Are Changes in Financial Strain Associated With Changes in Alcohol Use and Smoking Among Older Adults?
Are Changes in Financial Strain Associated With Changes in Alcohol Use and Smoking Among Older Adults?
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DOI：
10.15288/jsad.2011.72.917
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发表时间：
2011-11-01
影响因子：
3.4
通讯作者：
Krause, Neal
中科院分区：
文献类型：
--
作者：
Shaw, Benjamin A.;Agahi, Neda;Krause, Neal
目的：这项研究旨在评估经济压力水平的变化是否与老年人饮酒和吸烟的变化有关。方法：使用随机选择的全国老年人样本（N= 2，352; 60%为女性）的纵向数据进行多水平分析。这些数据是在1992-2006年期间分六次收集的。我们估计了财务压力水平的内部变化与酗酒和吸烟的可能性之间的关联，同时还测试了性别，教育和年龄的调节作用。结果如下：经济压力水平的变化与大量饮酒的几率之间存在直接关联，特别是在老年男性（比值比[OR] = 1.31）和教育水平低的人（OR = 1.27）中。经济压力水平的变化与吸烟几率之间的直接联系也很明显，特别是在10岁以上的人中（即，基线年龄65岁; OR = 1.44）。结论：暴露于经济压力使一些老年人群体的不健康饮酒和吸烟风险增加。如果当前的全球金融危机导致老年人的财务压力增加，那么预计这一人群的酗酒和吸烟问题也会增加。(J.酒精药物研究，72，917-925，2011）
Objective: This study aimed to assess whether changes in levels of financial strain are associated with changes in alcohol use and smoking among older adults. Method: Multilevel analyses were conducted using longitudinal data from a randomly selected national sample of older adults (N= 2,352; 60% female). The data were collected in six waves during the period of 1992-2006. We estimated associations between within-person changes in levels of financial strain and the odds of engaging in heavy drinking and smoking, while also testing for the moderating effects of gender, education, and age. Results: A direct association was observed between changes in levels of financial strain and the odds of heavy drinking, particularly among elderly men (odds ratio [OR] = 1.31) and those with low levels of education (OR = 1.27). A direct association between changes in levels of financial strain and the odds of smoking was also evident, particularly among the young-old (i.e., age 65 at baseline; OR = 1.44). Conclusions: Exposure to financial strain places some groups of older adults at increased risk for unhealthy drinking and smoking. If the current global financial crisis leads to increases in experiences of financial strain among older adults, alcohol and smoking problems can also be expected to increase in this population. (J. Stud. Alcohol Drugs, 72, 917-925, 2011)