Alcohol consumption, life course transitions and health in later life

饮酒、生命历程转变和晚年健康

• 批准号: ES/K004131/1
• 负责人: Clare Holdsworth
• 金额: $ 19.79万
• 依托单位: Keele University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2013
• 资助国家: 英国
• 起止时间: 2013 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FK004131%2F1
• 关键词: Alcohol; consumption; life; course; transitions

Relatively little is known about the patterns of drinking in later life, the risk factors associated with excessive drinking at older ages and the relationship between drinking and other health conditions. To date most research on the risk factors of excessive drinking have focussed on younger ages, in part because of the distinctive age profile of drinking but also due to the predominance of life course approaches to health in which risks are accumulated over time. Yet notwithstanding these observations, there is growing awareness among health professionals that drinking at older ages is becoming more of an issue. This has been brought about due to the fact that the UK population is ageing, but also because recent population data on consumption suggest that while levels of consumption are declining among younger generations they are increasing at older ages. Thus excessive drinking in later life is becoming a more discernible public health issue, as more older people are reporting drinking in excess of the recommended weekly amount. Hence the relationship between drinking in later life and health and well-being cannot be ignored. Responsible drinking is associated with some health benefits and these tend to be more significant at older ages. However, drinking can also exacerbate health conditions that are more prominent in later life; such as high blood pressure, diabetes and ulcers as well as increasing the risk of liver disease. One particular cause for concern is the possible interaction between drinking and medication with the average person aged 65 and over taking two prescribed medicines a day and therefore the potential for interactions between medication and alcohol needs to be considered. However, we might expect that the health conditions that develop at older ages might also be associated with a decline in drinking, hence the causality between health and alcohol consumption will be complex and dynamic.It is not only changes to health status that may bring about shifts in drinking behaviour, other transitions associated with housing, employment, family and partnerships may bring about either an increase or decline in alcohol consumption. This study with explore the stability of drinking at later life and the key events that are associated with changes in drinking patterns.The research will be based on analysis of the English Longitudinal Study of Ageing. This study, which began in 2002 collects data on the health, economic position and quality of life of people aged over 50 and their partners. To date 6 waves are available for analysis. Data on alcohol consumption is available in all waves, though the questions used have changed over time. Cross-sectional analysis of this data will establish the main patterns of drinking in later life and the risk factors associated with binge drinking (excessive drinking on one particular day) and drinking in excess of the recommended weekly limits. The life history data will be used to identify past events and transitions that may be associated with later changes in drinking behaviour. The ELSA dataset contains detailed data on health status and this will be used to explore the relationship between alcohol consumption and health status. This analysis will investigate the dynamics of the relationship between changes in alcohol consumption and health conditions and how these are associated with life course transitions as well as past experiences.The research will collaborate with users at all stages of analysis and dissemination and will explore the possibility of a practice-informed modelling approach to the analysis of health behaviours using longitudinal data.The analysis will therefore extend knowledge about the dynamics and heterogeneity of drinking patterns at older ages.

人们对晚年饮酒的模式、与老年人过量饮酒有关的风险因素以及饮酒与其他健康状况之间的关系知之甚少。到目前为止，大多数关于过量饮酒风险因素的研究都集中在年轻人身上，部分原因是饮酒的年龄特征不同，但也是由于对健康的生命过程方法占主导地位，其中风险随着时间的推移而积累。然而，尽管有这些观察结果，卫生专业人员越来越意识到，老年饮酒正成为一个越来越大的问题。这是由于英国人口正在老龄化，但也因为最近的人口消费数据表明，虽然年轻一代的消费水平正在下降，但老年人的消费水平正在上升。因此，随着越来越多的老年人报告饮酒量超过每周推荐量，晚年过度饮酒正成为一个更明显的公共卫生问题。因此，晚年饮酒与健康和幸福之间的关系不容忽视。负责任的饮酒与一些健康益处有关，这些益处在老年人中往往更显着。然而，饮酒也会加剧晚年更为突出的健康状况;例如高血压、糖尿病和溃疡，以及增加肝脏疾病的风险。一个特别令人关切的问题是，饮酒和药物之间可能存在相互作用，65岁及以上的人平均每天服用两种处方药，因此需要考虑药物和酒精之间相互作用的可能性。然而，我们可以预期，老年人的健康状况也可能与饮酒量的下降有关，因此健康与饮酒之间的因果关系将是复杂和动态的。不仅健康状况的变化可能导致饮酒行为的变化，与住房，就业，家庭和伴侣关系可能会增加或减少酒精消费。本研究以英国老龄化纵向研究为基础，探讨老年人饮酒的稳定性以及与饮酒模式变化相关的关键事件。这项研究始于2002年，收集了50岁以上的人及其伴侣的健康、经济状况和生活质量的数据。迄今为止，有6个波可供分析。关于酒精消费的数据在所有波都有，尽管所使用的问题随着时间的推移而变化。对这些数据的横截面分析将建立晚年饮酒的主要模式以及与酗酒（在特定的一天过量饮酒）和超过建议的每周饮酒限制相关的风险因素。生活史数据将用于识别可能与饮酒行为后来变化相关的过去事件和转变。艾尔莎数据集包含有关健康状况的详细数据，将用于探索饮酒与健康状况之间的关系。这项分析将调查酒精消费和健康状况的变化之间的关系的动态，以及这些是如何与生命历程的过渡以及过去的经验。研究将与用户在分析和传播的所有阶段合作，并将探索实践的可能性-使用纵向数据分析健康行为的知情建模方法。因此，该分析将扩展有关饮酒动态和异质性的知识老年人的模式。

项目成果

ALCOHOL CONSUMPTION, LIFE COURSE TRANSITIONS AND HEALTH IN LATER LIFE

酒精消费、生命历程转变和晚年健康

• 发表时间: 2014
• 作者: Holdsworth, C

Is regular drinking in later life an indicator of good health? Evidence from the English Longitudinal Study of Ageing.

• DOI: 10.1136/jech-2015-206949
• 发表时间: 2016-08
• 期刊: Journal of epidemiology and community health
• 影响因子: 6.3
• 作者: Holdsworth C;Mendonça M;Pikhart H;Frisher M;de Oliveira C;Shelton N
• 通讯作者: Shelton N

Is alcohol consumption in older adults associated with poor self-rated health? Cross-sectional and longitudinal analyses from the English Longitudinal Study of Ageing.

• DOI: 10.1186/s12889-015-1993-x
• 发表时间: 2015-07-24
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Frisher M;Mendonça M;Shelton N;Pikhart H;de Oliveira C;Holdsworth C
• 通讯作者: Holdsworth C

Lifecourse transitions, gender and drinking in later life.

• DOI: 10.1017/s0144686x15001178
• 发表时间: 2017-03
• 期刊: Ageing and society
• 影响因子: 2.5
• 作者: Holdsworth C;Frisher M;Mendonça M;DE Oliveiria C;Pikhart H;Shelton N
• 通讯作者: Shelton N