
Vol. 24, No. 1-2, 2005
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Original Paper
Education Modifies the Effect of Alcohol on Memory Impairment: The Third National Health and Nutrition Examination Survey
Yuqing Zhanga, Timothy Heerenb, R. Curtis Ellisona
aSection of Preventive Medicine and Epidemiology, Evans Department of Medicine, School of Medicine, and bDepartment of Biostatistics, School of Public Health, Boston University, Boston, Mass., USA
Address of Corresponding Author
Neuroepidemiology 2005;24:63-69 (DOI: 10.1159/000081051)
Key Words
- Alcohol consumption
- Memory impairment
Abstract
We examined whether the relation of alcohol consumption to prevalence of verbal memory impairment was modified by education among 4,804 elderly subjects in the Third National Health and Nutrition Examination Survey. Verbal memory was assessed using delayed recall, with impairment defined as a combined score <4. Alcohol consumption over the previous month prior to the interview was assessed using a food frequency questionnaire. Prevalence of verbal memory impairment decreased from 11.3 to 7.2, 5.7, 5.1 and 4.4% in increasing categories of alcohol consumption (none, 1-4, 5-14, 15-30 and >30 drinks per month) in men, and from 7.2 to 3.5 and 2.8% (for none, 1-14, and >14 per month) in women, respectively. Adjusting for age, race, and other factors, prevalence ratios of verbal memory impairment decreased with each increasing alcohol category, but the effect was attenuated when further adjusted for education. There was a much stronger protection from alcohol among subjects with more education: prevalence ratios were reduced from 1.0 to 0.2 to 0.1 for non-drinkers, 1-14, and >14 drinks/month, respectively (p for trend = 0.007). Our results suggest that alcohol intake is associated with a greater decrease in the prevalence of verbal memory impairment among more educated subjects than among those with less education, possibly related to differences in drinking patterns. Copyright © 2005 S. Karger AG, Basel
Author Contacts
Yuqing Zhang, D.Sc. Room B-611, Boston University School of Medicine 715 Albany Street Boston, MA 02118 (USA) Tel. +1 617 638 8095, Fax +1 617 638 8076, E-Mail yuqing@bu.edu
Article Information
Published online: September 24, 2004
Number of Print Pages : 7
Number of Figures : 0, Number of Tables : 3, Number of References : 28 |
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