Brennan Penny L, Schutte Kathleen K, Moos Rudolf H
Center for Health Care Evaluation and Program Evaluation and Resource Center, VA Palo Alto Health Care System and Stanford University Medical Center, CA, USA.
Addiction. 2005 Jun;100(6):777-86. doi: 10.1111/j.1360-0443.2005.01074.x.
Most older adults report having recently experienced pain, and many older adults have late-life drinking problems. However, to our knowledge, the intersection of pain and alcohol misuse by older adults has not been studied. This research focuses on the implications of pain for older individuals who have problems with alcohol.
Longitudinal survey. SETTING, PARTICIPANTS AND MEASUREMENT: Older community-residing adults (n = 401) were classified as problem and non-problem drinkers. At baseline and 3 years later they were asked to provide information about their pain, use of alcohol to manage pain, drinking behavior, chronic health problems and recent serious injury.
At baseline, older problem drinkers reported more severe pain, more disruption of daily activities due to pain and more frequent use of alcohol to manage pain than did older non-problem drinkers. More pain was associated with more use of alcohol to manage pain; this relationship was stronger among older adults with drinking problems than among those without drinking problems. Among older men, more baseline drinking problems interacted with use of alcohol to manage pain to predict more health problems and serious injury 3 years later. Among older women, more baseline drinking problems interacted with use of alcohol to manage pain to predict more drinking problems 3 years later.
The results highlight the importance of monitoring the drinking behavior of older patients who present with pain complaints, especially patients who have pre-existing problems with alcohol.
大多数老年人报告近期经历过疼痛，且许多老年人存在晚年饮酒问题。然而，据我们所知，老年人疼痛与酒精滥用的交叉情况尚未得到研究。本研究聚焦于疼痛对有酒精问题的老年人的影响。
纵向调查。
背景、参与者与测量：居住在社区的老年人（n = 401）被分为有问题饮酒者和无问题饮酒者。在基线期和3年后，他们被要求提供有关其疼痛、使用酒精缓解疼痛、饮酒行为、慢性健康问题及近期严重损伤的信息。
在基线期，有问题饮酒的老年人比无问题饮酒的老年人报告有更严重的疼痛、因疼痛导致的日常活动更多中断以及更频繁地使用酒精缓解疼痛。更多的疼痛与更多地使用酒精缓解疼痛相关；这种关系在有饮酒问题的老年人中比在无饮酒问题的老年人中更强。在老年男性中，更多的基线饮酒问题与使用酒精缓解疼痛相互作用，预测3年后会出现更多健康问题和严重损伤。在老年女性中，更多的基线饮酒问题与使用酒精缓解疼痛相互作用，预测3年后会出现更多饮酒问题。
研究结果凸显了监测有疼痛主诉的老年患者饮酒行为的重要性，尤其是那些已有酒精问题的患者。
