Beverage‐specific alcohol consumption and cirrhosis mortality in a group of English‐speaking beer‐drinking countries
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Aims. To compare beverage‐specific per capita consumption and total alcohol consumption's associations with cirrhosis mortality rates in multiple countries. Design. Pooled cross‐sectional time‐series analysis. Setting. Australia, Canada, New Zealand, the United Kingdom and the United States during the years 1953‐1993. Measurements. National level data on per capita total alcohol, beer, wine and spirits consumption and standardized all‐cause cirrhosis mortality rates. Findings. Significant associations with cirrhosis mortality are found for both total ethanol and spirits. Spirits consumption is found to make up the majority of the effect of alcoholic beverage consumption on cirrhosis mortality and the model including only spirits is found to fit the data at least as well as the model including only total ethanol consumption. The lag relationship between all alcohol types and cirrhosis is found to be short with only present and 1 year's lagged consumption having significant associations. Conclusions. Spirits consumption rather than beer or wine is associated with cirrhosis mortality in this group of primarily beer‐drinking countries. This finding offers important clues to understanding the drinking behaviors associated with cirrhosis mortality on the individual level.
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Spirits consumption and binge drinking outside meals increase the risk of developing liver cirrhosis compared with other alcohol types and drinking patterns.
“These two behaviors have been shown to increase the risk of developing liver cirrhosis in comparison with other alcohol types and drinking patterns [65–67].”
From Liver cirrhosis mortality in 187 countries between 1980 and 2010: a systematic analysis (2014) · cites this paper as [66]
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- Authors
- Kerr, W. C., Fillmore, K. M., & Marvy, P.
- Affiliations
- University of California, San Francisco (US)
- ORCID
- Kerr, William C.
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2000-03
- Volume
- 95
- Issue
- 3
- Pages
- 339-346
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W2030107685
- Cited by
- 111
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 3 · 2021: 2 · 2020: 6 · 2019: 3 · 2018: 1 · 2017: 7 · 2016: 4 · 2015: 8 · 2014: 4 · 2013: 3 · 2012: 7
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01aa007034-13)
- National Institute on Alcohol Abuse and Alcoholism (KO1 AA00073, R01 AA07034)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
- Keywords
- cirrhosis mortality, alcohol consumption, spirits consumption, beer consumption, wine consumption, ethanol consumption, drinking behavior, cross-national comparison
- MeSH terms
- Adolescent, Adult, Aged, Alcohol Drinking, Alcoholic Beverages, Australia, Beer, Female, United Kingdom, Humans, Liver Cirrhosis, Alcoholic, Male, Middle Aged, New Zealand, United States, Wine
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