Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, San Diego, California, USA.
Division of Geriatrics, Gerontology, and Palliative Care, University of California, San Diego School of Medicine, San Diego, California, USA.
J Am Geriatr Soc. 2022 Mar;70(3):812-819. doi: 10.1111/jgs.17573. Epub 2021 Dec 8.
Recent literature suggests that the gap in prevalence of binge drinking between men and women is closing, but little is known about sex-specific differences in trends and correlates of binge drinking among older Americans.
A total of 18,794 adults, aged 65 years and older were surveyed in the 2015-2019 National Survey on Drug Use and Health. We estimated trends in prevalence of past-month binge drinking (≥5 drinks on the same occasion for men and ≥4 drinks for women), stratified by sex. Correlates of binge drinking were estimated for men and women separately, focusing on demographic characteristics, chronic diseases, past-month tobacco and cannabis use, depression, and emergency department use. Multivariable generalized linear models using Poisson and log link were used to examine associations stratified by sex.
Binge drinking among older men increased from 12.8% in 2015 to 15.7% in 2019 (p = 0.02) but remained stable among older women (7.6% to 7.3%, p = 0.97). In adjusted models, having a college degree was associated with higher risk of binge drinking among women (adjusted prevalence ratio [aPR] = 1.68, 95% CI: 1.13-2.50), but lower risk among men (aPR = 0.69, 95% CI: 0.56-0.85). Men who are separated or divorced were also at higher risk (aPR = 1.25, 95% CI: 1.05-1.50), but women were not. Both men and women reporting past-month use of tobacco (men aPR = 1.87, 95% CI: 1.61-2.17, women aPR = 2.11, 95% CI: 1.71-2.60) and cannabis (men aPR = 2.05, 95% CI: 1.63-2.58, women aPR = 2.77, 95% CI 2.00-3.85) were at higher risk of binge drinking.
Binge drinking has increased among older men whereas it has remained stable among older women in the United States. Interventions should consider that although tobacco and cannabis use is associated with an increased risk of binge drinking among both older men and women, demographic correlates tend to differ by sex.
最近的文献表明，男性和女性之间狂饮的流行率差距正在缩小，但对于老年美国人中狂饮的趋势和相关因素的性别特异性差异知之甚少。
在 2015-2019 年全国药物使用和健康调查中，对 18794 名 65 岁及以上的成年人进行了调查。我们按性别分层，估计过去一个月狂饮（男性≥5 次，女性≥4 次）的流行率趋势。分别为男性和女性估计狂饮的相关因素，重点关注人口统计学特征、慢性疾病、过去一个月的烟草和大麻使用、抑郁和急诊室使用。使用泊松和对数链接的多变量广义线性模型，按性别分层检查关联。
老年男性的狂饮率从 2015 年的 12.8%上升到 2019 年的 15.7%（p=0.02），而老年女性的狂饮率则保持稳定（7.6%至 7.3%，p=0.97）。在调整后的模型中，拥有大学学历与女性狂饮的风险增加相关（调整后的患病率比[aPR]=1.68，95%置信区间：1.13-2.50），但与男性狂饮的风险降低相关（aPR=0.69，95%置信区间：0.56-0.85）。分居或离婚的男性也面临更高的风险（aPR=1.25，95%置信区间：1.05-1.50），但女性则不然。报告过去一个月使用烟草的男性（aPR=1.87，95%置信区间：1.61-2.17）和女性（aPR=2.11，95%置信区间：1.71-2.60）以及大麻（aPR=2.05，95%置信区间：1.63-2.58）的男性和女性，狂饮的风险更高。
在美国，老年男性的狂饮率有所上升，而老年女性的狂饮率保持稳定。干预措施应考虑到，尽管烟草和大麻的使用与男性和女性的狂饮风险增加有关，但人口统计学相关性往往因性别而异。
