Department of Health Policy, Management, and Behavior, School of Public Health, State University of New York at Albany, One University Place, Rensselaer, New York 12144-3456, USA.
J Stud Alcohol Drugs. 2011 Nov;72(6):917-25. doi: 10.15288/jsad.2011.72.917.
This study aimed to assess whether changes in levels of financial strain are associated with changes in alcohol use and smoking among older adults.
Multilevel analyses were conducted using longitudinal data from a randomly selected national sample of older adults (N = 2,352; 60% female). The data were collected in six waves during the period of 1992-2006. We estimated associations between within-person changes in levels of financial strain and the odds of engaging in heavy drinking and smoking, while also testing for the moderating effects of gender, education, and age.
A direct association was observed between changes in levels of financial strain and the odds of heavy drinking, particularly among elderly men (odds ratio [OR] = 1.31) and those with low levels of education (OR = 1.27). A direct association between changes in levels of financial strain and the odds of smoking was also evident, particularly among the young-old (i.e., age 65 at baseline; OR = 1.44).
Exposure to financial strain places some groups of older adults at increased risk for unhealthy drinking and smoking. If the current global financial crisis leads to increases in experiences of financial strain among older adults, alcohol and smoking problems can also be expected to increase in this population.
本研究旨在评估经济压力水平的变化是否与老年人饮酒和吸烟行为的变化相关。
使用纵向数据对随机抽取的全国老年人样本（N=2352；60%为女性）进行了多层次分析。数据收集于 1992 年至 2006 年的六个时期。我们评估了个体经济压力水平变化与重度饮酒和吸烟几率之间的关联，同时检验了性别、教育和年龄的调节作用。
经济压力水平变化与重度饮酒几率之间存在直接关联，尤其是在老年男性（比值比[OR]=1.31）和教育程度较低的人群中（OR=1.27）。经济压力水平变化与吸烟几率之间也存在直接关联，尤其是在年轻老年人（即基线年龄为 65 岁）中（OR=1.44）。
经济压力暴露使一些老年人群体面临更高的不健康饮酒和吸烟风险。如果当前全球金融危机导致老年人经历的经济压力增加，预计该人群的酒精和吸烟问题也会增加。
