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Understanding older problem drinkers: The role of drinking to cope
Affiliation:1. Centre for Health Equity, Melbourne, School of Population and Global Health, Victoria, 3010, Australia;2. Melbourne School of Psychological Sciences, University of Melbourne, Victoria, Australia;3. Centre for Women''s Mental Health, Royal Women''s Hospital, Parkville, Victoria, Australia;4. Department of Psychiatry, University of Melbourne, Victoria, Australia;1. Department of Population Health, New York University School of Medicine, New York, NY, USA;2. Institute of Social and Medical Studies, H18, Lot 12B, Trung Yen 10 Street, Trung Hoa Ward, Cau Giay, Hanoi, Viet Nam;3. New York University Rory Meyers College of Nursing, USA;1. University of Houston, The University of Houston, 3695 Cullen Boulevard Room 126, Houston, TX 77204-5022, United States;2. Brown University, Box 1821, 190 Thayer Street, Providence, RI 02912, United States;1. Graduate School of Social Work, University of Denver, Denver, CO, USA;2. Denver Public Health, Denver Health and Hospital Authority, Denver, CO, USA;3. Department of Epidemiology, Colorado School of Public Health, Aurora, CO, USA;4. School of Social Work, State University of New York, Buffalo, NY, USA;5. School of Social Work, University of Southern California, Los Angeles, CA, USA;2. Department of Psychology, University of Alabama at Birmingham, Campbell, Hall 415 1530 3rd Avenue South Birmingham, AL 35294-1170, USA;3. Department of Psychiatry, University of Alabama at Birmingham, Sparks, Center 1720 7th Avenue South Birmingham, AL 35294-0017, USA
Abstract:Introduction and aimsDespite a common perception that older adults drink less than younger adults, drinking frequency increases with age. The aim of this study was to examine the types of coping motives associated with problem drinkers in addition to the types of specific drinking problems most commonly endorsed by older drinkers. The study also sought to investigate the role of individual drinking to cope motives in problem drinking.MethodParticipants were 288 community dwelling older adults aged who consumed alcohol, and were drawn from a larger study of health and aging in rural areas of Australia. Participants completed a postal questionnaire comprising the Drinking Problems Index, Drinking Motives Questionnaire, The AUDIT-C, and the Centre for Epidemiological Studies Depression Scale.ResultsOverall, 22.2% of the sample were problem drinkers, with a higher prevalence for men (30.4%) than women (15.6%). Problem drinkers were significantly more likely to consume alcohol according to several indices of risky drinking. The most common drinking problems experienced were becoming intoxicated, spending too much money on drinking, feeling confused after drinking, and skipping meals. Drinking to cope motives to relax, to manage physical symptoms and to feel more self-confident increased the odds of problem drinking.ConclusionsProblem drinking is highly prevalent in older adults. Given the potential adverse consequences of problem drinking on the health of older adults it is imperative that health professionals pay attention to drinking behaviours as part of routine practice.
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