Alcohol consumption in 0.5 million people from 10 diverse regions of China: prevalence, patterns and socio-demographic and health-related correlates

Iona Y. Millwood; L. Li; Margaret Smith; Yongxian Guo; Ling Yang; Z Bian; Sarah Lewington; Gary Whitlock; Paul Sherliker; R Collins; J. Chen; Richard Peto; H. Wang; Jingsan Xu; Jing He; Min Yu; Huiyu Liu; Z. Chen; on behalf of the China Kadoorie Biobank collaborative group; L. Li; Z. Chen; J. Chen; R Collins; Fei Wu; Richard Peto; Zhengming Chen; Guy Lancaster; Xiaoming Yang; Andrew Williams; Margaret Smith; Ling Yang; Yu‐Ming Chang; Iona Y. Millwood; Yu‐Chun Chen; Qing Zhang; Sarah Lewington; Gary Whitlock; Yongxian Guo; Guangyao Zhao; Z Bian; Liang Wu; Chuan Hou; Zengchang Pang; Shaojie Wang; Ying Zhang; Kai Zhang; S. Liu; Zhen Zhao; S. Liu; Zengchang Pang; W. Feng; Shouling Wu; Ling Yang; Hongyu Han; Hua He; Xiong‐Fei Pan; Shaojie Wang; H. Wang; Xiaoning Hao; C. Chen; Shao Lin; X. Hu; Maigeng Zhou; Ming‐Hsun Wu; Yan Wang; Yangfan Hu; Li Ma; Rong Zhou; Gang Xu; Bi‐Cheng Dong; Nicola A. Chen; Yuelong Huang; Mingqiang Li; Jia Meng; Zhaoyu Gan; Jingsan Xu; Y. Liu; Xianping Wu; Yadong Gao; Nan Zhang; Ganfeng Luo; Xiao Bin Que; Xiaojun Chen; Peng Ge; Jing He; Xiaoyong Ren; Hao Zhang; Enqiang Mao; G. Li; Zhongyi Li; Jing He; Gang Liu; Bowen Zhu; Gan Zhou; Shuyi Feng; Yadong Gao; Tianhua He; Lulu Jiang; Jing Qin; Hongliang Sun; L. Liu; M. Yu; Yu‐Chun Chen; Zhidong Hu; Jihong Hu; Yanrong Qian; Zhigang Wu; Lingfei Chen; Wanqing Liu; G. Li; Huiyu Liu; Xiaoyan Long; Yaoyao Xiong; Zhi‐Yong Tan; Xiang Xie; Y. Peng

doi:10.1093/ije/dyt078

Alcohol consumption in 0.5 million people from 10 diverse regions of China: prevalence, patterns and socio-demographic and health-related correlates

