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性别、种族和疾病对老年初级保健患者戒酒的影响。

Effects of gender, ethnicity, and medical illness on drinking cessation in older primary care patients.

作者信息

Satre Derek D, Areán Patricia A

机构信息

University of California, San Francisco, Kaiser Permanente Division of Research, 401 Parnassus Avenue, Box 0984-OVS, San Francisco, CA 94143-0984, USA.

出版信息

J Aging Health. 2005 Feb;17(1):70-84. doi: 10.1177/0898264304272785.

Abstract

OBJECTIVE

This study examined the effects of gender, ethnicity, and medical illness on cessation of alcohol consumption in late life by analyzing characteristics that distinguish current drinkers from former drinkers.

METHOD

Participants were 211 medical patients aged 55 to 91 years, recruited from four urban public sector primary care clinics. Respondents completed the Short Michigan Alcohol Screening Test and provided health and demographic data. A subset (n = 139) reported drinking history. Of these participants, 40% reported cessation of alcohol consumption at least 1 year prior to their participation in the study.

RESULTS

Older age, hypertension, and heart problems were associated with drinking cessation among women but not among men. In a logistic regression model, drinking cessation was predicted by being unmarried, being a member of an ethnic minority group, heart problems, and diabetes.

DISCUSSION

Physical illnesses may contribute to drinking cessation, especially in older women. Results have implications for alcohol interventions with older adults.

摘要

目的

本研究通过分析区分当前饮酒者和既往饮酒者的特征,探讨性别、种族和疾病对晚年戒酒的影响。

方法

研究对象为211名年龄在55至91岁之间的内科患者,他们来自四个城市公共部门的基层医疗诊所。受访者完成了密歇根酒精筛查简表,并提供了健康和人口统计学数据。其中一部分(n = 139)报告了饮酒史。在这些参与者中,40%的人报告在参与研究前至少1年就已戒酒。

结果

年龄较大、患有高血压和心脏病与女性戒酒有关,但与男性无关。在逻辑回归模型中,未婚、属于少数族裔群体、患有心脏病和糖尿病可预测戒酒情况。

讨论

身体疾病可能导致戒酒,尤其是老年女性。研究结果对老年人的酒精干预具有启示意义。

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