Painful medical conditions and alcohol use: a prospective study among older adults.
Painful medical conditions and alcohol use: a prospective study among older adults.
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DOI：
10.1111/j.1526-4637.2011.01156.x
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发表时间：
2011-07
期刊：
影响因子：
--
通讯作者：
Moos RH
中科院分区：
文献类型：
--
作者：
Brennan PL;Schutte KK;SooHoo S;Moos RH
确定老年人的基线疼痛医疗条件和他们10年的饮酒行为之间的关联，以及个人和生活背景特征是否调节这些关联。在基线，然后1，4和10年后，中年社区居民（M=61岁; n= 1，291）就他们的痛苦的医疗条件，酒精的使用，以及个人和生活背景特征进行了调查。潜在增长模型被用来确定痛苦的医疗条件和10年的饮酒行为之间的并发和前瞻性的关系，以及个人和生活背景特征对这些关系的调节作用。在基线时，报告更多痛苦的医疗条件的个体饮酒频率较低，但饮酒问题较频繁，而这些条件较少的个体则更少。女性和拥有更多的人际社会资源加强了痛苦的医疗条件和较少的酒精消费之间的联系。对于男性来说，比女性更多的是，更多的痛苦的医疗条件与更频繁的饮酒问题有关。基线疼痛的医疗条件本身对饮酒行为的10年变化没有前瞻性影响，但年龄较大和拥有更多的人际社会资源使基线疼痛的医疗条件更有可能预测饮酒频率和饮酒问题随时间的下降。中年晚期的人有更多的痛苦的医疗条件减少酒精消费，但仍然有更频繁的饮酒问题的风险。性别、年龄和人际社会资源缓和了痛苦的医疗条件对晚年饮酒的影响。这些结果表明，老年疼痛患者饮酒量增加的直接或长期风险很小，但临床医生应对老年疼痛患者，特别是男性的饮酒问题保持警惕。
To determine associations between older adults’ baseline painful medical conditions and their 10-year drinking behavior, and whether personal and life context characteristics moderate these associations. At baseline, then 1, 4, and 10 years later, late-middle-aged community residents (M=61 years; n=1,291) were surveyed regarding their painful medical conditions, use of alcohol, and personal and life context characteristics. Latent growth modeling was used to determine concurrent and prospective relationships between painful medical conditions and 10-year drinking behavior, and moderating effects of personal and life context characteristics on these relationships. At baseline, individuals reporting more numerous painful medical conditions consumed alcohol less frequently, but had more frequent drinking problems, than did individuals with fewer such conditions. Being female and having more interpersonal social resources strengthened the association between painful medical conditions and less ethanol consumed. For men more so than women, more numerous painful medical conditions were associated with more frequent drinking problems. Baseline painful medical conditions alone had no prospective effect on 10-year change in drinking behavior, but being older and having more interpersonal social resources made it more likely that baseline painful medical conditions would predict decline over time in frequency of alcohol consumption and drinking problems. Late-middle-aged individuals who have more numerous painful medical conditions reduce alcohol consumption but nonetheless remain at risk for more frequent drinking problems. Gender, age, and interpersonal social resources moderate the influence of painful medical conditions on late-life alcohol use. These results imply that older individuals with pain are at little immediate or long-term risk for increased alcohol consumption, but clinicians should remain alert to drinking problems among their older pain patients, especially men.
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影响因子：
3.4
作者：
Brennan, Penny L.;Schutte, Kathleen K.;Moos, Rudolf H.
通讯作者：
Moos, Rudolf H.
DOI：
10.1046/j.1532-5415.2002.50467.x
发表时间：
2002-10-01
影响因子：
6.3
作者：
Fink, A;Morton, SC;Moore, AA
通讯作者：
Moore, AA
影响因子：
3
作者：
Dersh, J;Gatchel, RJ;Temple, OR
通讯作者：
Temple, OR
影响因子：
6
作者：
Brennan, PL;Schutte, KK;Moos, RH
通讯作者：
Moos, RH
影响因子：
4.6
作者：
COOPER, ML;RUSSELL, M;GEORGE, WH
通讯作者：
GEORGE, WH