Alcohol use disorder and its association with quality of life and mortality in Chinese male adults: a population-based cohort study

We aimed to demonstrate the distribution of alcohol use disorder (AUD) in China and assess its association with quality of life and mortality. We studied 367 120 men aged 35-75 years from 31 provinces in the China Patient-Centered Evaluative Assessment of Cardiac Events (PEACE) Million Persons Proje...

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Bibliographic Details
Published in:BMC public health 2022-04, Vol.22 (1), p.789-789, Article 789
Main Authors: Lu, Jiapeng, Yang, Yang, Cui, Jianlan, Xu, Wei, Wu, Chaoqun, Li, Jing, Li, Xi
Format: Article
Language:English
Subjects:
Adult
Age
Alcohol Drinking - epidemiology
Alcohol use
Alcohol use disorder
Alcohol-related disorders
Alcoholism - diagnosis
Alcohols
Cancer
Cardiovascular diseases
Care and treatment
China - epidemiology
Cohort analysis
Cohort Studies
Diabetes
Diagnosis
Disease
Education
Family income
Female
Health aspects
Health insurance
Households
Humans
Hypertension
Male
Men
Mortality
Mortality risk
Population
Population studies
Population-based studies
Public health
Quality assessment
Quality of Life
Risk
Risk factors
Smoking
Social aspects
Sociodemographics
Statistical models
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Summary:We aimed to demonstrate the distribution of alcohol use disorder (AUD) in China and assess its association with quality of life and mortality. We studied 367 120 men aged 35-75 years from 31 provinces in the China Patient-Centered Evaluative Assessment of Cardiac Events (PEACE) Million Persons Project. At baseline, AUD was assessed by alcohol use disorders identification test score, and EQ-5D-3L questionnaire was used to measure the quality of life. Mortality data was collected via National Mortality Surveillance System and Vital Registration. Mixed models were fitted to assess the associations of AUD with quality of life, and Cox proportional hazard models were fitted for the associations with all-cause and cause-specific mortality. We identified 39 163 men with AUD, which accounted for 10.7% of male participants and 25.8% of male drinkers. In the multivariable analysis, male drinkers who were aged 45-54 years, with higher education level, currently smoking, obese, with diagnosed hypertension, and without diagnosed cardiovascular diseases had higher rates of AUD. Male drinkers with AUD were less likely to have optimal QOL compared with those without AUD (OR: 0.63, 95% CI: 0.61-0.65, P 
ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-022-13146-4