The relationship between alcohol problems and health functioning of older adults in primary care settings
The relationship between alcohol problems and health functioning of older adults in primary care settings
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DOI：
10.1111/j.1532-5415.2000.tb04751.x
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发表时间：
2000-07-01
影响因子：
6.3
通讯作者：
Copeland, LA
中科院分区：
文献类型：
--
作者：
Blow, FC;Walton, MA;Copeland, LA
目的：这项研究的目的是确定在初级保健环境中进行筛查的老年人样本中酒精使用与健康功能之间的关系。设计：一项横断面研究。地点：37家初级保健诊所。研究对象：定期预约初级保健诊所的老年人(8578名；年龄55-97岁)。测量：参与者根据饮酒水平被分为戒酒者、低风险饮酒者和高风险饮酒者(女性：每周饮酒9次或更多；男性：每周饮酒12次或更多)。因变量为8个SF-36健康功能量表。结果：61%的参与者是戒酒者，31%的人是低风险饮酒者，7%的人是高危饮酒者。ANCOVA发现，饮酒状况对总体健康、身体功能、身体角色功能、身体疼痛、活力、心理健康、情感角色和社会功能有显著影响，控制了年龄和性别，低风险饮酒者的得分明显高于戒酒者。高风险饮酒者的心理健康功能比低风险饮酒者差得多。在SF-36量表上没有发现显著的性别差异。结论：高危饮酒者的老年人可能没有身体健康功能。需要进一步的研究来确定老年人饮酒限制与其他身体和心理健康领域之间的关系。
OBJECTIVE: The purpose of this study was to determine the relationship between alcohol use and health functioning in a sample of older adults screened in primary care settings.DESIGN: A cross-sectional study. SETTING: Thirty-seven primary care clinics.PARTICIPANTS: Older adults in = 8578; aged 55-97) with regularly scheduled appointments in primary care clinics were screened.MEASUREMENTS: Participants were categorized based on alcohol consumption levels as abstainers, low-risk drinkers, and at-risk drinkers (women: 9 or more drinks/week; men: 12 or more drinks/week). Dependent variables were eight SF-36 health functioning scales.RESULTS: Sixty-one percent of participants were abstainers, 31% were low-risk, drinkers, and 7% were at-risk drinkers. ANCOVAs found significant effects of drinking status on General Health, Physical Functioning, Physical Role Functioning, Bodily Pain, Vitality, Mental Health, Emotional Role, and Social Functioning, controlling fur age and gender, with low-risk drinkers scoring significantly better than abstainers. At-risk drinkers had significantly poorer mental health functioning than low-risk drinkers. Few significant gender differences were found on SF-36 scales.CONCLUSIONS: Older adults who are at-risk drinkers may not present with pour physical health functioning. Future studies are needed to determine the relationship between drinking limits for older adults and other areas of physical and psychosocial health.