The Relationship Between Alcohol Problems and Health Functioning of Older Adults in Primary Care Settings

OBJECTIVE: The purpose of this study was to determine the relationship between alcohol use and health functioning in a sample of older adults screened in primary care settings. DESIGN: A cross‐sectional study. SETTING: Thirty‐seven primary care clinics. PARTICIPANTS: Older adults (n = 8578; aged 55–...

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Veröffentlicht in:Journal of the American Geriatrics Society (JAGS) 2000-07, Vol.48 (7), p.769-774
Hauptverfasser: Blow, Frederic C., Walton, Maureen A., Barry, Kristen Lawton, Coyne, James C., Mudd, Sharon A., Copeland, Laurel A.
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container_end_page 774
container_issue 7
container_start_page 769
container_title Journal of the American Geriatrics Society (JAGS)
container_volume 48
creator Blow, Frederic C.
Walton, Maureen A.
Barry, Kristen Lawton
Coyne, James C.
Mudd, Sharon A.
Copeland, Laurel A.
description OBJECTIVE: The purpose of this study was to determine the relationship between alcohol use and health functioning in a sample of older adults screened in primary care settings. DESIGN: A cross‐sectional study. SETTING: Thirty‐seven primary care clinics. PARTICIPANTS: Older adults (n = 8578; aged 55–97) with regularly scheduled appointments in primary care clinics were screened. MEASUREMENTS: Participants were categorized based on alcohol consumption levels as abstainers, low‐risk drinkers, and at‐risk drinkers (women: 9 or more drinks/week; men: 12 or more drinks/week). Dependent variables were eight SF‐36 health functioning scales. RESULTS: Sixty‐one percent of participants were abstainers, 31% were low‐risk drinkers, and 7% were at‐risk drinkers. ANCOVAs found significant effects of drinking status on General Health, Physical Functioning, Physical Role Functioning, Bodily Pain, Vitality, Mental Health, Emotional Role, and Social Functioning, controlling for age and gender, with low‐risk drinkers scoring significantly better than abstainers. At‐risk drinkers had significantly poorer mental health functioning than low‐risk drinkers. Few significant gender differences were found on SF‐36 scales. CONCLUSIONS: Older adults who are at‐risk drinkers may not present with poor physical health functioning. Future studies are needed to determine the relationship between drinking limits for older adults and other areas of physical and psychosocial health. J Am Geriatr Soc 48:769–774, 2000.
doi_str_mv 10.1111/j.1532-5415.2000.tb04751.x
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DESIGN: A cross‐sectional study. SETTING: Thirty‐seven primary care clinics. PARTICIPANTS: Older adults (n = 8578; aged 55–97) with regularly scheduled appointments in primary care clinics were screened. MEASUREMENTS: Participants were categorized based on alcohol consumption levels as abstainers, low‐risk drinkers, and at‐risk drinkers (women: 9 or more drinks/week; men: 12 or more drinks/week). Dependent variables were eight SF‐36 health functioning scales. RESULTS: Sixty‐one percent of participants were abstainers, 31% were low‐risk drinkers, and 7% were at‐risk drinkers. ANCOVAs found significant effects of drinking status on General Health, Physical Functioning, Physical Role Functioning, Bodily Pain, Vitality, Mental Health, Emotional Role, and Social Functioning, controlling for age and gender, with low‐risk drinkers scoring significantly better than abstainers. At‐risk drinkers had significantly poorer mental health functioning than low‐risk drinkers. Few significant gender differences were found on SF‐36 scales. CONCLUSIONS: Older adults who are at‐risk drinkers may not present with poor physical health functioning. Future studies are needed to determine the relationship between drinking limits for older adults and other areas of physical and psychosocial health. 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DESIGN: A cross‐sectional study. SETTING: Thirty‐seven primary care clinics. PARTICIPANTS: Older adults (n = 8578; aged 55–97) with regularly scheduled appointments in primary care clinics were screened. MEASUREMENTS: Participants were categorized based on alcohol consumption levels as abstainers, low‐risk drinkers, and at‐risk drinkers (women: 9 or more drinks/week; men: 12 or more drinks/week). Dependent variables were eight SF‐36 health functioning scales. RESULTS: Sixty‐one percent of participants were abstainers, 31% were low‐risk drinkers, and 7% were at‐risk drinkers. ANCOVAs found significant effects of drinking status on General Health, Physical Functioning, Physical Role Functioning, Bodily Pain, Vitality, Mental Health, Emotional Role, and Social Functioning, controlling for age and gender, with low‐risk drinkers scoring significantly better than abstainers. At‐risk drinkers had significantly poorer mental health functioning than low‐risk drinkers. Few significant gender differences were found on SF‐36 scales. CONCLUSIONS: Older adults who are at‐risk drinkers may not present with poor physical health functioning. Future studies are needed to determine the relationship between drinking limits for older adults and other areas of physical and psychosocial health. 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DESIGN: A cross‐sectional study. SETTING: Thirty‐seven primary care clinics. PARTICIPANTS: Older adults (n = 8578; aged 55–97) with regularly scheduled appointments in primary care clinics were screened. MEASUREMENTS: Participants were categorized based on alcohol consumption levels as abstainers, low‐risk drinkers, and at‐risk drinkers (women: 9 or more drinks/week; men: 12 or more drinks/week). Dependent variables were eight SF‐36 health functioning scales. RESULTS: Sixty‐one percent of participants were abstainers, 31% were low‐risk drinkers, and 7% were at‐risk drinkers. ANCOVAs found significant effects of drinking status on General Health, Physical Functioning, Physical Role Functioning, Bodily Pain, Vitality, Mental Health, Emotional Role, and Social Functioning, controlling for age and gender, with low‐risk drinkers scoring significantly better than abstainers. At‐risk drinkers had significantly poorer mental health functioning than low‐risk drinkers. Few significant gender differences were found on SF‐36 scales. CONCLUSIONS: Older adults who are at‐risk drinkers may not present with poor physical health functioning. Future studies are needed to determine the relationship between drinking limits for older adults and other areas of physical and psychosocial health. J Am Geriatr Soc 48:769–774, 2000.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>10894315</pmid><doi>10.1111/j.1532-5415.2000.tb04751.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Activities of Daily Living - classification
Adult
Aged
Aged, 80 and over
Alcohol consumption
Alcohol Drinking - adverse effects
alcohol problems
Alcohol use
Alcohol-Related Disorders - epidemiology
Biological and medical sciences
Comorbidity
Cross-Sectional Studies
elderly
Elderly people
Factors
Female
Geriatric Assessment - statistics & numerical data
Geriatrics
Health
health promotion
Health status
Health Status Indicators
Humans
Male
Medical sciences
Medical screening
Mental Disorders - epidemiology
Michigan - epidemiology
Middle Aged
Ohio - epidemiology
Older people
Primary health care
Primary Health Care - statistics & numerical data
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
risky drinking
screening
USA
title The Relationship Between Alcohol Problems and Health Functioning of Older Adults in Primary Care Settings
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