Department of Psychology, University of Alabama, Tuscaloosa, AL, USA.
Aging Ment Health. 2012;16(2):208-17. doi: 10.1080/13607863.2011.615735.
This study examines how the prevalence and correlates of binge drinking among older adults vary by race/ethnicity.
Drawn from the 2007 California Health Interview Survey, adults aged 60 and older (n = 18,772) were selected. Binge drinking was measured dichotomously based on whether individuals reported consuming five or more drinks in a single day (four or more for females) in the previous year. Prevalence rates for binge drinking in the past year were calculated by race/ethnicity. A hierarchical logistic regression analysis was conducted using binge drinking in the past year as the dependent variable.
Significant racial/ethnic differences were found in prevalence rates: the presence of binge drinking was most common among non-Hispanic Whites (11.9%), followed by Latinos (10.8%), American Indian/Alaska Natives (9.8%), Blacks (8.0%), and Asians (4.2%). Being a current smoker was found to be the strongest predictor of binge drinking and significant main effects were also found for being Black, being Asian, younger age, being male, being unemployed, having a higher poverty threshold, having better self-rated health, and having more psychological distress. Significant interactions between race/ethnicity and age, sex, employment status, educational attainment, smoking status, and self-rated health were found. These findings indicate that certain correlates of binge drinking vary significantly by race/ethnicity among older adults.
Apparent racial/ethnic differences existed in the prevalence and correlates of binge drinking among older adults. Identification of more racial/ethnic specific predictors may be important for the development of racial/ethnic appropriate intervention programs.
本研究考察了老年人 binge drinking 的流行率和相关因素在不同种族/族裔之间的差异。
从 2007 年加利福尼亚健康访谈调查中选择了 60 岁及以上的成年人(n=18772)。binge drinking 采用二分类变量进行测量,即个体在过去一年中是否报告过一天内饮用五杯或更多饮料(女性为四杯或更多)。按种族/族裔计算过去一年 binge drinking 的患病率。使用过去一年的 binge drinking 作为因变量进行分层逻辑回归分析。
在患病率方面存在显著的种族/族裔差异:非西班牙裔白人(11.9%) binge drinking 的发生率最高,其次是拉丁裔(10.8%)、美洲印第安人/阿拉斯加原住民(9.8%)、黑人(8.0%)和亚洲人(4.2%)。目前吸烟被发现是 binge drinking 的最强预测因素,同时还发现黑人、亚洲人、年龄较小、男性、失业、贫困线较高、自我评估健康状况较好、心理困扰较多等因素与 binge drinking 显著相关。还发现了种族/族裔与年龄、性别、就业状况、教育程度、吸烟状况和自我评估健康之间的显著交互作用。这些发现表明,在老年人中,binge drinking 的某些相关因素在不同种族/族裔之间存在显著差异。
在老年人中,binge drinking 的流行率和相关因素存在明显的种族/族裔差异。识别更具种族/族裔特异性的预测因素可能对制定适合种族/族裔的干预计划很重要。