Prevalence and neuropsychiatric comorbidities of alcohol use disorders in an elderly Korean population

Prevalence and neuropsychiatric comorbidities of alcohol use disorders in an elderly Korean population
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DOI:
10.1002/gps.2280
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发表时间:
2009-12-01
影响因子:
4
通讯作者:
Woo, Jong Inn
Woo, Jong Inn
中科院分区:
医学2区
文献类型:
--
作者:
Kim, Ki Woong;Choi, Eun Ae;Woo, Jong Inn

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目的 我们调查了韩国社区老年人饮酒问题的患病率和合并症。方法对从韩国城南市随机抽取的 714 名韩国老年人进行结构化面对面诊断访谈。根据《精神疾病诊断与统计手册》第四版 (DSM-IV) 标准和酒精使用障碍识别测试 (AUDIT) 分数,参与者被分为六个诊断组之一:终身戒酒者、戒酒者、社交饮酒、高危饮酒、酒精滥用和酒精依赖。结果 社交饮酒、高危饮酒、酒精滥用和酒精依赖的患病率估计为 13.60%,分别为5.42%、2.28%和2.92%。饮酒问题与吸烟风险增加相关(OR=3.52),而社交饮酒与中风风险降低(OR=0.27)和抑郁症风险降低(OR=0.49)相关。结论 饮酒问题很常见,尤其是在男性中,并且与吸烟有关。社交饮酒与降低中风和抑郁症的风险有关。版权所有 (C) 2009 John Wiley & Sons, Ltd.
Objectives We investigated the prevalence and comorbidities of problem drinking in community-dwelling elders living in Korea.Methods Structured face-to-face diagnostic interviews were administered to the 714 Korean elders randomly sampled from Seongnam, Korea. According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria and the Alcohol Use Disorders Identification Test (AUDIT) scores, the participants were categorized into one of six diagnostic groups: lifetime abstainer, ex-drinker, social drinking, at-risk drinking, alcohol abuse, and alcohol dependence.Results Prevalence rates of social drinking, at-risk drinking, alcohol abuse, and alcohol dependence were estimated to be 13.60%, 5.42%, 2.28%, and 2.92%, respectively. Problem drinking was associated with increased risks of smoking (OR=3.52), whereas social drinking was associated with decreased risks of stroke (OR=0.27) and depression (OR=0.49).Conclusions Problem drinking was common particularly in men and associated with smoking. Social drinking was associated with the lower risks of stroke and depression. Copyright (C) 2009 John Wiley & Sons, Ltd.