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Patrick ME, Kloska DD, Mehus CJ, Terry-McElrath Y, O’Malley PM, Schulenberg JE. Key Subgroup Differences in Age-Related Change From 18 to 55 in Alcohol and Marijuana Use: U.S. National Data. J Stud Alcohol Drugs 2021; 82:93-102. [PMID: 33573727 PMCID: PMC7901262 DOI: 10.15288/jsad.2021.82.93] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Accepted: 09/22/2020] [Indexed: 07/21/2023] Open
Abstract
OBJECTIVE This study examined age-related change in alcohol use, marijuana use, and the association between the two, from ages 18 to 55, in a national longitudinal sample. METHOD Data were from national Monitoring the Future study participants (N = 11,888) who were high school seniors in 1976-1980 and were eligible to respond to the age 55 survey in 2013-2017. Time-varying effect modeling was used to model past-30-day prevalence and associations between alcohol and marijuana across ages 18-55, overall and by sex, race/ethnicity, and college attendance. RESULTS Marijuana prevalence peaked at age 18 and was lowest in the late 40s; alcohol prevalence peaked at age 22 and was lowest in the early 40s. Associations between alcohol and marijuana use were strongest at age 18. Significant differences were observed by sex, race/ethnicity, and college attendance (e.g., women's use was lower and decreased faster in the late 30s than men's; White respondents' alcohol and marijuana use were higher and peaked before Black respondents'; compared with non-attenders, college attenders' use was higher for alcohol but lower for marijuana). The alcohol and marijuana use association was strongest at ages 18-20 for most subgroups, except Black respondents, for whom the association was strongest at age 30. CONCLUSIONS Longitudinal data showed patterns of alcohol and marijuana use across adulthood. Such patterns highlight sociodemographic risk factors across the life span, ages that should be targeted for clinician awareness and intervention efforts, and populations at particular risk of harm from alcohol and marijuana co-use during adulthood.
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Affiliation(s)
- Megan E. Patrick
- Institute for Social Research, University of Michigan, Ann Arbor, Michigan
| | - Deborah D. Kloska
- Institute for Social Research, University of Michigan, Ann Arbor, Michigan
| | - Christopher J. Mehus
- Institute for Translational Research in Children’s Mental Health, University of Minnesota, Minneapolis, Minnesota
| | | | | | - John E. Schulenberg
- Institute for Social Research, University of Michigan, Ann Arbor, Michigan
- Department of Psychology, and Institute for Social Research, University of Michigan, Ann Arbor, Michigan
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Patrick ME, Kloska DD, Mehus CJ, Terry-McElrath Y, O’Malley PM, Schulenberg JE. Key Subgroup Differences in Age-Related Change From 18 to 55 in Alcohol and Marijuana Use: U.S. National Data. J Stud Alcohol Drugs 2021; 82:93-102. [PMID: 33573727 PMCID: PMC7901262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Accepted: 09/22/2020] [Indexed: 02/15/2024] Open
Abstract
OBJECTIVE This study examined age-related change in alcohol use, marijuana use, and the association between the two, from ages 18 to 55, in a national longitudinal sample. METHOD Data were from national Monitoring the Future study participants (N = 11,888) who were high school seniors in 1976-1980 and were eligible to respond to the age 55 survey in 2013-2017. Time-varying effect modeling was used to model past-30-day prevalence and associations between alcohol and marijuana across ages 18-55, overall and by sex, race/ethnicity, and college attendance. RESULTS Marijuana prevalence peaked at age 18 and was lowest in the late 40s; alcohol prevalence peaked at age 22 and was lowest in the early 40s. Associations between alcohol and marijuana use were strongest at age 18. Significant differences were observed by sex, race/ethnicity, and college attendance (e.g., women's use was lower and decreased faster in the late 30s than men's; White respondents' alcohol and marijuana use were higher and peaked before Black respondents'; compared with non-attenders, college attenders' use was higher for alcohol but lower for marijuana). The alcohol and marijuana use association was strongest at ages 18-20 for most subgroups, except Black respondents, for whom the association was strongest at age 30. CONCLUSIONS Longitudinal data showed patterns of alcohol and marijuana use across adulthood. Such patterns highlight sociodemographic risk factors across the life span, ages that should be targeted for clinician awareness and intervention efforts, and populations at particular risk of harm from alcohol and marijuana co-use during adulthood.
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Affiliation(s)
- Megan E. Patrick
- Institute for Social Research, University of Michigan, Ann Arbor, Michigan
| | - Deborah D. Kloska
- Institute for Social Research, University of Michigan, Ann Arbor, Michigan
| | - Christopher J. Mehus
- Institute for Translational Research in Children’s Mental Health, University of Minnesota, Minneapolis, Minnesota
| | | | | | - John E. Schulenberg
- Institute for Social Research, University of Michigan, Ann Arbor, Michigan
- Department of Psychology, and Institute for Social Research, University of Michigan, Ann Arbor, Michigan
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3
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Xue B, Head J, McMunn A. The Impact of Retirement on Cardiovascular Disease and Its Risk Factors: A Systematic Review of Longitudinal Studies. THE GERONTOLOGIST 2020; 60:e367-e377. [PMID: 31091304 PMCID: PMC7362617 DOI: 10.1093/geront/gnz062] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2018] [Indexed: 12/29/2022] Open
Abstract
Background and Objectives People are now spending longer in retirement than ever before and retirement has been found to influence health. This study systematically reviewed the impact of retirement on cardiovascular disease (CVD) and its risk factors (metabolic risk factors, blood biomarkers, physical activity, smoking, drinking, and diet). Research Design and Methods Longitudinal studies published in Medline, Embase, Social Science Citation Index, PsycINFO, and Social Policy and Practice were searched. No language restrictions were applied if there was an English abstract. Eighty-two longitudinal studies were included after critical appraisals. Results Studies in the United States often found no significant effect of retirement on CVD, while studies in European countries, except France, showed a detrimental effect of retirement on CVD. Results from the United States and several European countries consistently show that retirement increase adiposity measures among those retired from physically demanding jobs. For diabetes and hypertension, five out of nine studies suggest no effect of retirement. Retirement has been repeatedly linked to increasing leisure-time physical activity but may reduce work- and transport-related physical activity in turn. Most studies showed that retirement either decreased smoking or had no effect on smoking. The evidence did not show a clear conclusion on drinking. Only a few studies have assessed the impact on diet and blood biomarkers. Discussion and Implications Effect of retirement varies according to the health outcomes studied and country of the study population. Policy concerning extending the retirement age needs to focus on ensuring they are suited to the individual.
