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    Alcohol intake and incidence of coronary disease in Australian Aborigines

    Access Status
    Open access via publisher
    Authors
    Burke, V.
    Lee, Andy
    Hunter, E.
    Spargo, R.
    Smith, R.
    Beilin, L.
    Puddey, I.
    Date
    2007
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Burke, Valerie and Lee, Andy and Hunter, E. and Spargo, R. and Smith, R. and Beilin, L. and Puddey, Ian. 2007. Alcohol intake and incidence of coronary disease in Australian Aborigines. Alcohol and Alcoholism. 42 (1): pp. 49-54.
    Source Title
    Alcohol & Alcoholism
    DOI
    10.1093/alcalc/agl102
    ISSN
    07350414
    Faculty
    Faculty of Health Sciences
    School of Public Health
    Remarks

    The definitive publisher-authenticated version has been published in Alcohol and Alcoholism, Volume 42, Number 1, pp. 49-54, November 2006; and is available online at: http://alcalc.oxfordjournals.org/cgi/content/abstract/42/1/49

    Copyright © 2006 Medical Council on Alcohol

    URI
    http://hdl.handle.net/20.500.11937/5975
    Collection
    • Curtin Research Publications
    Abstract

    Aims: To examine risk for coronary heart disease (CHD) and cardiovascular disease (CVD) in relation to alcohol in a cohort of Australian Aborigines. Methods: In 1988–1989, alcohol intake, drinking pattern, and beverage preference were elicited by interviewer-administered questionnaire in Western Australian Aborigines (258 men, 256 women) and cardiovascular outcomes ascertained through linkage to mortality and hospital admission records to 2002. Results: In proportional hazards models, risk for CHD, relative to lifetime abstainers, was significantly increased in ex-drinkers [Hazard ratio (HR) 2.29, 95% CL 1.23, 4.27], those drinking 41–60 g/day in men or 21–40 g/day in women (HR 2.80, 95% CL 1.04, 7.53), and those drinking >150 g/day for men or >100 g/day for women (HR 2.25, 95% CL 1.03, 4.90) with a J-shaped relationship. Low-to-moderate drinkers had lower waist girth, exercised more, and had a lower prevalence of overweight and smoking than at-risk drinkers. A preference for wine was associated with lower HR (0.28, 95% CL 0.10, 0.95). With CVD, only ex-drinkers showed significantly increased risk (HR 1.87, 95% CL 1.20, 2.91). Conclusions: More favourable health-related behaviours in low-to-moderate drinkers suggest that lower risk could be mediated by lifestyle, as proposed in other populations.

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    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.