Pain and use of alcohol to manage pain: prevalence and 3-year outcomes among older problem and non-problem drinkers
Pain and use of alcohol to manage pain: prevalence and 3-year outcomes among older problem and non-problem drinkers
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DOI：
10.1111/j.1360-0443.2005.01074.x
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发表时间：
2005-06-01
期刊：
影响因子：
6
通讯作者：
Moos, RH
中科院分区：
文献类型：
--
作者：
Brennan, PL;Schutte, KK;Moos, RH
大多数老年人报告最近经历过疼痛，许多老年人有晚年饮酒问题。然而，据我们所知，老年人的疼痛和酒精滥用的交叉点还没有被研究过。本研究的重点是疼痛的影响，为老年人有问题的alcohol.Design纵向survey。设置，参与者和测量老年社区居住的成年人（n = 401）被归类为问题和非问题饮酒者。在基线和3年后，他们被要求提供有关他们的疼痛，使用酒精来管理疼痛，饮酒行为，慢性健康问题和最近的严重injuries.Findings在基线，老年问题饮酒者报告更严重的疼痛，更多的日常活动中断，由于疼痛和更频繁地使用酒精来管理疼痛比老年非问题饮酒者。更多的疼痛与更多地使用酒精来控制疼痛有关;这种关系在有饮酒问题的老年人中比在没有饮酒问题的老年人中更强。在老年男性中，更多的基线饮酒问题与使用酒精控制疼痛相互作用，预测3年后更多的健康问题和严重伤害。在老年妇女中，更多的基线饮酒问题相互作用，使用酒精来管理疼痛，预测更多的饮酒问题3 years later.Conclusions的结果突出了监测饮酒行为的老年患者谁提出的疼痛投诉，特别是患者谁有预先存在的问题与酒精的重要性。
Aims Most older adults report having recently experienced pain, and many older adults have late-life drinking problems. However, to our knowledge, the intersection of pain and alcohol misuse by older adults has not been studied. This research focuses on the implications of pain for older individuals who have problems with alcohol.Design Longitudinal survey.Setting, participants and measurement Older community-residing adults (n = 401) were classified as problem and non-problem drinkers. At baseline and 3 years later they were asked to provide information about their pain, use of alcohol to manage pain, drinking behavior, chronic health problems and recent serious injury.Findings At baseline, older problem drinkers reported more severe pain, more disruption of daily activities due to pain and more frequent use of alcohol to manage pain than did older non-problem drinkers. More pain was associated with more use of alcohol to manage pain; this relationship was stronger among older adults with drinking problems than among those without drinking problems. Among older men, more baseline drinking problems interacted with use of alcohol to manage pain to predict more health problems and serious injury 3 years later. Among older women, more baseline drinking problems interacted with use of alcohol to manage pain to predict more drinking problems 3 years later.Conclusions The results highlight the importance of monitoring the drinking behavior of older patients who present with pain complaints, especially patients who have pre-existing problems with alcohol.