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Affiliation(s)
| | - Jenny Head
- Department of Epidemiology and Public Health, University College London, UK
| | - Anne McMunn
- Department of Epidemiology and Public Health, University College London, UK
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Stefanovics EA, Gavriel-Fried B, Potenza MN, Pietrzak RH. Current drinking patterns in US veterans with a lifetime history of alcohol use disorder: Results from the National Health and Resilience in Veterans Study. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2020; 46:784-794. [PMID: 32975444 DOI: 10.1080/00952990.2020.1803893] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Background: Although more than 40% of US military veterans have lifetime histories of alcohol use disorder (AUD), little is known about the prevalence and correlates of current drinking patterns (i.e., abstinent, subthreshold, hazardous drinking) in this population. Objectives: To characterize the prevalence and key correlates of abstinence, subthreshold drinking, and hazardous drinking in a nationally representative sample of US veterans with lifetime AUD. Methods: Data from 1,282 veterans with lifetime AUD who participated in the National Health and Resilience in Veterans Study were analyzed using analyses of variance, chi-square analyses, and multinomial regression models. Results: Of the 1,282 veterans with lifetime AUD (of which 94.7% were males), 674 (48.2%) were past-year subthreshold drinkers, 317 (28.0%) were abstinent and 291 (23.8%) were hazardous drinkers. Abstinent veterans were older, less educated, less socially engaged, and had higher levels of religiosity than subthreshold and hazardous drinkers. They were also more likely to smoke, screen positive for PTSD, reported greater somatic symptoms than subthreshold drinkers, and had more physical difficulties and lifetime trauma than hazardous drinkers. Subthreshold drinkers were more likely than hazardous drinkers to be female and report physical health problems and less likely to smoke and be depressed. Conclusion: More than three-quarters of US veterans with lifetime AUD are currently abstinent or subthreshold drinkers. Factors associated with abstinence included older age, health problems, religiosity and social engagement. Results suggest a "J-shaped" relationship between current drinking patterns and health and psychosocial factors in veterans, with subthreshold drinkers generally having better health than abstinent and hazardous drinkers.
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Affiliation(s)
- Elina A Stefanovics
- Department of Psychiatry, Yale School of Medicine , New Haven, CT, USA.,U.S. Department of Veterans Affairs (VA) New England Mental Illness Research and Education, Clinical Center (MIRECC), VA Connecticut Healthcare System , West Haven, CT, USA
| | - Belle Gavriel-Fried
- The Bob Shapell School of Social Work, Tel Aviv University , Tel Aviv, Israel
| | - Marc N Potenza
- Department of Psychiatry, Yale School of Medicine , New Haven, CT, USA.,The Connecticut Council on Problem Gambling , Wethersfield, CT, USA.,The Connecticut Mental Health Center , New Haven, CT, USA.,Department of Neuroscience and Child Study Center, Yale School of Medicine , New Haven, CT, USA
| | - Robert H Pietrzak
- Department of Psychiatry, Yale School of Medicine , New Haven, CT, USA.,U.S. Department of Veterans Affairs (VA) National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System , West Haven, CT, USA
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Wang R, Li B, Jiang Y, Guan Y, Wang G, Zhao G. Smoking cessation mutually facilitates alcohol drinking cessation among tobacco and alcohol co-users: A cross-sectional study in a rural area of Shanghai, China. Tob Induc Dis 2019; 17:85. [PMID: 31889947 PMCID: PMC6897049 DOI: 10.18332/tid/114076] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Revised: 10/30/2019] [Accepted: 11/07/2019] [Indexed: 02/02/2023] Open
Abstract
INTRODUCTION Tobacco smoking and alcohol drinking are strongly paired behaviours, affecting millions of people worldwide. Studies in western countries demonstrate that alcohol use among smokers makes it harder to quit smoking, and addressing alcohol use is particularly important for smoking cessation, but the evidence is limited in China. We conducted a cross-sectional study to understand the prevalence of smoking, drinking, as well as tobacco and alcohol co-use, and to explore how smoking cessation mutually facilitates drinking cessation among tobacco and alcohol co-users. METHODS During 2016 and 2017, we sampled 36698 participants aged >18 years in Songjiang district, Shanghai. A questionnaire was designed to collect data, and participants were classified into non-smokers and smokers (current and former smokers), as well as non-alcohol drinkers and alcohol drinkers (current and former alcohol drinkers). SAS software was applied to analyse the differences by weighted logistic regressions. RESULTS The prevalence of tobacco smoking, alcohol drinking, and tobacco and alcohol co-use was 23.53%, 13.52% and 9.85%, respectively. Smoking cessation prevalence was 15.93%, which was higher than drinking cessation prevalence (8.22%). Tobacco and alcohol co-users had a higher prevalence of smoking cessation (16.95%) than participants who were only smokers (15.20%) and had higher prevalence of alcohol drinking cessation (8.71%) than residents who were only drinkers (6.91%). Tobacco and alcohol co-users who stopped alcohol drinking were much more likely to stop smoking than those who still drank alcohol (OR=8.83; 95% CI: 6.91–11.28) or those who only smoked (OR=7.51; 95% CI: 5.93–9.52). CONCLUSIONS Drinking cessation prevalence was lower than that of smoking cessation, and drinking cessation could mutually facilitate smoking cessation among tobacco and alcohol co-users. Tobacco smoking cessation programs could incorporate alcohol drinking cessation measures to achieve higher public health benefits.
