Antecedents of drinking for early- and late-onset elderly alcohol abusers.

Identifying Risk Factors for Late-Onset (50+) Alcohol Use Disorder and Heavy Drinking: A Systematic Review

“…These findings have been supported more recently by Wetterling et al (2003) in a descriptive study that found that as many as 16.8% (n = 45 of 268) of their sample had developed late-onset AUD (after the age of 45). We focus on this subgroup of older adult people with late onset AUD, and not all older adult people with alcohol problems, because they are likely to have different characteristics and because this may entitle special attention when developing treatment measures (Schonfeld & Dupree, 1991;Epstein, McCrady, & Hirsch, 1997;Wetterling et al, 2003) Moreover, we find it immensely important to focus on older adult people with late onset AUD as they constitute a substantial percentage of older adult people with alcohol problems. Improving preventive measures and interventions for this large group of individuals is likely to reduce health care spending related to alcohol treatment.…”

“…They differ significantly in their preoccupation with drinking, capacity for controlling drinking behavior, desire/compulsion to drink alcohol, and their physiological withdrawal symptoms when compared to early-onset AUD. Individuals with late-onset AUD also tend to have a higher level of education, income, and life satisfaction than their early-onset counterparts, and are more stable in terms of residence (Schonfeld & Dupree, 1991;Wetterling et al, 2003). The male late-onset alcoholic may also be less attentive toward his spouse compared to early-onset alcoholic males (Epstein et al, 1997).…”

Indicators of problem drinking in the slovenian elderly: a qualitative analysis

“…sprememba kraja bivanja; pri njih ugotavljamo pogostejše zastrupitve z alkoholom, težje oblike depresije in anksioznosti ter tudi večjo verjetnost opustitve zdravljenja. Tisti, ki so začeli tvegano piti pozneje, so bili večinoma bolj zadovoljni z življenjem in so imeli več motivacije za zdravljenje, a hkrati tudi bolj resne zdravstvene težave (22,23,24). Prav tako popijejo večje količine alkohola, imajo za pitje alkohola večjo podporo med prijatelji in so pogosteje tudi kadilci (25).…”

“…Podpora družine pri odločitvi za spremembo škodljivega vedenja se je (v nasprotju z ugotovitvami tujih raziskav) v našem primeru pokazala kot nezadostna (po eni strani verjetno zaradi lastne nefunkcionalnosti, tudi zaradi alkohola, po drugi pa zaradi pritiska tradicionalno »mokrega« okolja in posledično velike dostopnosti alkohola). Potrdila pa se je pomembna vloga družinske vzgoje, ki je kot varovalni dejavnik lahko močnejša od pritiskov družbe in okolja (22). V dostopni literaturi ni podatkov, v kolikšni meri so starostniki seznanjeni s priporočili za manj tvegano pitja alkohola.…”

La Red de Apoyo Social en la Vejez. Aportes para su Evaluación

“…Por otra parte, las personas de edad que presentan déficits en lo que respecta a sus redes de apoyo han mostrado una mayor tendencia al abuso de drogas (Allard, Allaire, Leclerc & Langlois, 1995;Warren, Stein & Grella, 2007) y de alcohol (Brennan & Moos, 1990;Schonfeld & Dupree, 1991) y se ha identificado a la insatisfacción con el apoyo social del cual se dispone como una de las variables predictoras de la ideación suicida en los adultos mayores (De Leo & Ormskerk ,1991;Mireault & De Man, 1996;Vanderhorst & Mc Laren, 2005).…”