Abstract
Older adulthood is a period in which alcohol consumption declines and rates of past-year nondrinking increase. Nonetheless, older adult alcohol use patterns vary based on life course differences that continue into later adulthood and changes that take place as individuals age. This chapter focuses on how these different patterns are defined and quantified in terms of risk, with an emphasis on the idea that the process of aging plays an important role not only in drinking itself, but also on how alcohol use patterns are defined as risky. In particular, the chapter explores the ways that specific older adult factors alter what is seen as at-risk drinking. Additionally, the chapter considers the advantages and disadvantages of applying alcohol use thresholds or criteria for the general population in older adults. After explaining definitions of alcohol use, the chapter provides an overview of sociodemographic correlates of drinking among older adults.
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References
Atchley RC. A continuity theory of normal aging. Gerontologist. 1989;29(2):183–90.
Kuh D, Ben-Shlomo Y, Lynch J, Hallqvist J, Power C. Life course epidemiology. J Epidemiol Community Health. 2003;57(10):778–83.
Levinson DJ. A conception of adult development. Am Psychol. 1986;41(1):3–13.
Kohli M. Retirement and the moral economy: An historical interpretation of the German case. J Aging Stud. 1987;1(2):125–44.
Moody HR. Aging : Concepts and Controversies. 5th ed. Thousand Oaks, CA: Pine Forge; 2006. xxix, 474 p.
Brennan PL, Schutte KK, Moos BS, Moos RH. Twenty-year alcohol-consumption and drinking-problem trajectories of older men and women. J Stud Alcohol Drugs. 2011;72(2):308–21.
Platt A, Sloan FA, Costanzo P. Alcohol-consumption trajectories and associated characteristics among adults older than age 50. J Stud Alcohol Drugs. 2010;71(2):169–79.
McEvoy LK, Kritz-Silverstein D, Barrett-Connor E, Bergstrom J, Laughlin GA. Changes in alcohol intake and their relationship with health status over a 24-year follow-up period in community-dwelling older adults. J Am Geriatr Soc. 2013;61(8):1303–8.
Molander RC, Yonker JA, Krahn DD. Age-related changes in drinking patterns from mid- to older age: results from the Wisconsin longitudinal study. Alcohol Clin Exp Res. 2010;34(7):1182–92.
Gee GC, Liang J, Bennett J, Krause N, Kobayashi E, Fukaya T, et al. Trajectories of Alcohol Consumption among Older Japanese Followed from 1987 1999. Res Aging. 2007;29(4):323–47.
Holdsworth C, Frisher M, Mendonca M, De Oliveiria C, Pikhart H, Shelton N. Lifecourse transitions, gender and drinking in later life. Ageing & Society. Forthcoming:1-33.
Shaper AG, Wannamethee G, Walker M. Alcohol and mortality in British men: explaining the U-shaped curve. Lancet. 1988;2(8623):1267–73.
Pringle KE, Heller DA, Ahern FM, Gold CH, Brown TV. The role of medication use and health on the decision to quit drinking among older adults. J Aging Health. 2006;18(6):837–51.
Dawson DA, Li T-K, Chou SP, Grant BF. Transitions in and out of alcohol use disorders: Their associations with conditional changes in quality of life over a 3-year follow-up interval. Alcohol Alcohol. 2009;44(1):84–92.
Grucza RA, Bucholz KK, Rice JP, Bierut LJ. Secular trends in the lifetime prevalence of alcohol dependence in the United States: A re-evaluation. Alcohol Clin Exp Res. 2008;32(5):763–70.
Moos RH, Schutte KK, Brennan PL, Moos BS. Late-life and life history predictors of older adults’ high-risk alcohol consumption and drinking problems. Drug Alcohol Depend. 2010;108(1-2):13–20.
Brennan PL, Schutte KK, Moos RH. Retired status and older adults’ 10-year drinking trajectories. J Stud Alcohol Drugs. 2010;71(2):165.
Babor TF, Higgins-Biddle J, Saunders JB, Monteiro MG. The Alcohol Use Disorders Identification Test: Guidelines for use in primary care. 2 ed. Geneva, (Switzerland): World Health Organization; 2001. 41 p.