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Affiliation(s)
- Ruiping Wang
- Yueyang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.,Disease Control Division, Songjiang Center for Disease Control and Prevention, Shanghai, China.,School of Public Health, Fudan University, Shanghai, China
| | - Bin Li
- Yueyang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Yonggen Jiang
- Disease Control Division, Songjiang Center for Disease Control and Prevention, Shanghai, China
| | - Ying Guan
- Disease Control Division, Songjiang Center for Disease Control and Prevention, Shanghai, China
| | - Guimin Wang
- Disease Control Division, Songjiang Center for Disease Control and Prevention, Shanghai, China
| | - Genming Zhao
- School of Public Health, Fudan University, Shanghai, China
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Sagaon-Teyssier L, Mabire X, Laguette V, Fressard L, Suzan-Monti M, Rojas Castro D, Hall N, Capitant C, Meyer L, Chidiac C, Tremblay C, Préau M, Spire B, Molina JM. A Group-Based Trajectory Model for Changes in Pre-Exposure Prophylaxis and Condom Use Among Men Who Have Sex with Men Participating in the ANRS IPERGAY Trial. AIDS Patient Care STDS 2018. [DOI: 10.1089/apc.2018.0081] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Luis Sagaon-Teyssier
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques and Sociales de la Santé and Traitement de l'Information Médicale, Marseille, France
- ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France
| | - Xavier Mabire
- Groupe de Recherche en Psychologie Sociale (EA 4163), Université Lumière Lyon 2, Université de Lyon, Lyon, France
| | - Vanessa Laguette
- Groupe de Recherche en Psychologie Sociale (EA 4163), Université Lumière Lyon 2, Université de Lyon, Lyon, France
- University of Picardie Jules Verne, Amiens, France
| | - Lisa Fressard
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques and Sociales de la Santé and Traitement de l'Information Médicale, Marseille, France
- ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France
| | - Marie Suzan-Monti
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques and Sociales de la Santé and Traitement de l'Information Médicale, Marseille, France
- ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France
| | - Daniela Rojas Castro
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques and Sociales de la Santé and Traitement de l'Information Médicale, Marseille, France
- AIDES, MIRE, Paris, France
- Coalition Plus, Pantin, France
| | - Nolwenn Hall
- Department of Infectious diseases, CHU de Nantes, Nantes, France
| | | | - Laurence Meyer
- INSERM SC10 US19, Villejuif, France
- Université Paris Sud, Paris Saclay, France
| | - Christian Chidiac
- Department of Infectious Diseases, Hôpital de la Croix Rousse, INSERM U1052, Lyon, France
| | - Cécile Tremblay
- Research Center of the Centre Hospitalier de l'Université de Montréal, Montreal, Canada
| | - Marie Préau
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques and Sociales de la Santé and Traitement de l'Information Médicale, Marseille, France
- Groupe de Recherche en Psychologie Sociale (EA 4163), Université Lumière Lyon 2, Université de Lyon, Lyon, France
| | - Bruno Spire
- Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques and Sociales de la Santé and Traitement de l'Information Médicale, Marseille, France
- ORS PACA, Observatoire Régional de la Santé Provence-Alpes-Côte d'Azur, Marseille, France
| | - Jean-Michel Molina
- Department of Infectious Diseases, Hospital Saint-Louis, Assistance Publique Hôpitaux de Paris, Paris, France
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Tran NT, Clavarino A, Williams GM, Najman JM. Gender Difference in Offspring's Alcohol Use Disorder by 21 Years: A Longitudinal Study of Maternal Influences. Subst Use Misuse 2018; 53:705-715. [PMID: 28960126 DOI: 10.1080/10826084.2017.1363233] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
AIMS There is little known about the extent to which maternal alcohol consumption influences offspring's alcohol use disorder. This study aims to examine whether different maternal alcohol consumption trajectories predict gender difference in adolescent alcohol use disorder at child age 21 years. METHODS Data are from a prospective cohort, the Mater-University of Queensland Study of Pregnancy (MUSP) and its outcomes. The study involves 2531 mother-child pairs for whom data are available at the 21-year follow-up survey. Maternal alcohol consumption trajectories were determined by group-based trajectory modelling. Offspring's lifetime ever alcohol use disorder was assessed using DSM-IV diagnostic criteria. RESULTS Over 14 years of follow-up after the birth of a child, three distinct alcohol consumption trajectories were identified (abstainer, low-stable. and moderate-escalating drinker). A maternal trajectory of moderate-escalating alcohol consumption independently predicted offspring's lifetime ever alcohol use disorder at 21 years after adjustment for a range of potential confounders. "Cross-gender influence" is observed in the study. CONCLUSIONS A maternal life course pattern of alcohol consumption may have an independent effect on offspring alcohol consumption, with male offspring being more vulnerable to the effects of maternal alcohol use than are female offspring. Programs intended to address alcohol consumption by adolescents and young adults need to focus on the behaviors of both parents but acknowledging that maternal patterns of alcohol consumption may be particularly important for male offspring.
