SOCIAL FACTORS IN MEDICATION AND ALCOHOL USE BY THE AGED

老年人使用药物/药物的社会因素 在社会老年学研究中接受了广泛的检查。 现有的资料没有集中于这一问题，也没有集中于 社会功能和 药物或酒精使用。 该项目的目标是进行一项 使用三个数据波进行纵向研究，以评估 药物/药物和酒精使用，确定影响因素，以及 审查随着时间的推移相互联系。 主要分析 解释将围绕个人资源模型， 包括实际和感知的身体健康，主观 生活质量评估，包括社会支持和其他 主观调整指标。 自变量的范围包括先前显示的那些 其他研究人员对主观适应和社会适应的影响 功能 根据初步的横截面分析， 一系列被认为可以预测后续使用的模型将被 通过第二波数据收集进行开发和测试 在第一次之后的12个月。 因变量将 包括药物和酒精使用情况以及 生活质量变量的数量，检查 适当的因果顺序。 12个月后，第三波 将收集数据以测试改进的模型和互惠 联动 数据分析将使用OLS、逻辑回归和 结构方程模型（LISREL VI），如适用， 确定随时间的变化。 受试者（N=1000）将从独立生活的老年人中抽取 居住在整个社区的人（N=500）或居住在 大都会地区的12个非个人护理聚集设施 （N=500）。 为了适应人口分布， 过采样 每个受试者将接受三次采访， 包括跟踪那些可能因任何原因改变地点的人。

Social factors in drug/medication use among the elderly have not received extensive examination in social gerontological research. The information that exists has not focused on this issue nor on the possible reciprocal interaction between social functioning and drug or alcohol usage. The goal of this project is to conduct a longitudinal study using three data waves to assess extent of drug/medication and alcohol use, identify contributing factors, and examine reciprocal linkages over time. The primary analytic explanation will revolve around a personal resource model that includes actual and perceived physical health, subjective assessments of quality of life, including social support, and other indicators of subjective adjustment. The range of independent variables includes those previously shown by other researchers to affect subjective adjustment and social functioning. Based on the initial cross-sectional analyses, a series of models thought to predict subsequent use will be developed and tested through a second wave of data collection undertaken 12 months following the first. Dependent variables will include drug and alcohol usage and psychosocial measures of a number of quality of life variables, with examination of appropriate causal ordering. Twelve months later, a third wave of data will be collected to test refined models and reciprocal linkages. Data analysis will utilize OLS, logistic regression, and structural equation models (LISREL VI), where applicable, to determine change over time. Subjects (N=1000) will be drawn from independently living older persons residing in the community at large (N=500) or in one of the metropolitan area's 12 non-personal care congregate facilities (N=500). To accommodate demographic distributions, males will be oversampled. Each subject will be interviewed three times, including follow-up of those who may change locales for any reason.