults who were included in the National Health and Nutrition Examination Survey Epidemiologic Follow-up Study (mean length of follow-up, 9.3 years), we calculated the incidence of fatal injury according to the usual number of drinks consumed per occasion. After we adjusted for the effects of age, sex, race, and education, persons who consumed five or more drinks per occasion were nearly twice as likely to die from injuries (relative risk, 1.9; 95% confidence interval, 1.0 to 3.5) than persons who drank fewer than five drinks per occasion. A dose-response relationship was observed between the usual number of drinks consumed per occasion and risk of fatal injury, with persons who reported drinking nine or more drinks per occasion being 3.3 times more likely to die from injuries (95% confidence interval, 1.3 to 8.3). These data demonstrate the impact of alcohol use on mortality from injuries in the United States and suggest that self-reported alcohol consumption is an important indicator of risk for fatal injury.

(JAMA 1988;260:2529-2532)

Author Affiliations
From the Division of Nutrition, Center for Health Promotion and Education, Centers for Disease Control, Atlanta.

Footnotes
Reprint requests to Division of Nutrition, Center for Health Promotion and Education, Centers for Disease Control, 1600 Clifton Road NE, Atlanta, GA 30333 (Dr Anda).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Intoxicated Motor Vehicle Passengers: An Overlooked At-Risk Population
Schermer et al.
Arch Surg 2001;136:1244-1248.
ABSTRACT | FULL TEXT  

Outpatient Management of Patients with Alcohol Problems
Fiellin et al.
ANN INTERN MED 2000;133:815-827.
ABSTRACT | FULL TEXT  

Brief Physician- and Nurse Practitioner-Delivered Counseling for High-Risk Drinkers: Does It Work?
Ockene et al.
Arch Intern Med 1999;159:2198-2205.
ABSTRACT | FULL TEXT  

Patients with Alcohol Problems
O'Connor and Schottenfeld
NEJM 1998;338:592-602.
FULL TEXT  

Provider Training for Patient-Centered Alcohol Counseling in a Primary Care Setting
Ockene et al.
Arch Intern Med 1997;157:2334-2341.
ABSTRACT  

Psychoactive Substance Use Disorders Among Seriously Injured Trauma Center Patients
Soderstrom et al.
JAMA 1997;277:1769-1774.
ABSTRACT  

Prospective Study of Moderate Alcohol Consumption and Mortality in US Male Physicians
Camargo et al.
Arch Intern Med 1997;157:79-85.
ABSTRACT  

Screening for Problem Drinking in Older Primary Care Patients
Adams et al.
JAMA 1996;276:1964-1967.
ABSTRACT  

Alcohol and Injury: A Case-Crossover Study
Vinson et al.
Arch Fam Med 1995;4:505-511.
ABSTRACT  

The Physician's Role in Preventing Alcohol-Related Injuries
Waller
JAMA 1988;260:2561-2562.
ABSTRACT