老年人饮酒与医疗保险费用
Alcohol consumption in older adults and Medicare costs.
作者信息
Mukamal Kenneth J, Lumley Thomas, Luepker Russell V, Lapin Pauline, Mittleman Murray A, McBean A Marshall, Crum Rosa M, Siscovick David S
机构信息
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
出版信息
Health Care Financ Rev. 2006 Spring;27(3):49-61.
We determined the relationship of alcohol consumption and Medicare costs among 4,392 participants in the Cardiovascular Health Study (CHS), a longitudinal, population-based cohort study of adults age 65 or over in four U.S. communities. We assessed 5-year Parts A and B costs and self-reported intake of beer, wine, and liquor at baseline. Among both sexes, total costs were approximately $2,000 lower among consumers of > 1-6 drinks per week than abstainers. The lower costs associated with moderate drinking were most apparent among participants with cardiovascular disease (CVD) and for hospitalization costs for CVD among healthy participants. Former drinkers had the highest costs.
我们在心血管健康研究（CHS）的4392名参与者中确定了饮酒量与医疗保险费用之间的关系。CHS是一项针对美国四个社区65岁及以上成年人的纵向、基于人群的队列研究。我们在基线时评估了5年的A部分和B部分费用以及自我报告的啤酒、葡萄酒和烈酒摄入量。在男性和女性中，每周饮用超过1 - 6杯酒的消费者的总费用比戒酒者低约2000美元。适度饮酒相关的较低费用在患有心血管疾病（CVD）的参与者中最为明显，在健康参与者中，CVD的住院费用方面也是如此。既往饮酒者的费用最高。
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