Tigerstedt Christoffer, Agahi Neda, K Bye Elin, Ekholm Ola, Härkönen Janne, Jensen Heidi Rosendahl, Lau Cathrine Juel, Makela Pia, Moan Inger Synnøve, Parikka Suvi, Raninen Jonas, Vilkko Anni, Bloomfield Kim
Finnish Institute for Health and Welfare, Helsinki, Finland.
Karolinska Institutet, Stockholm, Sweden.
Nordisk Alkohol Nark. 2020 Oct;37(5):434-443. doi: 10.1177/1455072520954326. Epub 2020 Sep 30.
The present article summarises status and trends in the 21st century in older people's (60-79 years) drinking behaviour in Denmark, Finland, Norway and Sweden and concludes this thematic issue. Each country provided a detailed report analysing four indicators of alcohol use: the prevalence of alcohol consumers, the prevalence of frequent use, typical amounts of use, and the prevalence of heavy episodic drinking (HED). The specific aim of this article is to compare the results of the country reports.
Older people's drinking became more common first in Denmark in the 1970s and then in the other countries by the 1980s. Since 2000 the picture is mixed. Denmark showed decreases in drinking frequency, typically consumed amounts and HED, while in Sweden upward trends were dominant regarding prevalence of consumers and frequency of drinking as well as HED. Finland and Norway displayed both stable indicators except for drinking frequency and proportion of women consumers where trends increased. In all four countries, the gender gap diminished with regard to prevalence and frequency of drinking, but remained stable in regard to consuming large amounts. In Norway the share of alcohol consumers among women aged 60-69 years exceeded the share among men. During the late 2010s, Denmark had the highest prevalence of alcohol consumers as well as the highest proportion drinking at a higher frequency. Next in ranking was Finland, followed by Sweden and Norway. This overall rank ordering was observed for both men and women.
As the populations aged 60 years and older in the Nordic countries continue to grow, explanations for the drivers and consequences of changes in older people's drinking will become an increasingly relevant topic for future research. Importantly, people aged 80 years and older should also be included as an integral part of that research.
本文总结了21世纪丹麦、芬兰、挪威和瑞典60至79岁老年人饮酒行为的现状和趋势，并总结了这一主题问题。每个国家都提供了一份详细报告，分析了酒精使用的四个指标：饮酒者的患病率、频繁饮酒的患病率、典型饮酒量以及重度间歇性饮酒（HED）的患病率。本文的具体目的是比较各国报告的结果。
老年人饮酒在20世纪70年代首先在丹麦变得更为普遍，到20世纪80年代在其他国家也变得普遍。自2000年以来，情况喜忧参半。丹麦的饮酒频率、典型饮酒量和HED有所下降，而瑞典在饮酒者患病率、饮酒频率以及HED方面呈上升趋势。芬兰和挪威除饮酒频率和女性消费者比例呈上升趋势外，其他指标均保持稳定。在所有四个国家，饮酒患病率和频率方面的性别差距都有所缩小，但在大量饮酒方面保持稳定。在挪威，60至69岁女性中饮酒者的比例超过了男性。在2010年代后期，丹麦饮酒者的患病率最高，饮酒频率较高的比例也最高。排名第二的是芬兰，其次是瑞典和挪威。男性和女性的总体排名都是如此。
随着北欧国家60岁及以上人口的持续增长，解释老年人饮酒变化的驱动因素和后果将成为未来研究中越来越相关的话题。重要的是，80岁及以上的人群也应作为该研究的一个组成部分被纳入。
