Aim: To examine the long-term predictors of persistence of risky drinking in a baseline group of risky drinkers in whom alcohol use disorder had not been diagnosed. Methods: The data was derived from a representative sample of the Finnish adult population aged 30 years or more, surveyed at 2 time points in the years 2000 (n = 5,726) and 2011 (n = 3,848, 67.2% of the baseline sample). Risky drinking was defined using BSQF-measurement (for men, 21 standard UK drinks or more per week; for women 14+ drinks) and not having alcohol abuse or alcohol dependence. The sample of risky drinkers in baseline comprised 642 persons, of whom 380 (59.2%) people provided follow-up data. Multivariable logistic regression models were estimated to identify determinants of persistence of risky drinking. Results: The rate for persistence of risky drinking was 48.7%. Persistence was predicted by daily smoking, low physical activity, and male gender, whereas higher age and later onset of drinking predicted cessation of risky drinking. Daily smoking remained an independent predictor after adjusting for other risk factors. Conclusions: Health behaviour predicts the persistence of risky drinking in a study population of adults aged 30 and over. These factors should be taken into account when assessing the long-term prognosis on risky drinking.

Rehm J, Imtiaz S: A narrative review of alcohol consumption as a risk factor for global burden of disease. Subst Abuse Treat Prev Policy 2016;11.
Sacks J, Gonzales K, Bouchery E, Tomedi L, Brewer R: 2010 National and State Costs of Excessive Alcohol Consumption. Am Jl Prev Med 2015;49:e73-e79.
Francesconi M, James J: The Cost of Binge Drinking. Bath Economics Research Papers No. 36/15, 2015.
Babor T, Grant M, Acuda W, et al: A randomised clinical trial of brief interventions in primary care: summary of a WHO project. Addiction 1994;89:657-660.
Kaner E, Dickinson H, Beyer F, Piena E, Schlesinger C, Campbell F, Saunders J, Burnand B, Heather N: The effectiveness of brief alcohol interventions in primary care settings: a systematic review. Drug Alcohol Rev 2009;28:301-323.
Schmidt C, Schulte B, Seo H, Kuhn S, O'Donnell A, Kriston L, Verthein U, Reimer J: Meta-analysis on the effectiveness of alcohol screening with brief interventions for patients in emergency care settings. Addiction 2016;111:783-794.
Babor T, Higgins-Biddle J: Alcohol screening and brief intervention: dissemination strategies for medical practice and public health. Addiction 2000;95:677-686.
Schnuerer I, Gaertner B, Baumann S, Rumpf H, John U, Hapke U, Freyer-Adam J: Psychiatric-medical comorbidity: gender-specific predictors of risky alcohol use among general hospital inpatients. General Hospital Psychiatry 2013;35:9-15.
Boschloo L, Vogelzangs N, van der Brink W, et al: Predictors of the 2-year recurrence and persistence of alcohol dependence. Addiction 2012;107:1590-1598.
Kuntsche E, Rehm J, Gmel G: Characteristics of binge drinkers in Europe. Soc Sci Med 2004;59:113-127.
Halme J, Seppä K, Alho H, et al: Hazardous drinking: prevalence and associations in the Finnish general population. Alcohol Clin Exp Res 2008;32:1615-1622.
Moore A, Gould R, Reuben D, et al: Longitudinal patterns and predictors of alcohol consumption in the United States. Am J Public Health 2005;95:458-465.
Britton A, Ben-Shlomo Y, Benzeval M, Kuh D, Bell S: Life course trajectories of alcohol consumption in the United Kingdom using longitudinal data from nine cohort studies. BMC Med 2015;13:47.
Virtanen P, Nummi T, Lintonen T, Westerlund H, HäggLöf B, Hammarström A: Mental health in adolescence as determinant of alcohol consumption trajectories in the Northern Swedish Cohort. Int J Public Health 2015;60:335-342.
Wellman R, Contreras G, Dugas E, O'Loughlin E, O'Loughlin J: Determinants of sustained binge drinking in young adults. Alcohol Clin Expl Res 2014;38:1409-1415.
Dawson D, Li TK, Grant B: A prospective study of risk drinking: at risk for what? Drug Alcohol Depend 2008;95:62-72.
