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老年人的饮酒情况与就医记录

Alcohol use and reported physician visits in older adults.

作者信息

Rice C, Duncan D F

机构信息

Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island 02912, USA.

出版信息

Prev Med. 1995 May;24(3):229-34. doi: 10.1006/pmed.1995.1038.

Abstract

BACKGROUND

In general, older adults use a greater proportion of health care services than other age segments of the population. Alcohol abusers also use a greater proportion of health care services than alcohol nonabusers. Therefore we expected that among older adults, alcohol consumption would be positively related to health service use. In a sample of older adults, this study examined the relationship between alcohol consumption and an indicator of health service use--the self-reported number of physician visits.

METHODS

Data obtained on adult participants in the 1990 National Health Interview Survey, age 60 and older (n = 10,522), were examined. The number of physician visits was regressed on health status and alcohol consumption measures.

RESULTS

Counter to a priori expectations, alcohol consumption was negatively associated with physician visits. This finding was obtained after adjusting for respondent sex and health status measures.

CONCLUSIONS

Other research suggests that the rates of alcohol-related hospital admissions among older adults are on par with those of myocardial infarctions--an indication that harmful use of alcohol in older adults is going undetected. We found heavier alcohol consumption associated with fewer physician visits. This underscores the need for a better understanding of the role alcohol serves in the health perceptions of older adults. Broadening our knowledge in this area would be of benefit not only to the well-being of individuals also for health services policy considerations.

摘要

背景

一般而言,老年人使用医疗保健服务的比例高于其他年龄段人群。酗酒者使用医疗保健服务的比例也高于不酗酒者。因此,我们预计在老年人中,饮酒量与医疗服务使用呈正相关。在一个老年人群样本中,本研究考察了饮酒量与医疗服务使用指标——自我报告的看医生次数之间的关系。

方法

对1990年全国健康访谈调查中60岁及以上的成年参与者(n = 10522)的数据进行了分析。将看医生次数对健康状况和饮酒量指标进行回归分析。

结果

与先验预期相反,饮酒量与看医生次数呈负相关。在对受访者性别和健康状况指标进行调整后得到了这一结果。

结论

其他研究表明,老年人中与酒精相关的住院率与心肌梗死的住院率相当——这表明老年人中有害饮酒行为未被发现。我们发现饮酒量越大,看医生次数越少。这凸显了更好地理解酒精在老年人健康认知中所起作用的必要性。拓宽我们在这一领域的知识不仅有利于个人福祉,也有助于医疗服务政策的制定。

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