School of Psychology, Complutense University of Madrid, Madrid, Spain.
Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
PLoS One. 2018 Apr 30;13(4):e0196574. doi: 10.1371/journal.pone.0196574. eCollection 2018.
Alcohol use disorders (AUD) in older people have been the subject of increasing interest in Europe and worldwide. However, thus far, no reliable data exist regarding the prevalence of AUD in people over the age of 65 years in Europe.
To assess the current (past month), 12-month and lifetime prevalence of alcohol use, abuse and dependence in people aged 65-84 years.
The MentDis_ICF65+ study was a representative stepwise cross-sectional survey that was conducted in six European and associated cities (Hamburg, Germany; Ferrara, Italy; London/Canterbury, England; Madrid, Spain; Geneva, Switzerland and Jerusalem, Israel).
In total, 3,142 community-dwelling people aged between 65 and 84 years who lived in participating cities were assessed with an age-sensitive diagnostic interview (CIDI65+).
The prevalence of lifetime alcohol use was 81% for the overall sample. The observed AUD (DSM-IV-TR) prevalence was as follows: current, 1.1%; 12-month, 5.3% and lifetime, 8.8%. Alcohol consumption and AUD were more prevalent in males, and a significant interaction between gender and city was observed; greater gender differences in the prevalence of these disorders were observed in Hamburg, London/Canterbury and Geneva in comparison to the other cities. The prevalence of lifetime alcohol consumption and 12-month AUD tended to be lower in older persons.
The results highlight the appropriateness of using age-adjusted diagnostic tools (CIDI65+) to identify alcohol use and AUD in older people. Different alcohol use patterns were observed in males and females. The results seem to indicate the presence of different alcohol use patterns between northern and southern European countries. Specialized services are proposed, including brief and/or more intensive interventions framed intensive and more simple interventions framed in stepped care strategies, to improve the social and health resources available for older people across Europe.
老年人的酒精使用障碍（AUD）在欧洲和全球范围内受到越来越多的关注。然而，迄今为止，关于欧洲 65 岁以上人群 AUD 的患病率尚无可靠数据。
评估 65-84 岁人群当前（过去一个月）、12 个月和终身的饮酒、滥用和依赖情况。
MentDis_ICF65+研究是一项代表性的逐步横断面调查，在欧洲六个城市（德国汉堡、意大利费拉拉、英国伦敦/坎特伯雷、西班牙马德里、瑞士日内瓦和以色列耶路撒冷）进行。
共有 3142 名居住在参与城市的 65-84 岁社区居民接受了年龄敏感的诊断访谈（CIDI65+）。
总体样本中终生饮酒的患病率为 81%。观察到的 AUD（DSM-IV-TR）患病率如下：当前患病率为 1.1%；12 个月患病率为 5.3%；终身患病率为 8.8%。男性的饮酒量和 AUD 更为普遍，并且观察到性别和城市之间存在显著的交互作用；与其他城市相比，在汉堡、伦敦/坎特伯雷和日内瓦，这些障碍的患病率在性别差异方面更大。终身饮酒和 12 个月 AUD 的患病率随着年龄的增长而降低。
结果强调了使用年龄调整诊断工具（CIDI65+）识别老年人饮酒和 AUD 的适当性。男性和女性的饮酒模式不同。结果似乎表明，北欧和南欧国家之间存在不同的饮酒模式。建议提供专门的服务，包括简短和/或更密集的干预措施，纳入强化和更简单的干预措施，框架在分级护理策略中，以改善整个欧洲老年人的社会和健康资源。