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Affiliation(s)
- Nam T Tran
- a ARC Centre of Excellence for Children and Families over the Life Course (Life Course Centre), Institute for Social Science Research , The University of Queensland , Brisbane , Queensland , Australia.,b Department of Sociology , Academy of Journalism and Communication , Hanoi , Vietnam
| | - Alexandra Clavarino
- c School of Pharmacy , University of Queensland , Brisbane , Queensland , Australia
| | - Gail M Williams
- d School of Population Health , University of Queensland , Brisbane , Queensland , Australia
| | - Jake M Najman
- a ARC Centre of Excellence for Children and Families over the Life Course (Life Course Centre), Institute for Social Science Research , The University of Queensland , Brisbane , Queensland , Australia.,d School of Population Health , University of Queensland , Brisbane , Queensland , Australia.,e Queensland Alcohol and Drug Research and Education Centre , Brisbane , Queensland , Australia
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8
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Halonen JI, Stenholm S, Pulakka A, Kawachi I, Aalto V, Pentti J, Lallukka T, Virtanen M, Vahtera J, Kivimäki M. Trajectories of risky drinking around the time of statutory retirement: a longitudinal latent class analysis. Addiction 2017; 112:1163-1170. [PMID: 28257157 PMCID: PMC5498817 DOI: 10.1111/add.13811] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2016] [Revised: 11/07/2016] [Accepted: 03/01/2017] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND AIMS Life transitions such as retirement may influence alcohol consumption, but only a few studies have described this using longitudinal data. We identified patterns and predictors of risky drinking around the time of retirement. DESIGN A cohort study assessing trajectories and predictors of risky drinking among employees entering statutory retirement between 2000 and 2011. SETTING AND PARTICIPANTS A total of 5805 men and women from the Finnish Public Sector study who responded to questions on alcohol consumption one to three times prior to (w-3 , w-2 , w-1 ), and one to three times after (w+1 , w+2 , w+3 ) retirement. MEASUREMENTS We assessed trajectories of risky drinking (> 24 units per week among men, > 16 units among women, or an extreme drinking occasion during past year) from pre- to post-retirement, as well as predictors of each alcohol consumption trajectory. FINDINGS Three trajectories were identified: sustained healthy drinking (81% of participants), temporary increase in risky drinking around retirement (12%) and slowly declining risky drinking after retirement (7%). The strongest pre-retirement predictors for belonging to the group of temporary increase in risky drinking were current smoking [odds ratio (OR) = 3.90, 95% confidence interval (CI) = 2.70-5.64], male sex (OR = 2.77, 95% CI = 2.16-3.55), depression (OR = 1.44, 95% CI = 1.05-1.99) and work-place in the metropolitan area (OR = 1.29, 95% CI = 1.00-1.66). Compared with the slowly declining risky drinking group, the temporary increase in risky drinking group was characterized by lower occupational status and education, and work-place outside the metropolitan area. CONCLUSIONS In Finland, approximately 12% of people who reach retirement age experience a temporary increase in alcohol consumption to risky levels, while approximately 7% experience a slow decline in risky levels of alcohol consumption. Male gender, smoking, being depressed and working in a metropolitan area are associated with increased likelihood of increased alcohol consumption.
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Affiliation(s)
| | - Sari Stenholm
- University of Turku, Department of Public Healthand Turku University HospitalTurkuFinland,University of TampereFaculty of Social Sciences (Health Science)TampereFinland
| | - Anna Pulakka
- University of Turku, Department of Public Healthand Turku University HospitalTurkuFinland
| | - Ichiro Kawachi
- Harvard T. H. Chan School of Public HealthBostonMassachusettsUSA
| | - Ville Aalto
- Finnish Institute of Occupational HealthHelsinki/KuopioFinland
| | - Jaana Pentti
- Department of Public Health, Faculty of MedicineUniversity of HelsinkiHelsinkiFinland
| | - Tea Lallukka
- Finnish Institute of Occupational HealthHelsinki/KuopioFinland
| | | | - Jussi Vahtera
- University of Turku, Department of Public Healthand Turku University HospitalTurkuFinland
| | - Mika Kivimäki
- Finnish Institute of Occupational HealthHelsinki/KuopioFinland,Department of Public Health, Faculty of MedicineUniversity of HelsinkiHelsinkiFinland,Department of Epidemiology and Public HealthUniversity College London Medical SchoolUK
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9
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Tran NT, Clavarino A, Williams GM, Najman JM. Life course outcomes for women with different alcohol consumption trajectories: A population-based longitudinal study. Drug Alcohol Rev 2016; 35:763-771. [PMID: 27242244 DOI: 10.1111/dar.12428] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2015] [Revised: 03/22/2016] [Accepted: 03/24/2016] [Indexed: 01/15/2023]
Abstract
INTRODUCTION AND AIMS Relatively little is known about the consequences for women of sustained higher levels of alcohol consumption. We examine three outcomes (marital relationship, reproductive health and well-being) for women with different alcohol consumption trajectories over 21 years. DESIGN AND METHODS Data were from a prospective cohort study in Brisbane, Queensland (n = 3337). Group-based trajectory modeling measured women's alcohol consumption trajectories spanning 21 years. Outcomes were measured using a self-report questionnaire at the 27-year follow-up. RESULTS Four trajectories of women's alcohol consumption were identified: abstaining, low-stable drinkers, moderate-escalating drinkers and heavy-escalating drinkers. Abstaining predicts positive outcomes measured at the 27-year follow-up such as being married, never having a divorce, never having multiple partners, and fewer pregnancy terminations. Moderate and heavy-escalating trajectories predict being unmarried, having multiple partners, having fewer children, having a termination of a previous pregnancy, and reporting lower levels of well-being at the 27-year follow-up. DISCUSSION AND CONCLUSIONS The escalating-trajectory group is of particular interest as membership of this group is associated with a wide range of adverse life course outcomes by the 27-year follow-up. The consequences of moderate and heavy-escalating alcohol trajectories in a community sample of women whose pattern of alcohol consumption do not reach clinical criteria of problem drinking have not previously been described. Women with these sustained patterns of alcohol consumption are an appropriate target group for intervention programs. programs. [TranNT, Clavarino A,WilliamsGM,Najman JM. Life course outcomes for women with different alcohol consumption trajectories: A population-based longitudinal study. Drug Alcohol Rev 2016;35:763-771].
