Association of Alcohol Use and Loneliness Frequency Among Middle-Aged and Older Adult Drinkers

Canham, Sarah L.; Mauro, Pia M.; Kaufmann, Christopher N.; Sixsmith, Andrew

doi:10.1177/0898264315589579

Cited by 78 publications

(52 citation statements)

References 40 publications

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“…In this study, we Australian & New Zealand Journal of Psychiatry,54(2) also found that alcohol use above seven standard drinks per week reduced the risk for SSD and syndromal depression, and its effect on the risk for SSD was statistically significant. In the elderly, regular alcohol consumption may reflect a healthy physical condition (Holdsworth et al, 2016) and may reduce the feeling of loneliness (Canham et al, 2016). Although this study is the first nationwide prospective study focusing on the epidemiology of SSD diagnosed by clinical interview, it has several limitations.…”

Section: Responded a (N = 3955)mentioning

confidence: 97%

Epidemiological characteristics of subsyndromal depression in late life

Han

Kim

et al. 2019

Aust N Z J Psychiatry

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Objectives: Subsyndromal depression is prevalent and associated with poor outcomes in late life, but its epidemiological characteristics have barely been investigated. The aim of this prospective cohort study is to compare the prevalence, incidence and risk factors of subsyndromal depression with those of syndromal depression including major and minor depressive disorders in community-dwelling elderly individuals. Methods: In a nationwide community-based study of randomly sampled Korean elderly population aged 60 years or older ( N = 6640), depression was assessed with standardized diagnostic interviews. At baseline and at 2-year and 4-year follow-ups, the authors diagnosed subsyndromal depression by the operational criteria and syndromal depression by the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) diagnostic criteria. Multivariate logistic regression analyses were conducted to identify the risk factors for incident depression. Results: The age- and gender-adjusted prevalence rate of subsyndromal depression was 9.24% (95% confidence interval = [8.54, 9.93]), which was 2.4-fold higher than that of syndromal depression. The incidence rate of subsyndromal depression was 21.70 per 1000 person-years (95% confidence interval = [19.29, 24.12]), which was fivefold higher than that of syndromal depression. The prevalence to incidence ratio of subsyndromal depression was about half that of syndromal depression. The risk for subsyndromal depression was associated with female gender, low socioeconomic status, poor social support and poor sleep quality, while that of syndromal depression was associated with old age and less exercise. Conclusion: Subsyndromal depression should be validated as a clinical diagnostic entity, at least in late life, since it has epidemiological characteristics different from those of syndromal depression.

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Section: Responded a (N = 3955)mentioning

confidence: 97%

Epidemiological characteristics of subsyndromal depression in late life

Han

Kim

et al. 2019

Aust N Z J Psychiatry

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“…More research is needed on the intersection of how financial hardship and alcohol use intersect with decisions to use or not use medications. Perhaps alcohol is used more often than medications to reduce emotional distress and help to regulate negative emotions that come from financial hardship (Abbey et al, 1993; Greeley et al, 1999; Veenstra et al, 2007; Canham et al, 2016). As well, at-risk drinkers may be less likely to reduce medication use for a number of reasons that should be explored in future research, including that at-risk drinkers are more likely to spend money on alcohol then medication or have lower rates of medication use compared to never drinkers.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in the association between modifiable risk factors and financial hardship among middle-aged and older adults

Marshall

Bryson

Ronstant

et al. 2019

Preventive Medicine Reports

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Objective To identify associations between modifiable risk factors (cigarette smoking, alcohol consumption, and obesity) and financial hardship (difficulty paying bills, food insecurity and medication need) among middle-aged and older Americans in a nationally representative sample. Methods This was a cross-sectional study of 8212 persons age 50 years and older who completed the core 2010 Health and Retirement Study survey and the psychosocial questionnaire. We ran separate multinomial logistic regressions to assess the association of three modifiable risk factors and three different financial hardship indicators. Results Adjusting for all covariates, compared to men of normal weight, men who were obese had a 1.4 greater odds of difficulty paying their bills (95% CI: 1.08–1.76); former smokers had a 1.8 greater odds of being food insecure (95% CI: 1.05–2.95); current smokers were twice as likely to be food insecure (95% CI: 1.21–3.73); Compared to women who never smoked, current smokers had a 1.5 greater odds of having difficulty paying their bills (95% CI: 1.11–2.02); current smokers had a 1.8 greater odds of being food insecure (95% CI: 1.13–2.91); and women who were obese had a 1.5 greater odds of reducing medication due to cost (95% CI: 1.11, 2.02). Conclusion Our findings contribute to the literature on health behaviors and financial hardship by highlighting the cyclical nature between different indicators of socioeconomic status, modifiable risk factors, and poor health outcomes among middle-aged and older adults. Furthermore, findings highlight how modifiable risk factors may culminate in financial hardship in later life.

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“…To improve the detection of high-risk populations, we set an AUDIT score ≥10 as the cut-off point for multivariate analysis. The selection of variables related to the outcome was based on prior literature 11,[18][19][20] and our clinical view. In addition, if the P value was <0.20 in the univariate analysis, it was included in the multivariate regression model.…”

Section: Discussionmentioning

confidence: 99%

Prevalence patterns of alcohol consumption and factors associated with problematic drinking on remote islands of Okinawa, Japan: a cross-sectional study

Mori

Fukuda

2020

J Rural Med

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Objective: This study aims to investigate the drinking behavior on the remote islands of Okinawa Prefecture. Patients/Materials and Method: This was a cross-sectional study conducted with residents of Okinawa Prefecture's small, isolated islands. Between October 1 and December 3, 2014, island residents over 20 years of age who visited island clinics for an annual health checkup or influenza vaccination were recruited. An anonymous entry survey was administered to those who provided their consent. The survey included information on age, sex, presence or absence of drinking, age at drinking initiation, smoking status, comorbidities, and family and social background. The Alcohol Use Disorder Identification Test (AUDIT) was used to assess alcohol consumption. Participant characteristics were analyzed descriptively, and logistic regression analysis was conducted to assess relationships between the high-risk drinking group (AUDIT score ≥10 points) and other measured variables (age, sex, age at drinking initiation, smoking, residence, and employment status). Results: Compared to the results of a national survey in 2013, there was a significantly higher prevalence of male island residents who drank ≥40 g of alcohol per day and female island residents who drank ≥20 g/day, levels which are considered risk factors for lifestyle diseases. Among both male and female island residents, there were significantly higher proportions of those with AUDIT scores ≥8 points, referred to as high-risk drinkers, and those with AUDIT scores ≥20, individuals considered to have probable alcohol dependence, as compared to the results of the national survey. In a logistic regression analysis, factors related to high-risk drinking included younger age, male sex, smoking history, inoccupation, and underage drinking initiation. Conclusion: This is the first report on drinking behavior among inhabitants of Okinawa's remote islands. The degree of alcohol consumption is serious and must be recognized as a regional health problem.

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Association of Alcohol Use and Loneliness Frequency Among Middle-Aged and Older Adult Drinkers

Cited by 78 publications

References 40 publications

Epidemiological characteristics of subsyndromal depression in late life

Epidemiological characteristics of subsyndromal depression in late life

Gender differences in the association between modifiable risk factors and financial hardship among middle-aged and older adults

Prevalence patterns of alcohol consumption and factors associated with problematic drinking on remote islands of Okinawa, Japan: a cross-sectional study

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