Universidade Federal de Sao Paulo, Department of Psychobiology, Sao Paulo, Brazil.
Hospital Alemao Oswaldo Cruz, Institute of Education and Health Sciences, Sao Paulo, Brazil.
Geriatr Gerontol Int. 2017 Nov;17(11):1849-1857. doi: 10.1111/ggi.12974. Epub 2017 Jan 6.
As little is known about alcohol and tobacco consumption concordance between older spouses in low- and middle-income countries, the present study aimed to estimate this in older couples from five Latin American countries.
This study is a secondary analysis of data collected between 2003 and 2007 by the 10/66 Dementia Research Group, from 1451 couples aged over 65 years from Cuba, the Dominican Republic, Peru, Mexico and Puerto Rico. Kappa statistic was used to assess the agreement of the behavior beyond chance, and logistic regression models with meta-analyses were used to estimate the factors associated with concordance.
The mean age of the total sample was 74.8 years (SD 6.6). The results showed high levels of agreement rates in relation to drinking and smoking (75.9% and 85% of couples, respectively, did not drink or smoke), which were beyond the agreement expected by chance. Increased age was associated with concordance on both being non-drinkers (OR 1.03, 95% CI 1.01-1.05) and non-smokers (OR 1.05, 95% CI 1.02-1.07); and having a larger social network was associated with less likelihood of the couple being non-drinkers (OR 0.93, 95% CI 0.88-0.98). Attending religious meetings was associated with increased likelihood of the couple being non-smokers (OR 1.19, 95% CI 1.01-1.41). Socioeconomic circumstances were not associated with couples' concordance.
Older Latin American couples have high levels of concordance in drinking and smoking habits, which increases with age, and were not associated with socioeconomic circumstances, but were with social network. This knowledge can assist the development of policies and interventions to promote health among this growing population. Geriatr Gerontol Int 2017; 17: 1849-1857.
由于人们对中低收入国家老年配偶之间饮酒和吸烟一致性的了解甚少，本研究旨在评估来自五个拉丁美洲国家的老年夫妇的这种一致性。
本研究是对 2003 年至 2007 年期间 10/66 痴呆症研究组收集的数据进行的二次分析，这些数据来自古巴、多米尼加共和国、秘鲁、墨西哥和波多黎各的 1451 对年龄在 65 岁以上的夫妇。卡帕统计用于评估行为的一致性是否超出偶然，逻辑回归模型和荟萃分析用于估计与一致性相关的因素。
总样本的平均年龄为 74.8 岁（SD 6.6）。结果显示，关于饮酒和吸烟的一致性率很高（分别有 75.9%和 85%的夫妇不饮酒或吸烟），这超出了偶然一致性的预期。年龄增加与非饮酒者（OR 1.03，95%CI 1.01-1.05）和非吸烟者（OR 1.05，95%CI 1.02-1.07）的一致性相关；拥有更大的社交网络与夫妇非饮酒者的可能性降低相关（OR 0.93，95%CI 0.88-0.98）。参加宗教集会与夫妇非吸烟者的可能性增加相关（OR 1.19，95%CI 1.01-1.41）。社会经济状况与夫妇的一致性无关。
拉丁美洲老年夫妇在饮酒和吸烟习惯方面具有较高的一致性，这种一致性随着年龄的增长而增加，与社会经济状况无关，但与社交网络有关。这些知识可以帮助制定政策和干预措施，以促进这一不断增长的人群的健康。老年医学与老年病学国际 2017 年；17：1849-1857。