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Affiliation(s)
- Nam T Tran
- School of Social Science, University of Queensland, Brisbane, Australia.,Department of Sociology, Academy of Journalism and Communication, Hanoi, Vietnam
| | | | - Gail M Williams
- School of Public Health, University of Queensland, Brisbane, Australia
| | - Jake M Najman
- School of Social Science, University of Queensland, Brisbane, Australia.,School of Public Health, University of Queensland, Brisbane, Australia.,Queensland Alcohol and Drug Research and Education Centre, Brisbane, Australia
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10
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Fortin M, Muckle G, Anassour-Laouan-Sidi E, Jacobson SW, Jacobson JL, Bélanger RE. Trajectories of Alcohol Use and Binge Drinking Among Pregnant Inuit Women. Alcohol Alcohol 2016; 51:339-46. [PMID: 26409003 PMCID: PMC4830408 DOI: 10.1093/alcalc/agv112] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2015] [Revised: 08/27/2015] [Accepted: 09/02/2015] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND This study investigated trajectories of alcohol use and binge drinking among Inuit women starting from a year before pregnancy until a year after delivery, examined transition rates between time periods, and established whether specific factors could be identified as predictors of changes in alcohol behaviors. METHODS Drinking trajectories and movement among alcohol users and binge drinkers (i.e. non-binging and binging) were explored by Markov modeling across time periods. Two hundred and forty-eight Inuit women from Arctic Quebec were interviewed at mid-pregnancy, and at 1 and 11 months postpartum to obtain descriptive data on alcohol use during the year before pregnancy, the conception period, the pregnancy and the year after delivery. RESULTS The proportions of drinkers and bingers were 73 and 54% during the year prior to pregnancy and 62 and 33% after delivery. Both alcohol use and binge drinking trajectories demonstrated a significant drop in prevalence between the year before conception to the conception period. We also noted high probabilities of becoming an abstainer or not binging at this time. However, up to 60% of women continued to drink alcohol during pregnancy. Women in couples and not consuming marijuana were more likely to decrease their binge drinking at conception. CONCLUSIONS This study emphasizes the importance of including the period around conception in the definition of drinking patterns during pregnancy. The importance of considering alcohol consumption in a multidimensional way (personal, familial and social determinants) is also addressed while trying to minimize problems both for the fetus and the mother.
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Affiliation(s)
- Marilyn Fortin
- Department of Psychology, Laval University, Québec, QC, Canada Population Health and Optimal Health Practices Research Unit, CHU de Québec Research Centre, Québec, QC, Canada
| | - Gina Muckle
- Department of Psychology, Laval University, Québec, QC, Canada Population Health and Optimal Health Practices Research Unit, CHU de Québec Research Centre, Québec, QC, Canada
| | | | - Sandra W Jacobson
- Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA
| | - Joseph L Jacobson
- Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA
| | - Richard E Bélanger
- Population Health and Optimal Health Practices Research Unit, CHU de Québec Research Centre, Québec, QC, Canada Department of Pediatrics, Centre Mère-enfant Soleil, CHUQ, Laval University, Québec, QC, Canada
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11
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Simpson TL, Rillamas-Sun E, Lehavot K, Timko C, Rubin A, Cucciare MA, Williams EC, Padula CB, Hunt JR, Hoggatt KJ. Alcohol Consumption Levels and All-Cause Mortality Among Women Veterans and Non-Veterans Enrolled in the Women's Health Initiative. THE GERONTOLOGIST 2016; 56 Suppl 1:S138-49. [PMID: 26768387 PMCID: PMC5881619 DOI: 10.1093/geront/gnv667] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2015] [Accepted: 09/21/2015] [Indexed: 11/12/2022] Open
Abstract
PURPOSE To address research gaps regarding women Veterans' alcohol consumption and mortality risk as compared to non-Veterans, the current study evaluated whether alcohol consumption amounts differed between women Veterans and non-Veterans, whether Veterans and non-Veterans within alcohol consumption groups differed on all-cause mortality, and whether Veteran status modified the association between alcohol consumption and all-cause mortality. DESIGN AND METHODS Six alcohol consumption groups were created using baseline data from the Women's Health Initiative Program (N = 145,521): lifelong abstainers, former drinkers, less than 1 drink/week (infrequent drinkers), 1-7 drinks/week (moderate drinkers), 8-14 drinks/week (moderately heavy drinkers), and 15 or more drinks/week (heavy drinkers). The proportions of Veteran and non-Veteran women within each alcohol consumption category were compared. Mortality rates within each alcohol consumption category were compared by Veteran status. Cox proportional hazard models, including a multiplicative interaction term for Veteran status, were fit to estimate adjusted mortality hazard (rate) ratios for each alcohol consumption category relative to a reference group of either lifelong abstainers or moderate drinkers. RESULTS Women Veterans were less likely to be lifelong abstainers than non-Veterans. Women Veterans who were former or moderate drinkers had higher age-adjusted mortality rates than did non-Veterans within these alcohol consumption categories. In the fully adjusted multivariate models, Veteran status did not modify the association between alcohol consumption category and mortality with either lifelong abstainers or moderate drinkers as referents. IMPLICATIONS The results suggest that healthcare providers may counsel Veteran and non-Veteran women in similar ways regarding safe and less safe levels of alcohol consumption.
