Document Detail


Late-life and life history predictors of older adults' high-risk alcohol consumption and drinking problems.
MedLine Citation:
PMID:  19969428     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: This prospective, longitudinal study focused on late-life and life history predictors of high-risk alcohol consumption and drinking problems during a 20-year interval as adults matured from age 55-65 to 75-85.
DESIGN, SETTING, PARTICIPANTS: A sample of older community residents (N=719) who had consumed alcohol in the past year or shortly before was surveyed at baseline and 10 and 20 years later.
MEASUREMENTS: At each contact point, participants completed an inventory that assessed their alcohol consumption, drinking problems, and personal and life context factors. Participants also provided information about their life history of drinking and help-seeking.
RESULTS: Older adults who, at baseline, had more friends who approved of drinking, relied on substances for tension reduction, and had more financial resources were more likely to engage in high-risk alcohol consumption and to incur drinking problems at 10- and 20-year follow-ups. With respect to life history factors, drinking problems by age 50 were associated with a higher likelihood of late-life high-risk alcohol consumption and drinking problems; having tried to cut down on drinking and participation in Alcoholics Anonymous were associated with a lower likelihood of high-risk consumption and problems.
CONCLUSION: Specific late-life and life history factors can identify older adults likely to engage in excessive alcohol consumption 10 and 20 years later. Targeted screening that considers current alcohol consumption and life context, and history of drinking problems and help-seeking, could help identify older adults at higher risk for excessive or problematic drinking.
Authors:
Rudolf H Moos; Kathleen K Schutte; Penny L Brennan; Bernice S Moos
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2009-12-06
Journal Detail:
Title:  Drug and alcohol dependence     Volume:  108     ISSN:  1879-0046     ISO Abbreviation:  Drug Alcohol Depend     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-09     Completed Date:  2010-06-02     Revised Date:  2011-09-26    
Medline Journal Info:
Nlm Unique ID:  7513587     Medline TA:  Drug Alcohol Depend     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  13-20     Citation Subset:  IM    
Copyright Information:
Published by Elsevier Ireland Ltd.
Affiliation:
Center for Health Care Evaluation, Department of Veterans Affairs and Stanford University, Palo Alto, CA 94025, USA. rmoos@stanford.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Alcohol Drinking / epidemiology,  psychology
Alcoholism / epidemiology*,  mortality,  psychology*
Female
Forecasting
Humans
Logistic Models
Longitudinal Studies
Male
Middle Aged
Patient Acceptance of Health Care
Prognosis
Risk-Taking
Sex Factors
Grant Support
ID/Acronym/Agency:
AA06699/AA/NIAAA NIH HHS; AA15685/AA/NIAAA NIH HHS; R01 AA006699-15/AA/NIAAA NIH HHS; R01 AA015685-01A1/AA/NIAAA NIH HHS; R01 AA015685-02/AA/NIAAA NIH HHS; R01 AA015685-03/AA/NIAAA NIH HHS; R01 AA015685-04/AA/NIAAA NIH HHS; R01 AA015685-05/AA/NIAAA NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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