与老年男女饮酒和使用具有成瘾潜力的处方药物相关的因素 - 挪威特隆赫姆健康研究（HUNT2 和 HUNT3），一项基于人群的纵向研究。
Factors associated with alcohol consumption and prescribed drugs with addiction potential among older women and men - the Nord-Trøndelag health study (HUNT2 and HUNT3), Norway, a population-based longitudinal study.
机构信息
Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway.
General Practice Research Unit, Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
出版信息
BMC Geriatr. 2019 Apr 18;19(1):113. doi: 10.1186/s12877-019-1114-2.
BACKGROUND
Little is known about factors associated with alcohol consumption and use of drugs with addiction potential in older adults. The aim of this study was to explore the association between socio-demographic variables, physical and mental health and the later (11 years) use of frequent drinking, prescribed drugs with addiction potential and the possible combination of frequent drinking and being prescribed drugs with addiction potential in older adults (≥ 65 years).
METHODS
In this longitudinal study, we used data from two surveys of the Nord-Trøndelag Health Study (HUNT2 1995-1997 and HUNT3 2006-2008), a population based study in Norway. We totally included 10,656 individuals (5683 women) aged 54 years and older when they participated in HUNT2. Frequent drinking was defined as drinking alcohol 4 days or more per week. Data on prescribed drugs with addiction potential were drawn from the Norwegian Prescription Database. Drugs with addiction potential were defined as at least one prescription of benzodiazepines, z-hypnotics or opioids during one year for a minimum of two consecutive years between 2005 and 2009.
RESULTS
The typical frequent drinker in HUNT3 was younger, more educated, lived in urban areas, and reported smoking and drinking frequently in HUNT2 compared to the non-frequent drinker in HUNT3. The typical user of prescribed drugs with addiction potential in HUNT3 was an older woman who smoked and was in poor health, suffered from anxiety, had been hospitalized in the last 5 years and used anxiety or sleep medication every week or more often in HUNT2. The typical individual in HUNT3 with the possible combination of frequent drinking and being prescribed drugs with addiction potential had more education, smoked, drank frequently and used anxiety or sleep medication in HUNT2.
CONCLUSION
Individuals who were identified as frequent drinkers in HUNT2 were more likely to be frequent drinkers in HUNT3, and to have the possible combination of frequent drinking and being prescribed drugs with addiction potential in HUNT3. Health care professionals need to be aware of use of alcohol among older adults using drugs with addiction potential.
背景
关于老年人饮酒和使用具有成瘾潜力的药物的相关因素知之甚少。本研究旨在探讨社会人口统计学变量、身心健康与老年人（≥65 岁）后期频繁饮酒、处方具有成瘾潜力的药物以及频繁饮酒和处方具有成瘾潜力的药物可能组合的使用之间的关联。
方法
在这项纵向研究中，我们使用了挪威北特伦德拉格健康研究（HUNT2，1995-1997 年和 HUNT3，2006-2008 年）的两项调查数据，这是一项基于人群的研究。我们总共纳入了 10656 名年龄在 54 岁及以上的个体，他们参加了 HUNT2。频繁饮酒定义为每周饮酒 4 天或以上。处方具有成瘾潜力的药物的数据来自挪威处方数据库。具有成瘾潜力的药物定义为在 2005 年至 2009 年期间，至少有一次连续两年每年至少有两次处方苯二氮䓬类、Z 催眠药或阿片类药物。
结果
HUNT3 中的典型频繁饮酒者比 HUNT3 中的非频繁饮酒者年龄更小、受教育程度更高、居住在城市地区，并且在 HUNT2 中报告吸烟和饮酒更频繁。HUNT3 中的典型处方具有成瘾潜力的药物使用者是一名年长的女性，她吸烟，健康状况不佳，患有焦虑症，在过去 5 年内住院，并且在 HUNT2 中每周或更频繁地使用焦虑或睡眠药物。HUNT3 中具有频繁饮酒和处方具有成瘾潜力的药物可能组合的典型个体受教育程度更高，吸烟，饮酒频繁，在 HUNT2 中使用焦虑或睡眠药物。
结论
在 HUNT2 中被确定为频繁饮酒者的个体更有可能在 HUNT3 中成为频繁饮酒者，并且在 HUNT3 中具有频繁饮酒和处方具有成瘾潜力的药物的可能组合。医疗保健专业人员需要意识到使用具有成瘾潜力的药物的老年人饮酒情况。
Zotero 插件