Survey shows millions of people hurt by others' drinking, drug use

The risks of alcohol and other drug consumption to the user are well known, but many Americans—nearly 160 million—say they've been harmed by someone else's substance use, according to a new study in the Journal of Studies on Alcohol and Drugs.

In a national survey of U.S. adults, researchers found that 34% said they'd ever suffered "secondhand harm" from someone else's alcohol use—ranging from marriage and family problems to financial fall-out to being assaulted or injured in a drunk-driving accident. Meanwhile, 14% said they'd been harmed by someone else's use of marijuana, opioids or other drugs.

In sheer numbers, that amounts to 113 million Americans who've suffered consequences from another person's drinking, and 46 million who've been hurt by others' drug use. What's more, there was plenty of "overlap" between those two groups: Of survey respondents reporting secondhand harms from alcohol, 30% said they'd also been impacted by other people's drug use. There are more harms than people think.

These habits affect families, relationships and communities.

It makes sense that risky drinking and drug use have far-reaching consequences, but it's only in recent years that research has delved into the secondhand harms of alcohol and drug use. 

 Rosen, E. M. et al.. Prevalence and correlates of alcohol and drug harms to others: Findings from the 2020 U.S. National Alcohol Survey. Journal of Studies on Alcohol and Drugs (2024). DOI: 10.15288/jsad.23-00387

History of endometriosis and fibroids linked to heightened risk of early death, study suggests

Women with a history of endometriosis and uterine fibroids might have an increased long term risk of premature death, finds a large study published by The BMJ .

Endometriosis and uterine fibroids are common disorders among women of reproductive age. Endometriosis occurs when tissue similar to the lining of the womb grows in other places, such as the ovaries and fallopian tubes, while uterine fibroids are non-cancerous growths within or around the womb.

Growing evidence shows that both conditions are associated with a greater long term risk of chronic diseases, such as high blood pressure, heart disease, and some cancers, but their effect on risk of death before the age of 70 remains unclear.

To explore this further, researchers drew on information provided by 110,091 women taking part in the Nurses' Health Study II who were aged 25–42 years in 1989 and had no history of hysterectomy before endometriosis or fibroids diagnosis, cardiovascular diseases, or cancer.
Starting in 1993 and every two years thereafter, these women reported any diagnosis of endometriosis (confirmed by laparoscopy) and uterine fibroids (confirmed by ultrasound or hysterectomy).

Other potentially influential factors including age, ethnicity, reproductive history, HRT and oral contraceptive use, regular use of aspirin or anti-inflammatory drugs, and other health-related issues were also taken into account.

During 30 years of monitoring, 4,356 premature deaths were recorded, including 1,459 from cancer, 304 from cardiovascular diseases, and 90 from respiratory diseases.

Overall, the rate of all-cause premature death for women with and without confirmed endometriosis was 2.0 and 1.4 per 1,000 person years, respectively.

After taking account of age and other confounding factors such as weight (BMI), diet quality, physical activity, and smoking status, endometriosis was associated with a 31% higher risk of premature death, largely driven by deaths due to gynecological cancers.

Uterine fibroids were unrelated to all-cause premature death, but were associated with a greater risk of death due to gynecological cancers.
The researchers acknowledge that these are observational findings that relied on self-reports.
Nevertheless, this was a large study with regular follow-up over nearly three decades, which reduced potential recall errors.
As such, they conclude, "Our results suggest that women with a history of endometriosis and uterine fibroids might have an increased long term risk of premature mortality extending beyond their reproductive lifespan."

"These conditions were also associated with an increased risk of death due to gynecological cancers. Endometriosis was also associated with a greater risk of non-cancer mortality. These findings highlight the importance for primary care providers to consider these gynecological disorders in their assessment of women's health."

 Yi-Xin Wang et al, Endometriosis and uterine fibroids and risk of premature mortality: prospective cohort study, BMJ (2024). DOI: 10.1136/bmj-2023-078797

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