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Affiliation(s)
- Tracy L Simpson
- Center of Excellence in Substance Abuse Treatment and Education, VA Puget Sound Health Care System, Seattle, Washington. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.
| | - Eileen Rillamas-Sun
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington. VA Puget Sound Health Care System, Seattle, Washington
| | - Keren Lehavot
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. Health Services Research & Development, VA Puget Sound Health Care System, Seattle, Washington
| | - Christine Timko
- Health Services Research and Development, Center for Innovation to Implementation, VA Palo Alto Health Care System, California. Stanford University, Menlo Park, California
| | - Amy Rubin
- Section of General Internal Medicine and the National Center for PTSD, VA Boston Health Care System, Massachusetts. Boston University, Massachusetts
| | - Michael A Cucciare
- Center for Mental Health Care and Outcomes Research (CeMHOR), Central Arkansas Veterans Health Care System, Little Rock. University of Arkansas for Medical Sciences, Little Rock
| | - Emily C Williams
- Health Services Research & Development, VA Puget Sound Health Care System, Seattle, Washington. Department of Health Services, University of Washington School of Public Health, Seattle
| | - Claudia B Padula
- Stanford University, Menlo Park, California. VA Palo Alto Health Care System, California
| | - Julie R Hunt
- Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington
| | - Katherine J Hoggatt
- VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, California. University of California, Los Angeles
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Comorbid Alcohol Disorder Intensifies Patterns of Psychological Symptoms Among Women. J Nurse Pract 2015. [DOI: 10.1016/j.nurpra.2015.03.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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13
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D'Andrea AP, Fernandez CA, Tannenbaum SL, Clarke TC, McClure LA, LeBlanc WG, Lee DJ. Correlates of leisure time physical activity compliance in colorectal cancer survivors. Prev Med 2014; 62:78-82. [PMID: 24525164 DOI: 10.1016/j.ypmed.2014.01.032] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2013] [Revised: 01/28/2014] [Accepted: 01/31/2014] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Physical inactivity is a risk factor for cancer morbidity and mortality, but its influence in colorectal cancer (CRC) survivors is understudied. We investigated sociodemographic, physically limiting, and behavioral predictors influencing leisure time physical activity (LTPA) among CRC survivors. METHODS Pooled 1997-2010 National Health Interview Survey data (N=2378) were used to evaluate LTPA compliance in CRC survivors according to Healthy People 2010 recommendations. Univariate and multivariable logistic regression analyses were performed to identify predictors of LTPA compliance among CRC survivors. Independent variables included: age, gender, race/ethnicity, education, health insurance, body mass index (BMI), ≥2 chronic conditions limiting physical activity, time since cancer diagnosis, and poverty, marital, smoking and alcohol status. RESULTS Multivariable regression models reveal that Hispanics, non-Hispanic Blacks, those with ≥2 physically limiting chronic conditions, and current smokers were less likely to comply with LTPA recommendations. CRC survivors who were of "other" race, more than one race, those with some college degree or college degree, and current drinkers were more likely to comply. DISCUSSION Hispanics, non-Hispanic Blacks, those with >2 physically limiting chronic conditions and current smokers warrant additional efforts to encourage physical activity and to determine the impact of regular physical activity on CRC survivorship.
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Affiliation(s)
- Anthony P D'Andrea
- Department of Public Health Sciences, University of Miami Miller School of Medicine, Clinical Research Building, Room 1074, 1140 NW 14th Street, 10th Floor (R-669), Miami, FL 33136, USA.
| | - Cristina A Fernandez
- Department of Public Health Sciences, University of Miami Miller School of Medicine, Clinical Research Building, Room 1074, 1140 NW 14th Street, 10th Floor (R-669), Miami, FL 33136, USA.
| | - Stacey L Tannenbaum
- Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Clinical Research Building, Suite 1041A (R-669), 1120 NW 14th Street, Miami, FL 33136, USA.
| | - Tainya C Clarke
- Department of Public Health Sciences, University of Miami Miller School of Medicine, Clinical Research Building, Room 1074, 1140 NW 14th Street, 10th Floor (R-669), Miami, FL 33136, USA.
| | - Laura A McClure
- Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, 1120 NW 14th Street, 15th Floor, C202, Miami, FL 33136, USA.
| | - William G LeBlanc
- Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th Street, CRB Room 1067, Miami, FL 33136, USA.
| | - David J Lee
- Department of Public Health Sciences, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, P.0. Box 016069 (D-4-11), Miami, FL 33101, USA.
