BMJ 1995;311:1167 (28 October)
Letters
Risk function had peculiar properties
EDITOR,--Morten Gronbaek and colleagues' study of mortality associated with moderate intakes of wine, beer, or spirits presents relative risks of death as functions of consumption of each type of beverage.1 Apparently none of the first order interactions between levels of consumption of different beverages were significant. Ignoring interactions, however, leads to a model with peculiar properties, for it implies that one can simply multiply the relative risks for each type of beverage.
Thus the authors' estimates imply that a person drinking three to five drinks daily of each of wine, beer, and spirits (a total of nine to 15 drinks daily) has a relative risk of death from coronary heart disease of 0.43 compared with someone who never drinks alcohol. For deaths from other causes the relative risk between these two extreme groups of people is 0.82. Such estimates are hard to take seriously, so the model clearly cannot be . . . [Full text of this article]

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Mortality associated with moderate intakes of wine, beer, or spirits
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