DETERMINANTS AND COST OF ALCOHOL ABUSE AMONG ELDERLY

老年人酗酒的决定因素和成本

• 批准号: 6168480
• 负责人: FRANK A SLOAN
• 金额: $ 24.22万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-05-01 至 2002-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6168480
• 关键词: Medicare /Medicaid; alcoholic beverage consumption; alcoholism /alcohol abuse; behavioral /social science research tag; clinical research; disease /disorder proneness /risk; employment /unemployment; health care cost /financing; health surveys; human data; human morbidity; human mortality; human old age (65+); human subject; longitudinal human study; substance abuse epidemiology; substance abuse related behavior

APPLICANT'S ABSTRACT: Alcohol drinking is a major source of mortality and morbidity. The drinking patterns of the elderly and the near-elderly have not received the same amount of attention that problem drinking in younger age groups has received. The higher frequency of adverse events such as onset of illness and loss of relatives and friends that may lead to heavy drinking is greater for persons over age 50 than for younger individuals. Also, such persons may be more vulnerable to the effects of heavy alcohol use for several reasons. Among these are their general health, and the greater number of medications they take. The impacts of adverse life experiences on drinking behavior and the effects of such behavior on life experiences are not adequately understood, particularly among persons aged 50 and over. Much of the research conducted to date has been based on localized and/or cross-sectional data bases. This study uses two panel data bases, the Health and Retirement Study (HRS, 4 Waves, 1992-1998) and the Asset and Health Dynamics of the Oldest Old (AHEAD, 3 waves 1993-98) to examine the relationship between life experiences and drinking behavior and the converse. These data will be supplemented by another panel, the National Long Term Care Survey (NLTCS, 1982-1999) which has been linked with Medicare claims data for the same years to assess mortality and some dimensions of morbidity as well as the impact of excessive alcohol use on Medicare expenditures. The specific aims of this 3 year study are: 1) to determine the patterns of alcohol consumption over the life cycle; 2) assess the effects of excessive alcohol use on mortality, morbidity, Medicare expenditures, job loss, and divorce, recognizing the possible endogeneity of heavy drinking; and 3) to specify and estimate dynamic models of drinking behavior to examine drinking and its effects on job loss or divorce. Our analytic strategy is to start with description, such as of drinking behavior over time, and then specify models of increasing complexity such as for determinants of drinking behavior, and effects of drinking on the outcomes listed above, leading eventually to estimation of dynamic structural models of drinking behavior and effects.

申请人的摘要：饮酒是死亡率和发病率的主要来源。 老年人和近乎老年人的饮酒方式没有得到与年龄段的饮酒相同的关注。 不良事件的频率较高，例如疾病发作，可能导致50岁以上的人饮酒的亲戚和朋友的丧失，而年轻人则比年轻人更大。同样，由于几个原因，此类人可能更容易受到大量饮酒的影响。 其中包括他们的总体健康状况以及他们服用的更多药物。 不利的生活经历对饮酒行为的影响以及这种行为对生活经历的影响尚未充分理解，尤其是在50岁及以上的人中。迄今为止进行的许多研究都是基于局部和/或横截面数据库。 这项研究使用了两个小组数据基础，即健康和退休研究（HRS，4 Waves，1992- 1998年），以及最古老的旧旧的资产和健康动态（前面，3 Waves，1993 - 98年），以研究生活经历与饮酒行为与匡威之间的关系。这些数据将由另一个小组的国家长期护理调查（NLTC，1982- 1999年）补充，该调查已与Medicare索赔数据有关，以评估死亡率和一些发病率的某些方面以及过度饮酒对Medicare支出的影响。这项三年研究的具体目的是：1）确定生命周期中酒精消耗的模式； 2）评估过度饮酒对死亡率，发病率，医疗保险支出，失业和离婚的影响，认识到大量饮酒的可能内生性； 3）指定和估计饮酒行为的动态模型，以检查饮酒及其对失业或离婚的影响。我们的分析策略是从描述开始，例如随着时间的推移饮酒行为，然后指定了增加复杂性的模型，例如饮酒行为的决定因素以及饮酒对上述结果的影响，最终导致估计饮酒行为和效果的动态结构模型。