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Hostility, drinking pattern and mortality

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This study examined the association of hostility to drinking pattern and whether this association mediated the relation of hostility to mortality. Participants and design 

Subjects were 3326 current drinkers from the Vietnam Experience Study cohort who were followed for vital status. Setting 

United States. Measurements 

Hostility was measured by an abbreviated version of the Cook–Medley Hostility Scale (ACM). The alcohol variables were total monthly intake of alcohol, drinking frequency, drinks per drinking day and drinking ≥ 5 drinks on at least one occasion in the past month (i.e. heavy episodic drinking). Findings 

Regression analyses showed associations between the ACM and total monthly intake of alcohol (P < 0.0001), drinks per drinking day (P < 0.0001) and heavy episodic drinking (P < 0.0001), but not with frequency of drinking days. Hostility, drinks per drinking day, heavy episodic drinking and total monthly alcohol intake were also associated with all-cause mortality (all Ps < 0.0001). Further analyses showed that drinking pattern, particularly drinks per drinking day, may account partially for the relation of hostility to mortality. Conclusions 

High hostility is associated with elevated mortality and a deleterious drinking pattern characterized by relatively high intake per drinking occasion. Drinking pattern could help explain the relationships between hostility and health.
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Keywords: Drinking pattern; health effects; hostility; mortality; veterans

Document Type: Research Report

Affiliations: National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark and

Publication date: 01 January 2008

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