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Tamers SL, Okechukwu C, Bohl AA, Guéguen A, Goldberg M, Zins M. The impact of stressful life events on excessive alcohol consumption in the French population: findings from the GAZEL cohort study. PLoS One 2014; 9:e87653. [PMID: 24475318 PMCID: PMC3903768 DOI: 10.1371/journal.pone.0087653] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2013] [Accepted: 01/02/2014] [Indexed: 01/25/2023] Open
Abstract
Background Major life changes may play a causative role in health through lifestyle factors, such as alcohol. The objective was to examine the impact of stressful life events on heavy alcohol consumption among French adults. Methods Trajectories of excessive alcohol consumption in 20,625 employees of the French national gas and electricity company for up to 5 years before and 5 years after an event, with annual measurements from 1992. We used repeated measures analysis of time series data indexed to events, employing generalized estimating equations. Results For women, excessive alcohol use increased before important purchase (p = 0.021), children leaving home (p<0.001), and death of loved ones (p = 0.03), and decreased before widowhood (p = 0.015); in the year straddling the event, increased consumption was observed for important purchase (p = 0.018) and retirement (p = 0.002); at the time of the event, consumption decreased for marriage (p = 0.002), divorce, widowhood, and death of loved one (all p<0.001), and increased for retirement (p = 0.035). For men, heavy alcohol consumption increased in the years up to and surrounding the death of loved ones, retirement, and important purchase (all p<0.001), and decreased after (all p<0.001, except death of loved one: p = 0.006); at the time of the event, consumption decreased for all events except for children leaving home and retirement, where we observed an increase (all p<0.001). For women and men, heavy alcohol consumption decreased prior to marriage and divorce and increased after (all p<0.001, except for women and marriage: p = 0.01). Conclusion Stressful life events promote healthy and unhealthy alcohol consumption. Certain events impact alcohol intake temporarily while others have longer-term implications. Research should disentangle women's and men's distinct perceptions of events over time.
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Affiliation(s)
- Sara L. Tamers
- Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts, United States of America
- Center for Community-Based Research, Dana-Farber Cancer Institute, Boston, Massachusetts, United States of America
- * E-mail:
| | - Cassandra Okechukwu
- Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts, United States of America
| | - Alex A. Bohl
- Mathematica Policy Research, Cambridge, Massachusetts, United States of America
| | - Alice Guéguen
- INSERM, UMRS 1018, Centre for Research in Epidemiology and Population Health, Population-based Cohorts Research Platform, Villejuif, France
- Université de Versailles Saint-Quentin, Versailles, France
| | - Marcel Goldberg
- INSERM, UMRS 1018, Centre for Research in Epidemiology and Population Health, Population-based Cohorts Research Platform, Villejuif, France
- Université de Versailles Saint-Quentin, Versailles, France
| | - Marie Zins
- INSERM, UMRS 1018, Centre for Research in Epidemiology and Population Health, Population-based Cohorts Research Platform, Villejuif, France
- Université de Versailles Saint-Quentin, Versailles, France
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Zantinge EM, van den Berg M, Smit HA, Picavet HSJ. Retirement and a healthy lifestyle: opportunity or pitfall? A narrative review of the literature. Eur J Public Health 2013; 24:433-9. [PMID: 24148557 DOI: 10.1093/eurpub/ckt157] [Citation(s) in RCA: 67] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Retirement is a life-course transition in late adult life that is marked by major changes that may affect healthy lifestyles. Our aim is to give an overview of the current knowledge on changes in smoking, alcohol consumption, physical activity and dietary habits during the transition to retirement. This may provide clues to a better targeting and timing of preventive activities at older age. METHODS Literature search in Medline, Scopus, Embase, PsycInfo, Social SciSearch and SciSearch limited to English-language papers published between 2001 and May 2013. Results of 20 original papers are summarized in a narrative review. RESULTS Some studies report an increase in alcohol consumption after retirement, whereas others found a decrease or no change at all. Those who retired involuntarily tended to increase their alcohol consumption, whereas retirees who quit voluntarily did not change their alcohol consumption. Leisure-time physical activity seems to increase slightly after retirement, especially moderately intensive physical activity. This increase does not compensate the loss of work-related physical activity such as the work itself or work-related transportation. The studies on changes in smoking and dietary habits were too limited to draw conclusions. CONCLUSIONS The transition to retirement is accompanied with both favourable and unfavourable lifestyle changes, depending on the type of lifestyle, lifestyle indicator and the personal situation of the retiree. The (pre-)retirement period may well offer a suitable opportunity for preventive action, for example in pre-retirement programmes, planning or other retirement-related support.
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Affiliation(s)
- Else M Zantinge
- 1 Centre for Health and Society, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
| | - Matthijs van den Berg
- 2 Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
| | - Henriëtte A Smit
- 3 Julius Center for Health Sciences and Primary Care, University Medical Center, Utrecht, The Netherlands
| | - H Susan J Picavet
- 2 Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands
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Cook RL, Zhu F, Belnap BH, Weber KM, Cole SR, Vlahov D, Cook JA, Hessol NA, Wilson TE, Plankey M, Howard AA, Sharp GB, Richardson JL, Cohen MH. Alcohol consumption trajectory patterns in adult women with HIV infection. AIDS Behav 2013; 17:1705-12. [PMID: 22836592 PMCID: PMC3534826 DOI: 10.1007/s10461-012-0270-6] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
HIV-infected women with excessive alcohol consumption are at risk for adverse health outcomes, but little is known about their long-term drinking trajectories. This analysis included longitudinal data, obtained from 1996 to 2006, from 2,791 women with HIV from the Women's Interagency HIV Study. Among these women, the proportion in each of five distinct drinking trajectories was: continued heavy drinking (3 %), reduction from heavy to non-heavy drinking (4 %), increase from non-heavy to heavy drinking (8 %), continued non-heavy drinking (36 %), and continued non-drinking (49 %). Depressive symptoms, other substance use (crack/cocaine, marijuana, and tobacco), co-infection with hepatitis C virus (HCV), and heavy drinking prior to enrollment were associated with trajectories involving future heavy drinking. In conclusion, many women with HIV change their drinking patterns over time. Clinicians and those providing alcohol-related interventions might target those with depression, current use of tobacco or illicit drugs, HCV infection, or a previous history of drinking problems.
