Abstract
Aims: To investigate the impact of alcohol exposure on tuberculosis (TB) development in Taiwanese adults. Design: Participants from the Taiwan National Health Interview Survey. Alcohol consumption and other covariates were collected by in-person interviews at baseline. Incident cases of active TB were identified from the National Health Insurance database. A multivariable Cox regression model was used to estimate the association between alcohol consumption and active TB, with adjustment for age, sex, smoking, socio-economic status and other covariates. Setting: Taiwan National Health Interview Survey. Participants: A total of 46 196 adult participants aged ≥ 18 years from three rounds (2001, 2005, 2009) of the Taiwan National Health Interview Survey. Measurements: Alcohol consumption was classified into never, social, regular or heavy alcohol use. Heavy alcohol consumption was defined as intoxication at least once/week. Findings: Of the 46 196 study subjects, 61.8, 24.2, 13.5 and 0.5% were classified as never, social, regular and heavy alcohol users, respectively. During the 398 443 person-years of follow-up, 279 (0.60%) subjects developed new-onset active TB. After adjusting for the subject demographics and comorbidities, heavy [hazard ratio (HR) = 5.27; 95% confidence interval (CI) = 2.51–11.09] and regular alcohol users (HR = 1.80; 95% CI = 1.32–2.45) had increased risks of incident TB compared to never users. Moreover, a positive trend between increasing levels of alcohol consumption and the risk of active TB was noted (P < 0.001). Conclusions: In Taiwan, heavy and regular alcohol consumption are associated with higher risks of active tuberculosis.
| Original language | English |
|---|---|
| Pages (from-to) | 2124-2131 |
| Number of pages | 8 |
| Journal | Addiction |
| Volume | 112 |
| Issue number | 12 |
| DOIs | |
| Publication status | Published - 2017 Dec 1 |
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All Science Journal Classification (ASJC) codes
- Medicine (miscellaneous)
- Psychiatry and Mental health
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Heavy alcohol consumption increases the risk of active tuberculosis in Taiwanese adults : a nation-wide population-based cohort study. / Yen, Yung Feng; Hu, Hsiao Yun; Lee, Ya Ling; Ku, Po-Wen; Chuang, Pei Hung; Lai, Yun Ju; Chu, Dachen.
In: Addiction, Vol. 112, No. 12, 01.12.2017, p. 2124-2131.Research output: Contribution to journal › Article
TY - JOUR
T1 - Heavy alcohol consumption increases the risk of active tuberculosis in Taiwanese adults
T2 - a nation-wide population-based cohort study
AU - Yen, Yung Feng
AU - Hu, Hsiao Yun
AU - Lee, Ya Ling
AU - Ku, Po-Wen
AU - Chuang, Pei Hung
AU - Lai, Yun Ju
AU - Chu, Dachen
PY - 2017/12/1
Y1 - 2017/12/1
N2 - Aims: To investigate the impact of alcohol exposure on tuberculosis (TB) development in Taiwanese adults. Design: Participants from the Taiwan National Health Interview Survey. Alcohol consumption and other covariates were collected by in-person interviews at baseline. Incident cases of active TB were identified from the National Health Insurance database. A multivariable Cox regression model was used to estimate the association between alcohol consumption and active TB, with adjustment for age, sex, smoking, socio-economic status and other covariates. Setting: Taiwan National Health Interview Survey. Participants: A total of 46 196 adult participants aged ≥ 18 years from three rounds (2001, 2005, 2009) of the Taiwan National Health Interview Survey. Measurements: Alcohol consumption was classified into never, social, regular or heavy alcohol use. Heavy alcohol consumption was defined as intoxication at least once/week. Findings: Of the 46 196 study subjects, 61.8, 24.2, 13.5 and 0.5% were classified as never, social, regular and heavy alcohol users, respectively. During the 398 443 person-years of follow-up, 279 (0.60%) subjects developed new-onset active TB. After adjusting for the subject demographics and comorbidities, heavy [hazard ratio (HR) = 5.27; 95% confidence interval (CI) = 2.51–11.09] and regular alcohol users (HR = 1.80; 95% CI = 1.32–2.45) had increased risks of incident TB compared to never users. Moreover, a positive trend between increasing levels of alcohol consumption and the risk of active TB was noted (P < 0.001). Conclusions: In Taiwan, heavy and regular alcohol consumption are associated with higher risks of active tuberculosis.
AB - Aims: To investigate the impact of alcohol exposure on tuberculosis (TB) development in Taiwanese adults. Design: Participants from the Taiwan National Health Interview Survey. Alcohol consumption and other covariates were collected by in-person interviews at baseline. Incident cases of active TB were identified from the National Health Insurance database. A multivariable Cox regression model was used to estimate the association between alcohol consumption and active TB, with adjustment for age, sex, smoking, socio-economic status and other covariates. Setting: Taiwan National Health Interview Survey. Participants: A total of 46 196 adult participants aged ≥ 18 years from three rounds (2001, 2005, 2009) of the Taiwan National Health Interview Survey. Measurements: Alcohol consumption was classified into never, social, regular or heavy alcohol use. Heavy alcohol consumption was defined as intoxication at least once/week. Findings: Of the 46 196 study subjects, 61.8, 24.2, 13.5 and 0.5% were classified as never, social, regular and heavy alcohol users, respectively. During the 398 443 person-years of follow-up, 279 (0.60%) subjects developed new-onset active TB. After adjusting for the subject demographics and comorbidities, heavy [hazard ratio (HR) = 5.27; 95% confidence interval (CI) = 2.51–11.09] and regular alcohol users (HR = 1.80; 95% CI = 1.32–2.45) had increased risks of incident TB compared to never users. Moreover, a positive trend between increasing levels of alcohol consumption and the risk of active TB was noted (P < 0.001). Conclusions: In Taiwan, heavy and regular alcohol consumption are associated with higher risks of active tuberculosis.
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U2 - 10.1111/add.13926
DO - 10.1111/add.13926
M3 - Article
C2 - 28667825
AN - SCOPUS:85027702350
VL - 112
SP - 2124
EP - 2131
JO - Addiction
JF - Addiction
SN - 0965-2140
IS - 12
ER -