000277297 001__ 277297 000277297 005__ 20240229155013.0 000277297 0247_ $$2doi$$a10.1007/s10654-023-01022-3 000277297 0247_ $$2pmid$$apmid:37386255 000277297 0247_ $$2ISSN$$a0393-2990 000277297 0247_ $$2ISSN$$a1573-7284 000277297 0247_ $$2altmetric$$aaltmetric:150745066 000277297 037__ $$aDKFZ-2023-01326 000277297 041__ $$aEnglish 000277297 082__ $$a610 000277297 1001_ $$aDi Castelnuovo, Augusto$$b0 000277297 245__ $$aDrinking alcohol in moderation is associated with lower rate of all-cause mortality in individuals with higher rather than lower educational level: findings from the MORGAM project. 000277297 260__ $$aDordrecht [u.a.]$$bSpringer Science + Business Media B.V.$$c2023 000277297 3367_ $$2DRIVER$$aarticle 000277297 3367_ $$2DataCite$$aOutput Types/Journal article 000277297 3367_ $$0PUB:(DE-HGF)16$$2PUB:(DE-HGF)$$aJournal Article$$bjournal$$mjournal$$s1692081660_20940 000277297 3367_ $$2BibTeX$$aARTICLE 000277297 3367_ $$2ORCID$$aJOURNAL_ARTICLE 000277297 3367_ $$00$$2EndNote$$aJournal Article 000277297 500__ $$a2023 Aug;38(8):869-881 000277297 520__ $$aThe association between socioeconomic status (SES) and alcohol-related diseases has been widely explored. Less is known, however, on whether the association of moderate drinking with all-cause mortality is modified by educational level (EL). Using harmonized data from 16 cohorts in the MORGAM Project (N = 142,066) the association of pattern of alcohol intake with hazard of all-cause mortality across EL (lower = primary-school; middle = secondary-school; higher = university/college degree) was assessed using multivariable Cox-regression and spline curves. A total of 16,695 deaths occurred in 11.8 years (median). In comparison with life-long abstainers, participants drinking 0.1-10 g/d of ethanol had 13% (HR = 0.87; 95%CI: 0.74-1.02), 11% (HR = 0.89; 0.84-0.95) and 5% (HR = 0.95; 0.89-1.02) lower rate of death in higher, middle and lower EL, respectively. Conversely, drinkers > 20 g/d had 1% (HR = 1.01; 0.82-1.25), 10% (HR = 1.10; 1.02-1.19) and 17% (HR = 1.17; 1.09-1.26) higher rate of death. The association of alcohol consumption with all-cause mortality was nonlinear, with a different J-shape by EL levels. It was consistent across both sexes and in various approaches of measuring alcohol consumption, including combining quantity and frequency and it was more evident when the beverage of preference was wine. We observed that drinking in moderation (≤ 10 g/d) is associated with lower mortality rate more evidently in individuals with higher EL than in people with lower EL, while heavy drinking is associated with higher mortality rate more evidently in individuals with lower EL than in people with higher EL, suggesting that advice on reducing alcohol intake should especially target individuals of low EL. 000277297 536__ $$0G:(DE-HGF)POF4-313$$a313 - Krebsrisikofaktoren und Prävention (POF4-313)$$cPOF4-313$$fPOF IV$$x0 000277297 588__ $$aDataset connected to CrossRef, PubMed, , Journals: inrepo02.dkfz.de 000277297 650_7 $$2Other$$aAlcohol 000277297 650_7 $$2Other$$aAll-cause mortality 000277297 650_7 $$2Other$$aEducational levels 000277297 650_7 $$2Other$$aSocial status 000277297 7001_ $$aBonaccio, Marialaura$$b1 000277297 7001_ $$aCostanzo, Simona$$b2 000277297 7001_ $$aMcElduff, Patrick$$b3 000277297 7001_ $$aLinneberg, Allen$$b4 000277297 7001_ $$aSalomaa, Veikko$$b5 000277297 7001_ $$aMännistö, Satu$$b6 000277297 7001_ $$aFerrières, Jean$$b7 