Hostname: page-component-8448b6f56d-mp689 Total loading time: 0 Render date: 2024-04-25T01:32:04.368Z Has data issue: false hasContentIssue false

Self-reported alcohol consumption in the Irish community dwelling elderly

Published online by Cambridge University Press:  13 June 2014

Elaine Greene
Affiliation:
Mercer's Institute for Research in Ageing, St James's Hospital, Dublin 8, Ireland
Irene Bruce
Affiliation:
Mercer's Institute for Research in Ageing, St James's Hospital, Dublin 8, Ireland
Conal Cunningham
Affiliation:
Mercer's Institute for Research in Ageing, St James's Hospital, Dublin 8, Ireland
Davis Coakley
Affiliation:
Mercer's Institute for Research in Ageing, St James's Hospital, Dublin 8, Ireland
Brian A Lawlor
Affiliation:
Mercer's Institute for Research in Ageing, St James's Hospital, Dublin 8, Ireland

Abstract

Objectives: To examine the associations of self-reported alcohol consumption in a community based sample of elderly subjects.

Methods: A total of 518 non-institutionalised community dwelling elderly identified from general practice registers were interviewed in their own homes using the Geriatric Mental State (GMS-AGECAT), the Mini-Mental State Examination and the sociodemographic questionnaire. Physical health was rated on a six-point scale. Self reported alcohol consumption was recorded in units per week. The group was then divided according to the presence or absence of excessive alcohol consumption (ie. consumption of over 14 units per week for females and 21 units per week for males). Results were analysed using multivariate regression analysis with excessive alcohol consumption as the dependent variable.

Results: The mean age of the sample was 73 (range 65-95), 63% (n = 329) were female. Thirty-six per cent of the population were abstinent and 7% reported excessive alcohol consumption. Analysis of the data revealed no association between excessive alcohol consumption and diagnosis, age, cognitive function or poor physical health. Excess consumption was found to be significantly associated with gender (male) and widowed status (p < 0.001, p = 0.013 respectively).

Conclusions: As alcohol misuse is commonly missed in the elderly identifying high risk groups is important for the development of intervention strategies. Our results suggest that elderly widowers may be more at risk than their peers of alcohol misuse.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 2003

