1 School of Pharmacy, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
2 HRB Centre for Primary Care Research, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
J Aging Health. 2019 Oct;31(9):1568-1588. doi: 10.1177/0898264318783080. Epub 2018 Jun 27.
The objective of this study was to determine whether trajectories of older adults' alcohol consumption are influenced by the following life course transitions, relationship status, employment status, and self-rated health. Volume and frequency of drinking were harmonized across first three waves of The Irish Longitudinal Study on Ageing (TILDA; = 4,295). Multilevel regression models were used to model frequency, average weekly consumption, and heavy episodic drinking. Men and women drank more frequently over time, with frequency decreasing with age for women. Average weekly consumption decreased over time and with increasing age. Transitions in self-rated health, particularly those reflecting poorer health, were associated with lower frequency and weekly consumption. Heavy episodic drinking decreased with age. Men who were retired across all waves were more likely to engage in heavy episodic drinking at baseline. Despite the decline in average weekly consumption and heavy episodic drinking, the observed quantities consumed and the increase in frequency of consumption suggest that older Irish adults remain vulnerable to alcohol-related harms.
本研究旨在确定老年人饮酒轨迹是否受到以下人生历程转变的影响，包括婚姻状况、就业状况和自评健康。通过爱尔兰老龄化纵向研究（TILDA）的前三轮数据，对饮酒量和饮酒频率进行了协调（n=4295）。使用多层次回归模型对频率、平均周饮酒量和重度间歇性饮酒进行建模。男性和女性的饮酒频率随时间推移而增加，女性的饮酒频率随年龄增长而降低。平均周饮酒量随时间推移和年龄增长而减少。自评健康状况的转变，特别是反映健康状况恶化的转变，与较低的饮酒频率和每周饮酒量有关。重度间歇性饮酒随年龄增长而减少。所有波次中退休的男性更有可能在基线时出现重度间歇性饮酒。尽管平均周饮酒量和重度间歇性饮酒有所下降，但观察到的饮酒量和饮酒频率的增加表明，爱尔兰的老年成年人仍易受到与酒精相关的伤害。
