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American Journal of Epidemiology Vol. 133, No. 8: 810-817
Copyright © 1991 by The Johns Hopkins University School of Hygiene and Public Health

research-article

The Assessment of Alcohol Consumption by a Simple Self-administered Questionnaire

Edward Glovannucci1,2,, Graham Colditz1, Meir J. Stampfer1,2, Eric B. Rimm2, Lisa Litin2, Laura Sampson1 and Walter C. Willett1,2,3

1Channing Laboratory, Department of Medicine, Bngharn and Women's Hospital and Harvard University Medical School Boston, MA.
2Department of Epidemiology, Harvard University School of Public Health Boston, MA.
3Department of Nutrition, Harvard University School of Public Health Boston, MA.

Address reprint requests to Dr. Edward Giovannucci, Department of Epidemiology, Harvard University School of Public Health, 677 Huntington Avenue, Boston, MA 02115.

The authors evaluated the reproducibility and validity of alcohol consumption measured by a mailed, self-administered questionnaire in two large prospective studies. Subsamples of 173 women and 136 men from these cohorts completed two food-frequency questionnaires and multiple 1-week diet records (four for women and two for men) and provided a fasting blood sample. Intakes of alcohol reported over the previous year by food frequency questionnaire 2 correlated highly with intake assessed by multiple week diet records completed over this period (Spearman r = 0.90 in women and 0.86 in men). Mean daily alcohol intake as assessed by the diet records and the questionnaires was very similar. Serum high density lipoprotein cholesterol levels were significantly correlated with alcohol intakes estimated from the questionnaire (r = 0.40 in women and 0.35 in men) and for the diet records (r = 0.33 in women and 0.38 in men). Four years after completing the diet records, women were asked to report their alcohol intake of 4 years earlier; this estimate was highly correlated with the diet records (r = 0.84) and with the earlier high density lipoprotein cholesterol (r = 0.40). These data suggest that a simple self-administered questionnaire can provide useful estimates of alcohol intake over an extended period of time in subjects participating in prospective epidemiologic studies. Am J Epidemiol1991 ;133:810–17.

alcohol drinking; epidemiologic methods; lipoproteins; HDL cholesterol; prospective studies


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E. Lopez-Garcia, M. B. Schulze, J. E. Manson, J. B. Meigs, C. M. Albert, N. Rifai, W. C. Willett, and F. B. Hu
Consumption of (n-3) Fatty Acids Is Related to Plasma Biomarkers of Inflammation and Endothelial Activation in Women
J. Nutr., July 1, 2004; 134(7): 1806 - 1811.
[Abstract] [Full Text]

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 J Am Coll CardiolHome page
D. Aguilar, H. Skali, L. A. Moye, E. F. Lewis, J. M. Gaziano, J. D. Rutherford, L. H. Hartley, O. S. Randall, E. M. Geltman, G. A. Lamas, et al.
Alcohol consumption and prognosis in patients with left ventricular systolic dysfunction after a myocardial infarction
J. Am. Coll. Cardiol., June 2, 2004; 43(11): 2015 - 2021.
[Abstract] [Full Text] [PDF]

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 ANN INTERN MEDHome page
E. Cho, S. A. Smith-Warner, J. Ritz, P. A. van den Brandt, G. A. Colditz, A. R. Folsom, J. L. Freudenheim, E. Giovannucci, R. A. Goldbohm, S. Graham, et al.
Alcohol Intake and Colorectal Cancer: A Pooled Analysis of 8 Cohort Studies
Ann Intern Med, April 20, 2004; 140(8): 603 - 613.
[Abstract] [Full Text] [PDF]

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 JAMAHome page
T. Pischon, C. J. Girman, G. S. Hotamisligil, N. Rifai, F. B. Hu, and E. B. Rimm
Plasma Adiponectin Levels and Risk of Myocardial Infarction in Men
JAMA, April 14, 2004; 291(14): 1730 - 1737.
[Abstract] [Full Text] [PDF]

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 JAMAHome page
M. F. Leitzmann, E. A. Platz, M. J. Stampfer, W. C. Willett, and E. Giovannucci
Ejaculation Frequency and Subsequent Risk of Prostate Cancer
JAMA, April 7, 2004; 291(13): 1578 - 1586.
[Abstract] [Full Text] [PDF]

