In this study, 6,386 males and 5,990 females, with a mean age of 55 ye
ars, constituting a random sample, were administered questionnaires by
interviewers relating to amount of self-regulation and drinking statu
s. They were then followed up over a 20-yr. period, and health status
(living well, chronically ill, or deceased) was ascertained. It was hy
pothesized that the deleterious effect of alcohol would be worse for t
hose low on self-regulation; that health status would be worse for tho
se in whom drinking diminished self-regulation, as compared with those
for whom drinking improved self-regulation; and that smoking would ha
ve greater effects in lowering health status in those in whom drinking
diminished self-regulation than in those in whom drinking improved se
lf-regulation. All predictions were borne out by the data at high stat
istical significance. The results confirmed findings from an earlier s
tudy to the effect that psychological factors like self-regulation pow
erfully influence the kind of effects drinking has with respect to hea
lth.