多维度潜在类别分析老年人有害饮酒行为：瑞典成瘾严重程度指数登记处中的亚型。
A Multidimensional Latent Class Analysis of Harmful Alcohol Use Among Older Adults: Subtypes Within the Swedish Addiction Severity Index Registry.
机构信息
Department of Social Work, Umeå University, Umeå, Sweden, Centre for Demography and Ageing Research (CEDAR), Umeå University, Umeå, Sweden (WBJ, MP); Department of Social Work, Umeå University, Umeå, Sweden (FS); The Cross-National Behavioral Health Laboratory, University of Denver, Denver, Colorado, Professor, Graduate School of Social Work, University of Denver, Denver, Colorado, Professor, Department of Social Work, Umeå University, Umeå, Sweden (LL).
出版信息
J Addict Med. 2020 Jul/Aug;14(4):e89-e99. doi: 10.1097/ADM.0000000000000636.
OBJECTIVES
The present study aimed to identify multidimensional typologies of harmful alcohol use based on the Swedish Addiction Severity Index (ASI) assessment data on individuals aged 50 years and above.
METHODS
Latent class analysis examined 11 indicators from ASI data on 1747 individuals (men = 1255, women = 492) who reported they were troubled by alcohol problem at least one day in the past 30 days before their assessment. The discriminative validity of the classes was assessed by comparing other measures of individual characteristics and problem severity of other ASI dimensions.
RESULTS
Five subtypes of harmful alcohol use were identified. Two classes with alcohol problems varying in psychosocial functioning, age composition and ages of onset of both regular and heavy drinking. Two with psychiatric comorbidity but varying in violence, criminality, gender composition and ages of onset of regular and heavy drinking. One with high prevalence of concurrent use of other substances, psychiatric, legal, and employment problems.
CONCLUSIONS
The analysis identified, in a national sample, heterogeneous risk groups of older adults with harmful alcohol use. These findings suggest a need for healthcare providers to assess older adults not only for their substance use but also for associated problems and needs. Given these findings, the Addiction Severity Index is a valuable assessment tool for older adults with harmful alcohol use.
目的
本研究旨在根据瑞典成瘾严重程度指数（Addiction Severity Index，ASI）评估数据，确定 50 岁及以上人群中基于多维的有害酒精使用的分类。
方法
采用潜在类别分析方法，对 1747 名（男性 1255 名，女性 492 名）在评估前 30 天内至少有一天报告存在酒精问题的个体的 ASI 数据中的 11 个指标进行分析。通过比较个体特征和其他 ASI 维度的严重程度的其他指标，评估了类别的判别有效性。
结果
确定了五种有害酒精使用的亚型。其中两类人群在心理社会功能、年龄构成和规律饮酒及重度饮酒的发病年龄方面存在酒精问题。两类人群存在精神共病，但在暴力、犯罪、性别构成和规律饮酒及重度饮酒的发病年龄方面存在差异。一类人群同时存在其他物质使用、精神、法律和就业问题，其发生率较高。
结论
在全国性样本中，该分析确定了具有有害酒精使用的老年人的异质风险群体。这些发现表明医疗保健提供者不仅需要评估老年人的物质使用情况，还需要评估其相关问题和需求。鉴于这些发现，成瘾严重程度指数是评估具有有害酒精使用的老年人的一种有价值的评估工具。
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