Prevalence and Correlates of At-Risk Drinking Among Older Adults: The Project SHARE Study
Prevalence and Correlates of At-Risk Drinking Among Older Adults: The Project SHARE Study
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DOI：
10.1007/s11606-010-1341-x
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发表时间：
2010-08-01
影响因子：
5.7
通讯作者：
Ettner, Susan L.
中科院分区：
文献类型：
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作者：
Barnes, Andrew J.;Moore, Alison A.;Ettner, Susan L.
高危饮酒、过量或潜在有害的酒精使用与特定的合并症或药物使用相结合，影响约10%的老年人，并与较高的死亡率相关。然而，我们的知识是不完整的，关于不同类别的危险饮酒的患病率及其与患者人口统计学的关联。为了检查老年人中不同类别的危险饮酒的患病率及其相关性。调查数据的横断面分析。当前饮酒者年龄60岁及以上访问圣巴巴拉，加州周围的初级保健诊所（n = 3，308）。使用科摩罗酒精风险评估工具（CARET）确定风险饮酒者。高危酒精使用被分类为1）高风险合并症或2）高风险药物使用和3）单独过度饮酒。调整后的参与者特征与三个风险类别中的每一个风险饮酒以及任何类型的风险饮酒的关联使用logistic回归进行估计。超过三分之一的样本（34.7%）处于风险中。在高危人群中，61.9%的人在高危合并症的背景下饮酒，61.0%的人使用高危药物，64.3%的人有高危饮酒行为。任何形式的危险饮酒的调整几率都降低了，对女性来说意义重大（比值比，OR = 0.41; 95%置信区间：0.35-0.48; p值< 0.001），80岁以上的成年人（OR = 0.55; CI：0.43-0.72; p < 0.001 vs.年龄60-64）、亚洲人（OR = 0.40; CI：0.20-0.80; p = 0.01 vs.高加索人）和具有较高教育水平的个体。在所有三类高危饮酒中也观察到了类似的关联。在这个大样本的初级保健患者中，高危饮酒在老年人中很常见，而60-64岁的男性高加索人和教育水平较低的人最有可能使用任何类型的高危酒精。我们的研究结果可以帮助医生识别出因饮酒而导致问题风险增加的老年患者。
At-risk drinking, excessive or potentially harmful alcohol use in combination with select comorbidities or medication use, affects about 10% of elderly adults and is associated with higher mortality. Yet, our knowledge is incomplete regarding the prevalence of different categories of at-risk drinking and their associations with patient demographics.To examine the prevalence and correlates of different categories of at-risk drinking among older adults.Cross-sectional analysis of survey data.Current drinkers ages 60 and older accessing primary care clinics around Santa Barbara, California (n = 3,308).At-risk drinkers were identified using the Comorbidity Alcohol Risk Evaluation Tool (CARET). At-risk alcohol use was categorized as alcohol use in the setting of 1) high-risk comorbidities or 2) high-risk medication use, and 3) excessive alcohol use alone. Adjusted associations of participant characteristics with at-risk drinking in each of the three at-risk categories and with at-risk drinking of any kind were estimated using logistic regression.Over one-third of our sample (34.7%) was at risk. Among at-risk individuals, 61.9% had alcohol use in the context of high-risk comorbidities, 61.0% had high-risk medication use, and 64.3% had high-risk alcohol behaviors. The adjusted odds of at-risk drinking of any kind were decreased and significant for women (odds ratio, OR = 0.41; 95% confidence interval: 0.35-0.48; p-value < 0.001), adults over age 80 (OR = 0.55; CI: 0.43-0.72; p < 0.001 vs. ages 60-64), Asians (OR = 0.40; CI: 0.20-0.80; p = 0.01 vs. Caucasians) and individuals with higher education levels. Similar associations were observed in all three categories of at-risk drinking.High-risk alcohol use was common among older adults in this large sample of primary care patients, and male Caucasians, those ages 60-64, and those with lower levels of education were most likely to have high-risk alcohol use of any type. Our findings could help physicians identify older patients at increased risk for problems from alcohol consumption.