Epidemiologic studies and control programs in alcoholism. VII. Discussion.

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Abstract
The data on temporal and ecological association between cirrhosis mortality and consumption of alcoholic beverages is discussed critically. Until an alternative explanation is forthcoming, the conclusion that there is such a relationship must be granted. However, epidemiological studies of liver cirrhosis which also take into account air pollution levels and industrial toxins are suggested. The problem of definitions of alcoholism and computation of prevalence rates in survey research is considered, with reference to the work of Bailey et al. and Knupfer. There is a need for prospective research on who becomes a "problem drinker" and why, before preventive measures with any likelihood of success can be conceived, and which do not exact too high a price in unwanted consequences.

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