Alcohol Use Trajectories Among Older Adults

老年人的饮酒轨迹

• 批准号: 8150222
• 负责人: JANET Kay BOBO
• 金额: $ 0.58万
• 依托单位: BATTELLE CENTERS/PUB HLTH RES & EVALUATN
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-10 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8150222
• 关键词: Abstinence; Address; Adolescent; Adult; Age; Aged, 80 and over; Alcohol abuse; Alcohol consumption; Alcohols; Area; Behavior; Cessation of life; Childhood; Clinical Medicine; Cohort Studies; Communities; Complex; Consumption; Cross-Sectional Studies; Data; Data Analyses; Data Set; Development; Elderly; Ethnic Origin; Event; Evolution; Frequencies; Funding; Gender; Goals; Growth; Health; Health Benefit; Health Promotion; Health behavior; Health education; Healthcare; Heart Diseases; Heavy Drinking; Hispanics; Individual; Intervention; Interview; Investigation; Life; Longitudinal Studies; Longitudinal Surveys; Measures; Methods; Modeling; Morbidity - disease rate; Nature; Pathway interactions; Pattern; Personal Satisfaction; Persons; Population; Predictive Factor; Prevalence; Preventive; Public Health; Public Health Practice; Race; Research; Research Personnel; Retirement; Review Literature; Risk; Sampling; Socioeconomic Status; Spouses; Testing; Time; Woman; age group; alcohol abuse prevention; base; cardiovascular disorder risk; cohort; cost; design; drinking; drinking behavior; experience; functional status; innovation; insight; interest; member; men; mortality; older men; person centered; public health relevance; social; young adult

DESCRIPTION (provided by applicant): The goal of this research is to support public health efforts to reduce problems associated with alcohol use among men and women ages 50 and older. Heavy drinking increases morbidity and early mortality, but moderate drinking offers health benefits to many older adults by reducing risk for certain types of heart disease. It is well-established that many older adults drink regularly and that alcohol problems can develop late in life, but few studies have examined how drinking changes over time in this heterogeneous group. This longitudinal study will identify and describe alcohol use trajectories among older adults using four extant datasets from nationally representative cohorts including the Health and Retirement Study (HRS), the National Longitudinal Survey (NLS) of Mature Women, the NLS Young Women, and the Study of Assets and Health Dynamics among the Oldest Old (AHEAD). Members of the Young Women cohort entered their 6th decade of life during our study interval (1995-2004). The NLS Older Men and Young Men cohorts lack suitable alcohol data. Using four cohorts expands the age range of interest, increases the number of covariates to be considered, and supports replication analyses among women. All cohorts provided alcohol data on 5 occasions from 1995 to 2004 using two sets of comparable questions. Alcohol use trajectories will be identified and characterized with methods that have previously yielded new insights on drinking behaviors among adolescents and young adults. Latent class growth analysis (semi-parametric group based modeling) and growth mixture models will integrate person-centered quantitative methods with traditional variable-centered approaches. Consistent with an accumulation of risk conceptual model, covariates to be tested include demographic attributes, measures of childhood well-being, socioeconomic status, health behaviors, retirement, and health and functional status. Time-dependent data collected during the trajectory years will be included to reflect the dynamic nature of some of these variables among older adults. The investigators also plan to identify subsets of cohort members who experienced a major life event (e.g.: retirement) immediately prior to, or early in, the study interval and then characterize their drinking trajectories subsequent to that event. Prior research suggests alcohol use trajectories describing increasing levels of drinking, decreasing levels, stable use at both high and low levels, and abstinence will be identified. All of these trajectories have important implications for public health practice. Public health will benefit by using research findings to design more age-appropriate alcohol abuse prevention and health promotion interventions for the rapidly expanding older adult population. Public Health Relevance: This project is relevant to public health because it has important implications for adults ages 50 and older who comprise a rapidly increasing population segment in most communities. Alcohol use can have profound effects on older adults that are either harmful or beneficial depending in large part on how much is consumed overall and on individual occasions. The proposed cost-efficient research will using existing datasets to study changes in alcohol use behaviors over time among older adults and identify factors that may increase the likelihood of harmful drinking and decrease the likelihood of beneficial or moderate alcohol use.

描述（由申请人提供）：这项研究的目的是支持公共卫生的努力，以减少50岁及以上男性与饮酒有关的问题。大量饮酒会增加发病率和早期死亡率，但是中等饮酒通过降低某些类型的心脏病的风险为许多老年人提供了健康益处。众所周知，许多老年人定期喝酒，并且酒精问题可能会在后期发展，但是很少有研究研究了这个异质群体中饮酒的变化。这项纵向研究将使用来自全国代表性的人群中的四个现存数据集识别和描述老年人中的酒精使用轨迹，包括健康和退休研究（HRS），成熟妇女的国家纵向调查（NLS），NLS年轻妇女以及对年龄最大的老年人的资产和健康动态研究。在我们的学习间隔（1995-2004）中，年轻妇女队列的成员进入了他们的第六个生命。 NLS老年男子队列缺乏合适的酒精数据。使用四个队列扩大了感兴趣的年龄范围，增加了要考虑的协变量的数量，并支持女性的复制分析。所有队列都使用两组可比较的问题在1995年至2004年期间提供酒精数据。将鉴定出饮酒轨迹，并以先前对青少年和年轻人的饮酒行为产生新的见解的方法来识别和表征。潜在类增长分析（基于半参数群体的建模）和增长混合模型将将以人为本的定量方法与传统的以可变为中心的方法相结合。与要测试的协变量的风险概念模型的积累一致，包括人口统计属性，儿童福祉的衡量标准，社会经济状况，健康行为，退休以及健康和功能状况。将包括在轨迹年内收集的时间依赖性数据，以反映老年人中某些变量的动态性质。调查人员还计划在研究间隔之前或早期识别经历过重大生活事件（例如退休）的队列成员子集（例如：退休），然后在该事件后的饮酒轨迹中表征。先前的研究表明，饮酒轨迹描述了饮酒水平升高，水平降低，高水平和低水平的稳定使用以及戒酒。所有这些轨迹对公共卫生实践都有重要影响。公共卫生将通过使用研究结果来设计更多适合年龄的预防酗酒和健康促进干预措施，以迅速扩大。 公共卫生相关性：该项目与公共卫生有关，因为它对50岁及以上的成年人具有重要意义，他们在大多数社区中构成了人口的迅速增加。饮酒可能会对老年人产生深远的影响，这些老年人在很大程度上取决于整体消费量和在个人场合的消费量很大。拟议的成本效益研究将使用现有数据集研究老年人随着时间的流逝随着时间的流逝而改变酒精使用行为的变化，并确定可能增加有害饮酒的可能性并减少有益或中度酒精使用的可能性的因素。