000277297 7001_ $$aDallongeville, Jean$$b8 000277297 7001_ $$aThorand, Barbara$$b9 000277297 7001_ $$0P:(DE-He78)90d5535ff896e70eed81f4a4f6f22ae2$$aBrenner, Hermann$$b10$$udkfz 000277297 7001_ $$aFerrario, Marco$$b11 000277297 7001_ $$aVeronesi, Giovanni$$b12 000277297 7001_ $$aTamosiunas, Abdonas$$b13 000277297 7001_ $$aGrimsgaard, Sameline$$b14 000277297 7001_ $$aDrygas, Wojciech$$b15 000277297 7001_ $$aMalyutina, Sofia$$b16 000277297 7001_ $$aSöderberg, Stefan$$b17 000277297 7001_ $$aNordendahl, Maria$$b18 000277297 7001_ $$aKee, Frank$$b19 000277297 7001_ $$aGrassi, Guido$$b20 000277297 7001_ $$aDabboura, Salim$$b21 000277297 7001_ $$aBorchini, Rossana$$b22 000277297 7001_ $$aWestermann, Dirk$$b23 000277297 7001_ $$aSchrage, Benedikt$$b24 000277297 7001_ $$aZeller, Tanja$$b25 000277297 7001_ $$aKuulasmaa, Kari$$b26 000277297 7001_ $$aBlankenberg, Stefan$$b27 000277297 7001_ $$aDonati, Maria Benedetta$$b28 000277297 7001_ $$00000-0003-0514-5885$$aIacoviello, Licia$$b29 000277297 7001_ $$aInvestigators, MORGAM Study$$b30$$eCollaboration Author 000277297 7001_ $$ade Gaetano, Giovanni$$b31 000277297 773__ $$0PERI:(DE-600)2004992-4$$a10.1007/s10654-023-01022-3$$n8$$p869-881$$tEuropean journal of epidemiology$$v38$$x0393-2990$$y2023 000277297 909CO $$ooai:inrepo02.dkfz.de:277297$$pVDB 000277297 9101_ $$0I:(DE-588b)2036810-0$$6P:(DE-He78)90d5535ff896e70eed81f4a4f6f22ae2$$aDeutsches Krebsforschungszentrum$$b10$$kDKFZ 000277297 9131_ $$0G:(DE-HGF)POF4-313$$1G:(DE-HGF)POF4-310$$2G:(DE-HGF)POF4-300$$3G:(DE-HGF)POF4$$4G:(DE-HGF)POF$$aDE-HGF$$bGesundheit$$lKrebsforschung$$vKrebsrisikofaktoren und Prävention$$x0 000277297 9141_ $$y2023 000277297 915__ $$0StatID:(DE-HGF)3002$$2StatID$$aDEAL Springer$$d2022-11-17$$wger 000277297 915__ $$0StatID:(DE-HGF)3002$$2StatID$$aDEAL Springer$$d2022-11-17$$wger 000277297 915__ $$0StatID:(DE-HGF)1190$$2StatID$$aDBCoverage$$bBiological Abstracts$$d2022-11-17 000277297 915__ $$0StatID:(DE-HGF)0113$$2StatID$$aWoS$$bScience Citation Index Expanded$$d2022-11-17 000277297 915__ $$0StatID:(DE-HGF)0160$$2StatID$$aDBCoverage$$bEssential Science Indicators$$d2022-11-17 000277297 915__ $$0StatID:(DE-HGF)0430$$2StatID$$aNational-Konsortium$$d2023-08-25$$wger 000277297 915__ $$0StatID:(DE-HGF)0100$$2StatID$$aJCR$$bEUR J EPIDEMIOL : 2022$$d2023-08-25 000277297 915__ $$0StatID:(DE-HGF)0200$$2StatID$$aDBCoverage$$bSCOPUS$$d2023-08-25 000277297 915__ $$0StatID:(DE-HGF)0300$$2StatID$$aDBCoverage$$bMedline$$d2023-08-25 000277297 915__ $$0StatID:(DE-HGF)0199$$2StatID$$aDBCoverage$$bClarivate Analytics Master Journal List$$d2023-08-25 000277297 915__ $$0StatID:(DE-HGF)1050$$2StatID$$aDBCoverage$$bBIOSIS Previews$$d2023-08-25 000277297 915__ $$0StatID:(DE-HGF)0150$$2StatID$$aDBCoverage$$bWeb of Science Core Collection$$d2023-08-25 000277297 915__ $$0StatID:(DE-HGF)1030$$2StatID$$aDBCoverage$$bCurrent Contents - Life Sciences$$d2023-08-25 000277297 915__ $$0StatID:(DE-HGF)1110$$2StatID$$aDBCoverage$$bCurrent Contents - Clinical Medicine$$d2023-08-25 000277297 915__ $$0StatID:(DE-HGF)9910$$2StatID$$aIF >= 10$$bEUR J EPIDEMIOL : 2022$$d2023-08-25 000277297 9201_ $$0I:(DE-He78)C070-20160331$$kC070$$lC070 Klinische Epidemiologie und Alternf.$$x0 000277297 9201_ $$0I:(DE-He78)C120-20160331$$kC120$$lPräventive Onkologie$$x1 000277297 980__ $$ajournal 000277297 980__ $$aVDB 000277297 980__ $$aI:(DE-He78)C070-20160331 000277297 980__ $$aI:(DE-He78)C120-20160331 000277297 980__ $$aUNRESTRICTED