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Affiliation(s)
- Robert L Cook
- Department of Epidemiology, University of Florida, PO Box 100231, Gainesville, FL 32610, USA.
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Dawson DA, Goldstein RB, Grant BF. Prospective correlates of drinking cessation: variation across the life-course. Addiction 2013; 108:712-22. [PMID: 23216848 PMCID: PMC3602325 DOI: 10.1111/add.12079] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2012] [Revised: 08/01/2012] [Accepted: 11/29/2012] [Indexed: 11/29/2022]
Abstract
AIMS To assess age variation in correlates of drinking cessation. DESIGN Prospective study of a US general population sample. SETTING Face-to-face household interviews. PARTICIPANTS Past-year ≥ monthly drinkers interviewed at baseline and 3-year follow-up (n = 14 885). MEASUREMENTS Baseline values and selected changes over follow-up in alcohol consumption, alcohol use disorder (AUD), socio-demographic and health characteristics, other substance use and psychiatric comorbidity were used to predict drinking cessation in three age groups. FINDINGS Correlates of drinking cessation varied over the life-course, with pregnancy/presence of an infant, nicotine or drug use disorder, incident AUD, cluster A personality disorder, liver disease and incident retirement being important at younger ages and high-school graduation, family income ≥ $70 000, volume of ethanol intake, Asian race/ethnicity, mood disorder and incident cardiovascular disease being significant at older ages. Age-invariant correlates included smoking cessation over follow-up, odds ratio (OR) = 2.82 [95% confidence interval (CI): 1.62-4.92] to 3.45 (2.20-5.39); college education, OR = 0.42 (0.27-0.65) to 0.54 (0.36-0.83); black and Hispanic race/ethnicity, OR = 1.74 (1.18-2.29) to 1.88 (1.21-2.93) and 1.58 (1.11-1.25) to 1.73 (0.83-3.63), respectively, and months since last drink, OR = 1.24 (1.13-1.36) to 1.29 (1.19-1.39). CONCLUSIONS Factors associated with ceasing alcohol use in US adults appear to differ over the life-course, reflecting age variation in both their prevalence and impact and supporting the importance of role transitions and health problems (the 'sick quitter' effect). The most consistent correlates of drinking cessation included factors reflecting ability/inability to give up potentially addictive substances and factors associated with perceived acceptability of drinking and subgroup-specific drinking contexts that might facilitate/impede continued drinking.
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18
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Bobo JK, Greek AA, Klepinger DH, Herting JR. Predicting 10-year alcohol use trajectories among men age 50 years and older. Am J Geriatr Psychiatry 2013; 21:204-13. [PMID: 23343494 DOI: 10.1016/j.jagp.2012.10.021] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2010] [Revised: 09/12/2011] [Accepted: 10/07/2011] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To describe common 10-year drinking trajectories followed by men age 50 years or older and identify risk factors for those trajectories. DESIGN Longitudinal data were used to derive a semiparametric group-based model. PARTICIPANTS Men from the Health and Retirement Study age 50-65 years in 1998 who completed three or more of the six interviews conducted from 1998 to 2008, including our 1998 baseline interview. MEASUREMENTS Biannual data on number of drinks per drinking day were used to derive drinking trajectories. Risk factors included baseline age, race, ethnicity, education, marital status, retirement, smoking, binge drinking, vigorous exercise, body mass index, depression, pain, self-reported health, and chronic disease. RESULTS The best-fitting model included consistent infrequent drinkers and nondrinkers (40.6% of cohort), increasing drinkers (5.5%), decreasing drinkers (7.6%), consistent at-risk drinkers (15.6%), and consistent moderate drinkers (30.7%). Adjusted logistic regression models comparing men with similar 1998 drinking levels who subsequently followed different trajectories identified significant risks associated with age, education, smoking, binge drinking, depression, pain, and self-reported health. To illustrate, odds ratios (ORs) and 95% confidence intervals (95% CIs) suggest that baseline infrequent drinkers were less likely to follow an increasing drinkers trajectory if they were older (OR: 0.57, 95% CI: 0.38-0.82) and smoked cigarettes (OR: 0.47, 95% CI: 0.30-0.74). Baseline drinkers were less likely to follow a decreasing trajectory if they reported more than 12 years of education (OR: 0.58, 95% CI: 0.42-0.82) and thought that their health was excellent or very good (OR: 0.54, 95% CI: 0.39-0.76). CONCLUSION Only 30.7% of older men in this cohort were moderate drinkers throughout the follow-up. Many older men may benefit from brief counseling on the risks and benefits of drinking.
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Affiliation(s)
- Janet Kay Bobo
- Center for Public Health Research and Evaluation, Battelle Memorial Institute, Seattle, Washington 98109, USA.
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Tannenbaum SL, Kachan D, Fernandez CA, McClure LA, LeBlanc WG, Arheart KL, Lee DJ. State variations of chronic disease risk factors in older Americans. Prev Chronic Dis 2012; 9:E177. [PMID: 23256910 PMCID: PMC3528304 DOI: 10.5888/pcd9.120143] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
The objective of this study was to examine and compare 3 key health behaviors associated with chronic disease (ie, risky drinking, smoking, and sedentary lifestyle). We used data from the National Health Interview Survey from 1997 through 2010 to calculate the prevalence of these behaviors among older Americans and rank each state, and we analyzed overall trends in prevalence for each behavior over the 14 years. Older adults residing in Arkansas and Montana had the worst chronic disease risk profile compared with other states. These findings indicate the need for improved or increased targeted interventions in these states.
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Affiliation(s)
- Stacey L Tannenbaum
- University of Miami Miller School of Medicine, Sylvester Comprehensive Cancer Center, Miami, FL 33136, USA.
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