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 Arch Intern MedHome page
M. K. Malinski, H. D. Sesso, F. Lopez-Jimenez, J. E. Buring, and J. M. Gaziano
Alcohol Consumption and Cardiovascular Disease Mortality in Hypertensive Men
Arch Intern Med, March 22, 2004; 164(6): 623 - 628.
[Abstract] [Full Text] [PDF]

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 Am J EpidemiolHome page
E. A. Platz, M. F. Leitzmann, E. B. Rimm, W. C. Willett, and E. Giovannucci
Alcohol Intake, Drinking Patterns, and Risk of Prostate Cancer in a Large Prospective Cohort Study
Am. J. Epidemiol., March 1, 2004; 159(5): 444 - 453.
[Abstract] [Full Text] [PDF]

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 JDRHome page
K.J. Joshipura, H.C. Wand, A.T. Merchant, and E.B. Rimm
Periodontal Disease and Biomarkers Related to Cardiovascular Disease
Journal of Dental Research, February 1, 2004; 83(2): 151 - 155.
[Abstract] [Full Text] [PDF]

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 Arterioscler. Thromb. Vasc. Bio.Home page
K. J. Mukamal, R. A. Kronmal, M. A. Mittleman, D. H. O'Leary, J. F. Polak, M. Cushman, and D. S. Siscovick
Alcohol Consumption and Carotid Atherosclerosis in Older Adults: The Cardiovascular Health Study
Arterioscler Thromb Vasc Biol, December 1, 2003; 23(12): 2252 - 2259.
[Abstract] [Full Text] [PDF]

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 Cancer Epidemiol. Biomarkers Prev.Home page
S. M. Zhang, W. C. Willett, J. Selhub, J. E. Manson, G. A. Colditz, and S. E. Hankinson
A Prospective Study of Plasma Total Cysteine and Risk of Breast Cancer
Cancer Epidemiol. Biomarkers Prev., November 1, 2003; 12(11): 1188 - 1193.
[Abstract] [Full Text]

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 Am J EpidemiolHome page
K. Yoshizawa, A. Ascherio, J. S. Morris, M. J. Stampfer, E. Giovannucci, C. K. Baskett, W. C. Willett, and E. B. Rimm
Prospective Study of Selenium Levels in Toenails and Risk of Coronary Heart Disease in Men
Am. J. Epidemiol., November 1, 2003; 158(9): 852 - 860.
[Abstract] [Full Text] [PDF]

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 Am. J. Clin. Nutr.Home page
P. Koh-Banerjee, N.-F. Chu, D. Spiegelman, B. Rosner, G. Colditz, W. Willett, and E. Rimm
Prospective study of the association of changes in dietary intake, physical activity, alcohol consumption, and smoking with 9-y gain in waist circumference among 16 587 US men
Am. J. Clinical Nutrition, October 1, 2003; 78(4): 719 - 727.
[Abstract] [Full Text] [PDF]

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 ANN INTERN MEDHome page
C. G. Bacon, M. A. Mittleman, I. Kawachi, E. Giovannucci, D. B. Glasser, and E. B. Rimm
Sexual Function in Men Older Than 50 Years of Age: Results from the Health Professionals Follow-up Study
Ann Intern Med, August 5, 2003; 139(3): 161 - 168.
[Abstract] [Full Text] [PDF]

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 Am. J. Clin. Nutr.Home page
M. F Leitzmann, C.-J. Tsai, M. J Stampfer, E. B Rimm, G. A Colditz, W. C Willett, and E. L Giovannucci
Alcohol consumption in relation to risk of cholecystectomy in women
Am. J. Clinical Nutrition, August 1, 2003; 78(2): 339 - 347.
[Abstract] [Full Text] [PDF]

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 Nephrol Dial TransplantHome page
E. L. Knight, M. J. Stampfer, E. B. Rimm, S. E. Hankinson, and G. C. Curhan
Moderate alcohol intake and renal function decline in women: a prospective study
Nephrol. Dial. Transplant., August 1, 2003; 18(8): 1549 - 1554.
[Abstract] [Full Text] [PDF]