Aromaa A, Koskinen S (eds): Health and Functional Capacity in Finland. Baseline Results of the Health 2000 Health Examination Survey. Helsinki, KTL - National Public Health Institute, 2004.
Lundqvist A, Mäki-Opas T (eds): Health 2011 Survey - Methods. THL Report 8/2016. Helsinki, The National Institute for Health and Welfare, 2016.
Lisha N, Martens M, Leventhal A: Age and gender as moderators of the relationship between physical activity and alcohol use. Addictive Behav 2011;36:933-936.
Holi M, Marttunen M, Aalberg V: Comparison of the GHQ-36, the GHQ-12 and the SCL-90 as psychiatric screening instruments in the Finnish population. Nord J Psychiatry 2003;57:233-238.
Beck A, Steer R, Garbin M: Psychometric properties of the Beck Depression Inventory twenty-five years of evaluation'. Clin Psych Rev 1988;8:77-100.
Moskalewicz J, Room R, Thom B (eds): Comparative Monitoring of Alcohol Epidemiology across the EU. Baseline Assessment and Suggestions for Future Action. Synthesis Report. Warsaw, PARPA - The State Agency for Prevention of Alcohol Related Problems, 2016.
Harrison E, Hinson R, McKee S: Experimenting and daily smokers: episodic patterns of alcohol and cigarette use. Addict Behav 2009;34:484-486.
Falk D, Yi H, Hiller-Sturmhöfel S: An epidemiologic analysis of co-occurring alcohol and tobacco use and disorders: findings from the National Epidemiologic Survey on Alcohol Related Conditions. Alcohol Res Health 2006;29:162-171.
McKee S, Weinberger A: How can we use our knowledge of alcohol-tobacco interactions to reduce alcohol use? Ann Rev Clin Psychol 2013;9:649-674.
Agudo A, Pera G, Rodriguez M, Quiros J, Navarro C, Martinez C, Larranaga N, Fernandez A, Dorronsoro M, Chirlaque M, Berenguer A, Barricarte A, Ardanaz E, Amiano P, Tormo M, Gonzalez C: Changes in smoking habits in adults: results from a prospective study in Spain. Ann Epidemiol 2004;14:235-243.
Mackenbach J, Kulhánová I, Bopp M, Borrell C, Deboosere P, Kovács K, et al: Inequalities in Alcohol-Related Mortality in 17 European Countries: a Retrospective Analysis of Mortality Registers. PLoS Med 2015;12: e1001909.
Caldwell T, Rodgers B, Clark C, Jefferis B, Stansfeld S, Power C: Lifecourse socioeconomic predictors of midlife drinking patterns, problems and abstention: findings from the 1958 British Birth Cohort Study. Drug Alcohol Depend 2008;95:269-278.
Mäkelä P, Paljärvi T: Do consequences of a given pattern of drinking vary by socioeconomic status? A mortality and hospitalisation follow-up for alcohol-related causes of the Finnish Drinking Habits Surveys. J Epidemiol Commun Health 2008;62:728-733.
Paljärvi T, Suominen S, Car J, Koskenvuo M: Socioeconomic disadvantage and indicators of risky alcohol-drinking patterns. Alcohol Alcohol 2013;48:207-214.
Popovici I, French M: Does unemployment lead to greater alcohol consumption? Ind Relat 2013;52:444-466.
French M, Popovici I, Maclean J: Do alcohol consumers exercise more? Findings from a national survey. Am J Health Promot 2009;24:2-10.
Musselman J, Rutledge P: The incongruous alcohol-activity association: physical activity and alcohol consumption in college students. Psychol Sport Exercise 2011;11:609-618.
Little, H: Behavioral mechanisms underlying the link between smoking and drinking. Alcohol Res Health 2000;24:215-224.
Hurt R, Eberman K, Croghan I, et al: Nicotine dependence treatment during inpatient treatment for other addictions: a prospective intervention trial. Alcohol Clin Exp Res 1994;18:867-872.
Joseph A, Nichol K, Anderson H: Effect of treatment for nicotine dependence on alcohol and drug treatment outcomes. Addictive Behav 1993;18:635-644.
McKee S, Falba T, OʼMalley S, Sindelar J, O'Connor P: Smoking status is a clinical indicator for alcohol misuse in US adults. Arch Intern Med 2007;167:716-721.
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