Access to alcohol and heart disease among patients in hospital: Observational cohort study using differences in alcohol sales laws

Jonathan W. Dukes, Thomas Dewland, Eric Vittinghoff, Jeffrey E. Olgin, Mark J. Pletcher, Judith A. Hahn, Rachel A. Gladstone, Gregory M. Marcus

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective To investigate the relation between alcohol consumption and heart disease by using differences in county level alcohol sales laws as a natural experiment. Design Observational cohort study using differences in alcohol sales laws. Setting Hospital based healthcare encounters in Texas, USA. Population 1 106 968 patients aged 21 or older who were residents of "wet" (no alcohol restrictions) and "dry" (complete prohibition of alcohol sales) counties and admitted to hospital between 2005 and 2010, identified using the Texas Inpatient Research Data File. Outco me measures Prevalent and incident alcohol misuse and alcoholic liver disease were used for validation analyses. The main cardiovascular outcomes were atrial fibrillation, acute myocardial infarction, and congestive heart failure. Results Residents of wet counties had a greater prevalence and incidence of alcohol misuse and alcoholic liver disease. After multivariable adjustment, wet county residents had a greater prevalence (odds ratio 1.05, 95% confidence interval 1.01 to 1.09; P=0.007) and incidence (hazard ratio 1.07, 1.01 to 1.13; P=0.014) of atrial fibrillation, a lower prevalence (odds ratio 0.83, 0.79 to 0.87; P

Original languageEnglish (US)
Article numberi2714
JournalBMJ (Online)
Volume353
DOIs
StatePublished - 2016

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Observational Studies
Heart Diseases
Cohort Studies
Alcohols
Alcoholic Liver Diseases
Atrial Fibrillation
Odds Ratio
Social Adjustment
Information Storage and Retrieval
Incidence
Alcohol Drinking
Inpatients
Heart Failure
Myocardial Infarction
Confidence Intervals
Delivery of Health Care
Research
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Access to alcohol and heart disease among patients in hospital : Observational cohort study using differences in alcohol sales laws. / Dukes, Jonathan W.; Dewland, Thomas; Vittinghoff, Eric; Olgin, Jeffrey E.; Pletcher, Mark J.; Hahn, Judith A.; Gladstone, Rachel A.; Marcus, Gregory M.

In: BMJ (Online), Vol. 353, i2714, 2016.

Research output: Contribution to journalArticle

Dukes, Jonathan W. ; Dewland, Thomas ; Vittinghoff, Eric ; Olgin, Jeffrey E. ; Pletcher, Mark J. ; Hahn, Judith A. ; Gladstone, Rachel A. ; Marcus, Gregory M. / Access to alcohol and heart disease among patients in hospital : Observational cohort study using differences in alcohol sales laws. In: BMJ (Online). 2016 ; Vol. 353.
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