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 Nephrol Dial TransplantHome page
E. L. Knight, M. J. Stampfer, E. B. Rimm, S. E. Hankinson, and G. C. Curhan
Moderate alcohol intake and renal function decline in women: a prospective study
Nephrol. Dial. Transplant., August 1, 2003; 18(88): 1549 - 1554.
[Abstract] [Full Text]

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 JDRHome page
W. Pitiphat, A.T. Merchant, E.B. Rimm, and K.J. Joshipura
Alcohol Consumption Increases Periodontitis Risk
Journal of Dental Research, July 1, 2003; 82(7): 509 - 513.
[Abstract] [Full Text] [PDF]

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 Arch Intern MedHome page
S. G. Wannamethee, C. A. Camargo Jr, J. E. Manson, W. C. Willett, and E. B. Rimm
Alcohol Drinking Patterns and Risk of Type 2 Diabetes Mellitus Among Younger Women
Arch Intern Med, June 9, 2003; 163(11): 1329 - 1336.
[Abstract] [Full Text] [PDF]

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 J. Am. Coll. Nutr.Home page
K. A. Meyer, K. M. Conigrave, N.-F. Chu, N. Rifai, D. Spiegelman, M. J. Stampfer, and E. B. Rimm
Alcohol Consumption Patterns and HbA1c, C-Peptide and Insulin Concentrations in Men
J. Am. Coll. Nutr., June 1, 2003; 22(3): 185 - 194.
[Abstract] [Full Text] [PDF]

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 Arch Intern MedHome page
V. A. Jackson, H. D. Sesso, J. E. Buring, and J. M. Gaziano
Alcohol Consumption and Mortality in Men With Preexisting Cerebrovascular Disease
Arch Intern Med, May 26, 2003; 163(10): 1189 - 1193.
[Abstract] [Full Text] [PDF]

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 JAMAHome page
K. J. Mukamal, L. H. Kuller, A. L. Fitzpatrick, W. T. Longstreth Jr, M. A. Mittleman, and D. S. Siscovick
Prospective Study of Alcohol Consumption and Risk of Dementia in Older Adults
JAMA, March 19, 2003; 289(11): 1405 - 1413.
[Abstract] [Full Text] [PDF]

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 JNCI J Natl Cancer InstHome page
S. M. Zhang, W. C. Willett, J. Selhub, D. J. Hunter, E. L. Giovannucci, M. D. Holmes, G. A. Colditz, and S. E. Hankinson
Plasma Folate, Vitamin B6, Vitamin B12, Homocysteine, and Risk of Breast Cancer
J Natl Cancer Inst, March 5, 2003; 95(5): 373 - 380.
[Abstract] [Full Text] [PDF]

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 StrokeHome page
P. Risley, P. Jerrard-Dunne, M. Sitzer, A. Buehler, S. von Kegler, and H. S. Markus
Promoter Polymorphism in the Endotoxin Receptor (CD14) Is Associated With Increased Carotid Atherosclerosis Only in Smokers: The Carotid Atherosclerosis Progression Study (CAPS)
Stroke, March 1, 2003; 34(3): 600 - 604.
[Abstract] [Full Text] [PDF]

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 StrokeHome page
P. Jerrard-Dunne, M. Sitzer, P. Risley, D. A. Steckel, A. Buehler, S. von Kegler, and H. S. Markus
Interleukin-6 Promoter Polymorphism Modulates the Effects of Heavy Alcohol Consumption on Early Carotid Artery Atherosclerosis: The Carotid Atherosclerosis Progression Study (CAPS)
Stroke, February 1, 2003; 34(2): 402 - 407.
[Abstract] [Full Text] [PDF]

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 NEJMHome page
K. J. Mukamal, K. M. Conigrave, M. A. Mittleman, C. A. Camargo Jr., M. J. Stampfer, W. C. Willett, and E. B. Rimm
Roles of Drinking Pattern and Type of Alcohol Consumed in Coronary Heart Disease in Men
N. Engl. J. Med., January 9, 2003; 348(2): 109 - 118.
[Abstract] [Full Text] [PDF]


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