Death from Liver Cirrhosis and Specific Alcoholic Beverage Consumption: An Ecological Study

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Abstract
The ralationship between liver cirrhosis mortality and consumption of each of the 3 major classes of beverage alcohol (spirits, wine and beer) was examined by means of a spatial analysis of 46 states of the U.S.A. The analysis demonstrated that far more of the variation in liver cirrhosis death rates was "explained" by per capita wine consumption than by per capita beer or spirits consumption. These results indicate that per capita wine consumption is the most sensitive statistical index of the variation in liver cirrhosis mortality rates. It was suggested that a larger proportion of all legally sold wine than of spirits and beer may be consumed by excessive drinkers and that the most likely reason for the attraction of such drinkers to wine is its relatively low cost.

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