Older adults' alcohol consumption and late-life drinking problems: a 20-year perspective
Older adults' alcohol consumption and late-life drinking problems: a 20-year perspective
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DOI：
10.1111/j.1360-0443.2009.02604.x
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发表时间：
2009-08-01
期刊：
影响因子：
6
通讯作者：
Moos, Bernice S.
中科院分区：
文献类型：
--
作者：
Moos, Rudolf H.;Schutte, Kathleen K.;Moos, Bernice S.
目的本研究的目的是确定老年女性和男性在 20 年内饮酒模式的变化，并检查指南定义的过度饮酒与晚年饮酒问题之间的关联。设计、参与者和措施对 719 名在基线或之前饮酒的 55 至 65 岁成年人进行了社区抽样，参与了酒精消费和饮酒问题的调查，并在 10 年和 20 年后进行了随访。结果过度饮酒的可能性有所下降成年人在 70 多岁和 80 多岁时成熟的时间间隔为 20 年。然而，在 75-85 岁之间，27.1% 的女性和 48.6% 的男性每天饮酒超过两杯或每周饮酒超过七杯。在可比的饮酒指南水平下，老年男性比老年女性更容易出现饮酒问题。每天饮酒超过两杯或每周饮酒超过七杯被确定为潜在的保守指南，用于识别与饮酒问题可能性增加相关的过量饮酒。 结论 饮酒的老年人中有相当大比例存在指南定义的过量饮酒并出现饮酒问题。研究发现，当老年男性饮酒超过指导水平时，他们比老年女性更有可能遇到问题，这表明男性的酒精指导方针不应高于女性。
AimsThe aim of this study was to identify changes in patterns of alcohol consumption over a 20-year interval among older women and men, and to examine the associations between guideline-defined excessive drinking and late-life drinking problems.Design, participants and measuresA community sample of 719 adults between 55 and 65 years of age who consumed alcohol at or prior to baseline participated in a survey of alcohol consumption and drinking problems and was followed 10 years and 20 years later.FindingsThe likelihood of excessive drinking declined over the 20-year interval as adults matured into their 70s and 80s. However, at ages 75-85, 27.1% of women and 48.6% of men consumed more than two drinks per day or seven drinks per week. At comparable guideline levels of alcohol consumption, older men were more likely to have drinking problems than were older women. Consumption of more than two drinks per day or seven drinks per week was identified as a potential conservative guideline for identifying excessive drinking associated with an elevated likelihood of drinking problems.ConclusionsA substantial percentage of older adults who consume alcohol engage in guideline-defined excessive drinking and incur drinking problems. The finding that older men may be more likely than older women to experience problems when they drink beyond guideline levels suggests that alcohol guidelines for men should not be set higher than those for women.