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Alcohol-drinking history and fatal injury in older adults.

Authors
Sorock-GS; Chen-LH; Gonzalgo-SR; Baker-SP
Source
Alcohol 2006 Nov; 40(3):193-199
NIOSHTIC No.
20037870
Abstract
Although most clinical guidelines for older adults allow for one drink a day in persons without a history of alcoholism, diabetes, or cardiovascular disease, alcohol may contribute to fatal injury in the elderly. Using two national surveys, this case-control study determined the associations between drinking history and fatal injuries from falls, motor vehicle crashes and suicides. We performed a case-control study using 1,735 cases who died of falls, motor vehicle crashes, or suicides selected from the 1993 National Mortality Follow-Back Survey; controls (n=13,381) were a representative sample of the U.S. population from the 1992 National Longitudinal Alcohol Epidemiologic Survey. Cases and controls were restricted to ages 55 years and older. Having 12 or more drinks in the year before death or interview for the controls was used to assess alcohol-drinking history. The unadjusted relative odds for drinkers versus nondrinkers for falls, motor vehicle crashes, and suicides were 1.7, 1.7, and 1.6, respectively. Adjustment for age, gender, marital status, education, and working in the last year did not change these effect estimates, which all excluded the null value. Drinking increased the risk of suicide more for women than for men. Drinking history in older adults is associated about equally with an increased risk of fatal injury from falls, motor vehicle crashes, and suicides.
Keywords
Age-groups; Age-factors; Humans; Men; Women; Risk-analysis; Risk-factors; Accidents; Alcoholic-beverages; Injuries; Author Keywords: Injury; Alcohol; Elderly; Fatal
Contact
Gary S. Sorock, Geriatric Research Services, 312 Central Avenue Glyndon, MD 21071, USA
CODEN
ALCOEX
Publication Date
20061101
Document Type
Journal Article
Email Address
gsorock@jhsph.edu
Funding Type
Grant
Fiscal Year
2007
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T42-OH-008428
Issue of Publication
3
ISSN
0741-8329
Source Name
Alcohol
State
MD
Performing Organization
Johns Hopkins University
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