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Strategic task force on alcohol; interim report. Department of Health and Children May 2002.Google Scholar
2.Adams, WL, Garry, PJ, Rhyne, R, Hunt, WC, Goodwin, JS. Alcohol intake in the elderly: changes with age in a cross sectional and longitudinal study. J Am Ger Soc 1990; 38: 211–16.CrossRefGoogle Scholar
3.Fillmore, KM, Hartka, E, Johnstone, BMet al.A meta-analysis of life course variation in drinking: the collaborative alcohol-related longitudinal project. Br J Addiction 1991; 86: 1221–68.CrossRefGoogle Scholar
4.Gupta, KL. Alcoholism in the elderly. Uncovering a hidden problem. Postgrad Med 1993; 93(2): 203–6.CrossRefGoogle ScholarPubMed
5.Atkinson, RM. Substance use and abuse in late life. In: Atkinson, RM, ed. Alcohol and drug abuse in old age. American Psychiatric press, 1984; 121.Google Scholar
6.Iliffe, S, Haines, A, Booroff, Aet al.Alcohol consumption by elderly people: A general practice survey. Age and Ageing 1991; 20: 120–3.CrossRefGoogle ScholarPubMed
7.Dunne, FJ, Schipperheijn, JAM. Alcohol and the elderly, need for greater awareness. BMJ 1989; 298: 1661–2.CrossRefGoogle Scholar
8.Ganry, O, Joly, JP, Queval, MP, Dubreuil, A. Prevalence of alcohol problems among elderly patients in a university hospital. Addiction 2000; 95(1): 107113.CrossRefGoogle ScholarPubMed
9.Bridgewater, R, Lee, S, James, OFWet al.Alcohol consumption and dependence in elderly patients in an urban community. BMJ 1987; 295: 884–5.CrossRefGoogle Scholar
10.Saunders, PA, Copeland, JR, Dewey, MEet al.Alcohol use and abuse in the elderly: findings from the Liverpool longitudinal study of continuing health in the community. Int J Ger Psychiat 1989; 4: 103108.CrossRefGoogle Scholar
11.Bristow, MF, Clare, AW. Prevalence and characteristics of at risk drinkers among elderly acute medical inpatients. Br J Addiction 1992; 87: 291294.CrossRefGoogle Scholar
12.Finlayson, RE, Hurt, RD, Davis, LJet al.Alcoholism in elderly persons: a study of the psychiatric and psychosocial features of 216 inpatients. Mayo Clin Proc 1988; 63: 761–68.CrossRefGoogle Scholar
13.Ekerdt, DJ, deLabry, LO, Glynn, RJ, Davis, R. Change in drinking behaviours with retirement: findings from the normative ageing study. J Studies on Alcohol 1989; 50: 347353.CrossRefGoogle Scholar
14.McInnes, E, Powell, J. Drug and alcohol referrals: are elderly substance abuse diagnoses and referrals being missed? BMJ 1994; 308: 444446.CrossRefGoogle ScholarPubMed
15.Dufour, M, Fuller, RK. Alcohol in the elderly. Annual Reviews Medicine 1995; 46: 123–32.CrossRefGoogle ScholarPubMed
16.Mullinga, JD. Elderly people with alcohol problems: where do they go? Int J Ger Psychiat 1999; 14: 564–6.3.0.CO;2-0>CrossRefGoogle Scholar
17.Brody, JA. Ageing and alcohol abuse. J Am Ger Soc 1982; 30: 123126.CrossRefGoogle ScholarPubMed
18.Blixen, CE, Mc Dougall, GJ, Suen, LJ. Dual diagnosis in elders discharged from a psychiatric hospital. Int J Ger Psychiat 1997; 12: 307313.3.0.CO;2-6>CrossRefGoogle ScholarPubMed
19.Speer, D, Bates, K. Comorbid mental and substance disorders among older psychiatric patients. J Am Ger Soc 1992; 40: 886890.CrossRefGoogle ScholarPubMed
20.Farragher, B, Wrigley, M, Veluri, R, Alcohol related problems in elderly people – A prospective study. Ir Med J 1994; 87(6)Google ScholarPubMed
21.Fink, A, Hays, RD, Moore, AA, Beck, JC. Alcohol related problems in older persons: determinants, consequences and screening. Arch Int med 1996; 156: 11501156.CrossRefGoogle ScholarPubMed
22.Copeland, JRM, Dewey, ME, Griffiths-Jones, HM. A computerised diagnostic system and case nomenclature for elderly subjects: GMS and AGECAT. Psychological Med 1986; 16:8999.CrossRefGoogle ScholarPubMed
23.The Royal Colleges Report. Alcohol and the heart in perspective: sensible limits reaffirmed. A working group of the Royal Colleges of Physicians Psychiatrists and General Practitioners. J R Coll Physicians of London 1995; 29: 266–71.Google Scholar
24.Callahan, CM, Hendrie, HC, Dittus, RSet al.Depression in late life: the use of clinical characteristics to focus screening efforts. J Gerontol 1994; 49: M914CrossRefGoogle ScholarPubMed
25.Saunders, PA, Copeland, JR, Dewey, MEet at.Heavy drinking as a risk factor for depression and dementia in elderly men. Findings from the Liverpool longitudinal community study. Br J Psychiat 1991; 159: 213–6.CrossRefGoogle ScholarPubMed
26.Poikolanin, K. Underestimation of recalled alcohol intake in relation to actual consumption. Br J Addiction 1985; 80: 215–6.CrossRefGoogle Scholar