International Journal of Geriatric Psychiatry
Volume 32, Issue 8, 2017, Pages 817-828

Hazardous drinking in people aged 50 years or older: a cross-sectional picture of Europe, 2011–2013 (Article)

Bosque-Prous M. , Brugal M.T. , Lima K.C. , Villalbí J.R. , Bartroli M. , Espelt A.*
  • a Agència de Salut Pública de Barcelona, Barcelona, Spain, Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain, Universitat Pompeu Fabra (UPF), Barcelona, Spain
  • b Agència de Salut Pública de Barcelona, Barcelona, Spain, Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain
  • c Department of Dentistry, Postgraduate Public Health Program (PPGSCol-UFRN), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
  • d Agència de Salut Pública de Barcelona, Barcelona, Spain, Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain, Universitat Pompeu Fabra (UPF), Barcelona, Spain, CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
  • e Agència de Salut Pública de Barcelona, Barcelona, Spain, Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain
  • f Agència de Salut Pública de Barcelona, Barcelona, Spain, Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain, CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain, Departament de Psicobiologia i Metodologia en Ciències de la Salut, Facultat de Psicologia, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Spain

Abstract

Objective: To assess gender and age differences in hazardous drinking and to analyse and compare the factors associated with it in men versus women, and in 50 to 64-year-old versus ≥65-year-old people in Europe. Methods: Cross-sectional study with data from 65,955 people aged ≥50 years from 18 countries (SHARE project, 2011–2013). The outcome variable, hazardous drinking, was calculated using an adaptation of the AUDIT-C test. Several individual (sociodemographic, life-style and health factors) and contextual variables (country socioeconomic indicators and alcohol policies) were analysed. The prevalence of hazardous drinking was estimated by each exposure variable. To estimate associations, multilevel Poisson regression models with robust variance were fit, yielding prevalence ratios and their 95% confidence intervals (95%CI). Results: Overall, the prevalence of hazardous drinking was 21.5% (95%CI = 21.1–22.0), with substantial differences between countries. The proportion of hazardous drinking was higher in men than in women [26.3%(95%CI = 25.6–27.1); 17.5%(95%CI = 17.0–18.0), respectively], as well as in middle-aged people than in older people [23.6%(95%CI = 23.0–24.3); 19.2%(95%CI = 18.6–19.8), respectively]. At the individual level, associations were found for migrant background, marital status, educational level, tobacco smoking, depression and self-perceived health. At the contextual level, hazardous drinking was associated with gender inequalities in society (only in women) and alcohol advertising regulations (both genders). Conclusions: One in five people aged ≥50 years in the countries studied is a hazardous drinker, with large differences by countries, gender and age group. Interventions and policies aimed at preventing or reducing alcohol use in this population should account for country, gender and age differences, as well as individual characteristics. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Author Keywords

Alcohol middle-aged Elderly Europe

Index Keywords

educational status depression regression analysis Alcohol Drinking drinking behavior Europe sex ratio human epidemiology sex difference middle aged aging health status Aged geographic distribution alcoholism Cross-Sectional Studies marriage cross-sectional study Humans smoking male female Aged, 80 and over very elderly risk factor Risk Factors prevalence Article major clinical study adult migration Sex Distribution age distribution advertising
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84978145260&doi=10.1002%2fgps.4528&partnerID=40&md5=a201aaf58e196175f430240a302fbffb
DOI: 10.1002/gps.4528
ISSN: 08856230
Cited by: 4
Original Language: English