Cross-country differences in age trends in alcohol consumption among older adults: a cross-sectional study of individuals aged 50 years and older in 22 countries.
Cross-country differences in age trends in alcohol consumption among older adults: a cross-sectional study of individuals aged 50 years and older in 22 countries.
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DOI：
10.1111/add.15292
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Keyes KM
中科院分区：
文献类型：
--
作者：
Calvo E;Allel K;Staudinger UM;Castillo-Carniglia A;Medina JT;Keyes KM
与年龄相关的生理、代谢和用药情况的变化使饮酒在老年人中的危害性可能比年轻人更大。这项研究旨在估计老年饮酒量和饮酒模式的跨国差异，并调查解释50岁及以上个人饮酒量和模式跨国差异的国家级变量。使用先前协调的调查数据的横断面观察性研究。在2010年或最近的可用年份调查了22个国家。共有106 180名年龄在50岁及以上的成年人。年龄趋势的跨国差异被估计为两个结果：每周标准饮料单位(SDU)的数量和饮酒模式(从不、曾经、偶尔、适度和重度饮酒)。人类发展指数和伏特加平均价格被用作减缓与年龄相关的饮酒下降的国家一级变量。酒精消费与年龄呈负相关(风险比=0.9895%可信区间=0.970.99；P值<；0.001)，但即使在调整了人口构成后，与年龄相关的酒精消费差异也有很大的跨国差异[似然比(LR)检验P值<；0.001]。国家的发展水平和酒类价格解释了SDU中31%的跨国差异(LR检验P值&0.001)，但不能解释酗酒者流行率的跨国差异。老年人对酒精的使用和有害使用似乎因年龄和国家的不同而有很大差异。这种差异可以部分解释为具体国家的人口构成和国家一级的背景因素，如发展水平和酒类价格。
Age-related changes in physiological, metabolic and medication profiles make alcohol consumption likely to be more harmful among older than younger adults. This study aimed to estimate cross-national variation in the quantity and patterns of drinking throughout older age, and to investigate country-level variables explaining cross-national variation in consumption for individuals aged 50 years and older. Cross-sectional observational study using previously harmonized survey data. Twenty-two countries surveyed in 2010 or the closest available year. A total of 106 180 adults aged 50 years and over. Cross-national variation in age trends were estimated for two outcomes: weekly number of standard drink units (SDUs) and patterns of alcohol consumption (never, ever, occasional, moderate and heavy drinking). Human Development Index and average prices of vodka were used as country-level variables moderating age-related declines in drinking. Alcohol consumption was negatively associated with age (risk ratio = 0.98; 95% confidence interval = 0.97, 0.99; P-value < 0.001), but there was substantial cross-country variation in the age-related differences in alcohol consumption [likelihood ratio (LR) test P-value < 0.001], even after adjusting for the composition of populations. Countries’ development level and alcohol prices explained 31% of cross-country variability in SDUs (LR test P-value < 0.001) but did not explain cross-country variability in the prevalence of heavy drinkers. Use and harmful use of alcohol among older adults appears to vary widely across age and countries. This variation can be partly explained both by the country-specific composition of populations and country-level contextual factors such as development level and alcohol prices.
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影响因子：
168.9
作者：
Bloom, David E.;Chatterji, Somnath;Kowal, Paul;Lloyd-Sherlock, Peter;Mckee, Martin;Rechel, Bernd;Rosenberg, Larry;Smith, James P.
通讯作者：
Smith, James P.
DOI：
10.1016/s0140-6736(14)61461-6
发表时间：
2015-02-14
期刊：
Lancet (London, England)
影响因子：
--
作者：
Beard JR;Bloom DE
通讯作者：
Bloom DE
影响因子：
7.7
作者：
Kearney, Patricia M.;Cronin, Hilary;Kenny, RoseAnne
通讯作者：
Kenny, RoseAnne
影响因子：
2.1
作者：
Immonen, Sirpa;Valvanne, Jaakko;Pitkala, Kaisu H.
通讯作者：
Pitkala, Kaisu H.
影响因子：
25.8
作者：
Grant, Bridget F.;Chou, S. Patricia;Hasin, Deborah S.
通讯作者：
Hasin, Deborah S.