Han Benjamin H, Moore Alison A, Sherman Scott, Keyes Katherine M, Palamar Joseph J
New York University School of Medicine, Department of Medicine, Division of Geriatric Medicine and Palliative Care, 550 First Avenue, BCD 615, New York, NY 10016, United States; Center for Drug Use and HIV Research, New York University Rory College of Nursing, 433 First Avenue, 7th Floor, New York, NY 10010, United States.
University of California, San Diego, Department of Medicine, Division of Geriatrics, 9500 Gilman Drive, La Jolla, CA 92093, United States.
Drug Alcohol Depend. 2017 Jan 1;170:198-207. doi: 10.1016/j.drugalcdep.2016.11.003. Epub 2016 Dec 12.
Alcohol use is common among older adults, and this population has unique risks with alcohol consumption in even lower amounts than younger persons. No recent studies have estimated trends in alcohol use including binge alcohol use and alcohol use disorders (AUD) among older adults.
We examined alcohol use among adults age ≥50 in the National Survey on Drug Use and Health (NSDUH) from 2005 to 2014. Trends of self-reported past-month binge alcohol use and AUD were estimated. Logistic regression models were used to examine correlates of binge alcohol use and AUD.
The prevalence of both past-month binge alcohol use and AUD increased significantly among adults age ≥50 from 2005/2006 to 2013/2014, with a relative increase of 19.2% for binge drinking (linear trend p<0.001) and a 23.3% relative increase for AUD (linear trend p=0.035). While males had a higher prevalence of binge alcohol use and AUD compared to females, there were significant increases in both among females. In adjusted models of aggregated data, being Hispanic, male, and a smoker or illicit drug user were associated with binge alcohol use, while being male, a smoker, an illicit drug user, or reporting past-year depression or mental health treatment were associated with AUD.
Alcohol use among older adults is increasing in the US, including past-month binge alcohol use and AUD with increasing trends among females. Providers and policymakers need to be aware of these changes to address the increase of older adults with unhealthy drinking.
饮酒在老年人中很常见，而且这个群体即使饮酒量比年轻人少，也存在独特的风险。最近没有研究估计老年人饮酒的趋势，包括暴饮酒精和酒精使用障碍（AUD）。
我们在2005年至2014年的全国药物使用和健康调查（NSDUH）中研究了年龄≥50岁成年人的饮酒情况。估计了自我报告的过去一个月暴饮酒精和AUD的趋势。使用逻辑回归模型来研究暴饮酒精和AUD的相关因素。
从2005/2006年到2013/2014年，年龄≥50岁成年人中过去一个月暴饮酒精和AUD的患病率均显著增加，暴饮酒精的相对增加率为19.2%（线性趋势p<0.001），AUD的相对增加率为23.3%（线性趋势p=0.035）。虽然男性暴饮酒精和AUD的患病率高于女性，但女性中这两者的患病率也有显著增加。在汇总数据的调整模型中，西班牙裔、男性、吸烟者或非法药物使用者与暴饮酒精有关，而男性、吸烟者、非法药物使用者或报告过去一年有抑郁症或接受过心理健康治疗与AUD有关。
在美国，老年人饮酒呈上升趋势，包括过去一个月的暴饮酒精和AUD，女性中的上升趋势更为明显。医疗服务提供者和政策制定者需要意识到这些变化，以应对不健康饮酒的老年人数量增加的问题。
