title: Alcohol consumption and self-reported (SF12) physical and mental health among working-aged men in a typical Russian city: a cross-sectional study.
abstract: OBJECTIVE
  To investigate the association between patterns of alcohol consumption and self-reported physical and mental health in a population with a high prevalence of hazardous drinking.
  
  
  METHODS
  Cross-sectional study of an age-stratified random sample of a population register. SETTING : The city of Izhevsk, The Russian Federation, 2008-09.
  
  
  METHODS
  A total of 1031 men aged 25-60 years (68% response rate). MEASUREMENTS : Self-reported health was evaluated with the SF12 physical (PCS) and mental (MCS) component summaries. Measures of hazardous drinking (based on frequency of adverse effects of alcohol intake including hangover, excessive drunkenness and extended episodes of intoxication lasting 2 or more days) were used in addition to frequency of alcohol consumption and total volume of beverage ethanol per year. Information on smoking and socio-demographic factors were obtained. FINDINGS : Compared with abstainers, those drinking 10-19 litres of beverage ethanol per year had a PCS score 2.66 [95% confidence interval (CI) = 0.76; 4.56] higher. Hazardous beverage drinking was associated with a lower PCS score [mean diff: -2.95 (95% CI = -5.28; -0.62)] and even more strongly with a lower MCS score [mean diff: -4.29 (95% CI = -6.87; -1.70)] compared to non-hazardous drinkers, with frequent non-beverage alcohol drinking being associated with a particularly low MCS score [-7.23 (95% CI = -11.16; -3.29)]. Adjustment for smoking and socio-demographic factors attenuated these associations slightly, but the same patterns persisted. Adjustment for employment status attenuated the associations with PCS considerably. CONCLUSION : Among working-aged male adults in Russia, hazardous patterns of alcohol drinking are associated with poorer self-reported physical health, and even more strongly with poorer self-reported mental health. Physical health appears to be lower in those reporting complete abstinence from alcohol compared with those drinking 10-19 litres per year.
authors.affiliation: Department of Public Health, The University of Copenhagen, Copenhagen, Denmark.
authors.forename: Agnete S
authors.initials: AS
authors.lastname: Dissing
authors.forename: Artyom
authors.initials: A
authors.lastname: Gil
authors.forename: Katherine
authors.initials: K
authors.lastname: Keenan
authors.forename: Jim
authors.initials: J
authors.lastname: McCambridge
authors.forename: Martin
authors.initials: M
authors.lastname: McKee
authors.forename: Alexey
authors.initials: A
authors.lastname: Oralov
authors.forename: Lyudmila
authors.initials: L
authors.lastname: Saburova
authors.forename: David A
authors.initials: DA
authors.lastname: Leon
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000453:epidemiology*; D000434:Alcoholic Beverages / Q000009:adverse effects / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D006304:Health Status; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D012426:Russia / Q000453:epidemiology; D057566:Self Report; D012907:Smoking / Q000453:epidemiology; D012959:Socioeconomic Factors
keywords: Alcohol; Russia; SF12; mental health; physical health; quality of life; self-reported health