Résumé :
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[BDSP. Notice produite par INIST BR0x4z2b. Diffusion soumise à autorisation]. This cross-sectional analysis examined associations between alcohol intake and subjective health in a random sample (n=6,040) drawn from the general population aged 25-64 years in Finland in 1992. Self-reported health was good for 3,375 persons and average or poor (suboptimal) for 2,665 persons. Crude odds ratios suggested a U-shaped pattern between alcohol intake and suboptimal health. The pattern took more of a J-shape after data were controlled for sex, age, education, marital status, lack of close friends, being on a disability pension, smoking, being an ex-drinker, and having decreased one's alcohol intake during the past 12 months because of health problems. An interaction was found between alcohol and smoking. The pattern of alcohol odds ratios showed a J-shaped association among never smokers, and a similar pattern was suggested among ex-smokers and current smokers. Among never smokers, the lowest risk was found at the alcohol consumption level of 100-199 g/week (odds ratio (OR)=0.58,95% confidence interval (CI) 0.38-0.89). The highest risk was found among persons who regularly smoked 20 cigarettes per day and drank 300 g/week (OR=4.44,95% CI 2.36-8.36). The risk for ex-drinkers did not differ from that for lifelong abstainers (OR=0.89,95% CI 0.62-1.28), but persons who had decreased their alcohol intake during the past 12 months because of health problems had a higher risk (OR=1.21,95% CI 1.05-1.39). (...)
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