Iona Y. Millwood(University of Oxford), L. Li(Centers for Disease Control and Prevention), Margaret Smith(Centers for Disease Control and Prevention), Yongxian Guo(Centers for Disease Control and Prevention), Ling Yang(Centers for Disease Control and Prevention), Z Bian(Centers for Disease Control and Prevention), Sarah Lewington(Centers for Disease Control and Prevention), Gary Whitlock(Centers for Disease Control and Prevention), Paul Sherliker(Centers for Disease Control and Prevention), R Collins(Centers for Disease Control and Prevention), J. Chen(Centers for Disease Control and Prevention), Richard Peto(Centers for Disease Control and Prevention), H. Wang(Centers for Disease Control and Prevention), Jingsan Xu(Centers for Disease Control and Prevention), Jing He(Centers for Disease Control and Prevention), Min Yu(Centers for Disease Control and Prevention), Huiyu Liu(Centers for Disease Control and Prevention), Z. Chen(Centers for Disease Control and Prevention), on behalf of the China Kadoorie Biobank collaborative group(Centers for Disease Control and Prevention), L. Li(Centers for Disease Control and Prevention), Z. Chen(Centers for Disease Control and Prevention), J. Chen(Centers for Disease Control and Prevention), R Collins, Fei Wu(Centers for Disease Control and Prevention), Richard Peto(Centers for Disease Control and Prevention), Zhengming Chen(Centers for Disease Control and Prevention), Guy Lancaster(Centers for Disease Control and Prevention), Xiaoming Yang, Andrew Williams(Centers for Disease Control and Prevention), Margaret Smith(Centers for Disease Control and Prevention), Ling Yang(Centers for Disease Control and Prevention), Yu‐Ming Chang(University of Oxford), Iona Y. Millwood(Centers for Disease Control and Prevention), Yu‐Chun Chen, Qing Zhang(Centers for Disease Control and Prevention), Sarah Lewington(Centers for Disease Control and Prevention), Gary Whitlock(Centers for Disease Control and Prevention), Yongxian Guo(Centers for Disease Control and Prevention), Guangyao Zhao(Centers for Disease Control and Prevention), Z Bian(Centers for Disease Control and Prevention), Liang Wu(Centers for Disease Control and Prevention), Chuan Hou(Centers for Disease Control and Prevention), Zengchang Pang(Centers for Disease Control and Prevention), Shaojie Wang(Centers for Disease Control and Prevention), Ying Zhang(Centers for Disease Control and Prevention), Kai Zhang(Centers for Disease Control and Prevention), S. Liu(Centers for Disease Control and Prevention), Zhen Zhao(Centers for Disease Control and Prevention), S. Liu(Centers for Disease Control and Prevention), Zengchang Pang(Centers for Disease Control and Prevention), W. Feng(Centers for Disease Control and Prevention), Shouling Wu(Centers for Disease Control and Prevention), Ling Yang(Centers for Disease Control and Prevention), Hongyu Han(Centers for Disease Control and Prevention), Hua He(Centers for Disease Control and Prevention), Xiong‐Fei Pan(Centers for Disease Control and Prevention), Shaojie Wang(Centers for Disease Control and Prevention), H. Wang(Centers for Disease Control and Prevention), Xiaoning Hao(Centers for Disease Control and Prevention), C. Chen(Centers for Disease Control and Prevention), Shao Lin(Centers for Disease Control and Prevention), X. Hu(Centers for Disease Control and Prevention), Maigeng Zhou(Centers for Disease Control and Prevention), Ming‐Hsun Wu(Centers for Disease Control and Prevention), Yan Wang(Centers for Disease Control and Prevention), Yangfan Hu(Centers for Disease Control and Prevention), Li Ma(Centers for Disease Control and Prevention), Rong Zhou(Centers for Disease Control and Prevention), Gang Xu(Centers for Disease Control and Prevention), Bi‐Cheng Dong(Centers for Disease Control and Prevention), Nicola A. Chen(Centers for Disease Control and Prevention), Yuelong Huang(Centers for Disease Control and Prevention), Mingqiang Li(Centers for Disease Control and Prevention), Jia Meng(Centers for Disease Control and Prevention), Zhaoyu Gan(Centers for Disease Control and Prevention), Jingsan Xu(Centers for Disease Control and Prevention), Y. Liu(Centers for Disease Control and Prevention), Xianping Wu(Centers for Disease Control and Prevention), Yadong Gao(Centers for Disease Control and Prevention), Nan Zhang(Centers for Disease Control and Prevention), Ganfeng Luo(Centers for Disease Control and Prevention), Xiao Bin Que(Centers for Disease Control and Prevention), Xiaojun Chen(Centers for Disease Control and Prevention), Peng Ge(Centers for Disease Control and Prevention), Jing He(Centers for Disease Control and Prevention), Xiaoyong Ren(Centers for Disease Control and Prevention), Hao Zhang(Centers for Disease Control and Prevention), Enqiang Mao(Centers for Disease Control and Prevention), G. Li(Centers for Disease Control and Prevention), Zhongyi Li(Centers for Disease Control and Prevention), Jing He(Centers for Disease Control and Prevention), Gang Liu(Centers for Disease Control and Prevention), Bowen Zhu(Centers for Disease Control and Prevention), Gan Zhou(Centers for Disease Control and Prevention), Shuyi Feng(Centers for Disease Control and Prevention), Yadong Gao(Centers for Disease Control and Prevention), Tianhua He(Centers for Disease Control and Prevention), Lulu Jiang(Centers for Disease Control and Prevention), Jing Qin(Centers for Disease Control and Prevention), Hongliang Sun(Centers for Disease Control and Prevention), L. Liu(Centers for Disease Control and Prevention), M. Yu(Centers for Disease Control and Prevention), Yu‐Chun Chen(Centers for Disease Control and Prevention), Zhidong Hu(Centers for Disease Control and Prevention), Jihong Hu(Centers for Disease Control and Prevention), Yanrong Qian(Centers for Disease Control and Prevention), Zhigang Wu(Centers for Disease Control and Prevention), Lingfei Chen(Centers for Disease Control and Prevention), Wanqing Liu(Centers for Disease Control and Prevention), G. Li(Centers for Disease Control and Prevention), Huiyu Liu(Centers for Disease Control and Prevention), Xiaoyan Long(Centers for Disease Control and Prevention), Yaoyao Xiong(Centers for Disease Control and Prevention), Zhi‐Yong Tan(Centers for Disease Control and Prevention), Xiang Xie(Centers for Disease Control and Prevention), Y. Peng

International Journal of Epidemiology

June 1, 2013

10.1093/ije/dyt078

Cited by 212Open Access

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Abstract

BACKGROUND: Drinking alcohol has a long tradition in Chinese culture. However, data on the prevalence and patterns of alcohol consumption in China, and its main correlates, are limited. METHODS: During 2004-08 the China Kadoorie Biobank recruited 512,891 men and women aged 30-79 years from 10 urban and rural areas of China. Detailed information on alcohol consumption was collected using a standardized questionnaire, and related to socio-demographic, physical and behavioural characteristics in men and women separately. RESULTS: Overall, 76% of men and 36% of women reported drinking some alcohol during the past 12 months, with 33% of men and 2% of women drinking at least weekly; the prevalence of weekly drinking in men varied from 7% to 51% across the 10 study areas. Mean consumption was 286 g/week and was higher in those with less education. Most weekly drinkers habitually drank spirits, although this varied by area, and beer consumption was highest among younger drinkers; 37% of male weekly drinkers (12% of all men) reported weekly heavy drinking episodes, with the prevalence highest in younger men. Drinking alcohol was positively correlated with regular smoking, blood pressure and heart rate. Among male weekly drinkers, each 20 g/day alcohol consumed was associated with 2 mmHg higher systolic blood pressure. Potential indicators of problem drinking were reported by 24% of male weekly drinkers. CONCLUSION: The prevalence and patterns of drinking in China differ greatly by age, sex and geographical region. Alcohol consumption is associated with a number of unfavourable health behaviours and characteristics.

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