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March 2005, Vol 95, No. 3 | American Journal of Public Health 458-464
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2003.019471

RESEARCH AND PRACTICE

Longitudinal Patterns and Predictors of Alcohol Consumption in the United States

Alison A. Moore, MD, MPH, Robert Gould, PhD, David B. Reuben, MD, Gail A. Greendale, MD, M. Kallin Carter, MS, Kefei Zhou, MS and Arun Karlamangla, MD, PhD

At the time of the study, Alison A. Moore, David B. Reuben, Gail Greendale, Kefei Zhou, M. Kallin Carter, and Arun Karlamangla were with the David Geffen School of Medicine, Division of Geriatrics, University of California at Los Angeles. Robert Gould is with the Department of Statistics, University of California at Los Angeles.

Correspondence: Requests for reprints should be sent to Alison Moore, MD, MPH, David Geffen School of Medicine at UCLA, Division of Geriatrics, 10945 Le Conte Ave, Suite 2339, Los Angeles, CA 90095–1687 (e-mail: aamoore{at}mednet.ucla.edu).

Objectives. We examined demographic predictors of longitudinal patterns in alcohol consumption.

Methods. We used mixed-effects models to describe individual alcohol consumption and change in consumption with age, as well as the associations between consumption and birth year, national alcohol consumption, and demographic factors, among 14 105 adults from the National Health and Nutrition Examination Survey I Epidemiologic Follow-Up Study.

Results. Alcohol consumption declined with increasing age, and individual consumption mirrored national consumption. Higher consumption was associated with male gender, being White, being married, having a higher educational level, having a higher income, being employed, and being a smoker. Faster age-related decline in consumption was associated with earlier cohorts, being male, being married, having a lower educational level, and being a smoker.

Conclusions. Compared with alcohol consumption among earlier cohorts, that among recent cohorts declined more slowly with increasing age, suggesting that negative health effects of alcohol could increase in the future.




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