Brennan PL, Schutte KK, Moos RH. Patterns and predictors of late-life drinking trajectories: A 10-year longitudinal study. Psychol Addict Behav. 2010;24(2):254–64.
Kaplan MS, Huguet N, Feeny D, McFarland BH, Caetano R, Bernier J, et al. The association between alcohol use and long-term care placement among older Canadians: A 14-year population-based study. Addict Behav. 2014.
Graham K. Alcohol abstention among older adults: Reasons for abstaining and characteristics of abstainers. Addict Res. 1998;6(6):473.
Marti CN, Choi NG, DiNitto DM, Choi BY. Associations of lifetime abstention and past and current alcohol use with late-life mental health: A propensity score analysis. Drug Alcohol Depend. 2015;149:245–51.
Krause N. Stress, religiosity, and abstinence from alcohol. Psychol Aging. 1991;6(1):134–44.
Hayward RD, Krause N. The effect of belonging to an alcohol-proscribing religious group on the relationship between moderate alcohol consumption and mortality. Soc Sci Med. 2014;101:1–8.
Skog OJ. Public health consequences of the J-curve hypothesis of alcohol problems. Addiction. 1996;91(3):325–37.
Pearl R. Alcohol and Longevity. New York,: A. A. Knopf; 1926. xii, 273 p.
Balsa AI, Homer JF, Fleming MF, French MT. Alcohol consumption and health among elders. Gerontologist. 2008;48(5):622–36.
Liberto JG, Oslin DW. Early versus late onset of alcoholism in the elderly. Int J Addict. 1995;30(13 & 14):1799–818.
Adams SL, Waskel SA. Late onset alcoholism: Stress or structure. J Psychol. 1993;127(3):329–34.
Atkinson RM, Tolson RL, Turner JA. Late versus early onset problem drinking in older men. Alcohol Clin Exp Res. 1990;14(4):574–9.
Cummings SM, Bride B, Rawlins-Shaw AM. Alcohol abuse treatment for older adults: A review of recent empirical research. J Evid Based Soc Work. 2006;3(1):79.
Atkinson RM, Turner JA, Kofoed LL, Tolson RL. Early versus late onset alcoholism in older persons: Preliminary findings. Alcohol Clin Exp Res. 1985;9(6):513–5.
Verges A, Jackson KM, Bucholz KK, Grant JD, Trull TJ, Wood PK, et al. Deconstructing the age-prevalence curve of alcohol dependence: Why “maturing out” is only a small piece of the puzzle. J Abnorm Psychol. 2012;121(2):511–23.
Grant JD, Vergés A, Jackson KM, Trull TJ, Sher KJ, Bucholz KK. Age and ethnic differences in the onset, persistence and recurrence of alcohol use disorder. Addiction. 2012;107(4):756–65.
Schutte KK, Brennan PL, Moos RH. Predicting the development of late-life late-onset drinking problems: A 7-year prospective study. Alcohol Clin Exp Res. 1998;22(6):1349–58.
Moore AA, Karno MP, Grella CE, Lin JC, Warda U, Liao DH, et al. Alcohol, tobacco, and nonmedical drug use in older U.S. adults: Data from the 2001/02 National Epidemiologic Survey of Alcohol and Related Conditions. J Am Geriatr Soc. 2009;57(12):2275–81.
Blazer DG, Wu LT. The epidemiology of substance use and disorders among middle aged and elderly community adults: National Survey on Drug Use and Health (NSDUH). Am J Geriatr Psychiatry. 2009;17(3):237–45.
Lang I, Guralnik J, Wallace RB, Melzer D. What level of alcohol consumption is hazardous for older people? Functioning and mortality in U.S. and English national cohorts. J Am Geriatr Soc. 2007;55(1):49–57.
Moore AA, Beck JC, Babor TF, Hays RD, Reuben DB. Beyond alcoholism: Identifying older, at-risk drinkers in primary care. J Stud Alcohol. 2002;63(3):316–25.
National Institute of Alcohol Abuse and Alcoholism. Rethinking drinking: Alcohol and your health. National Institutes of Health, editor. Bethesda, (MD): U.S. Department of Health and Human Services; 2010.
Vestal RE, McGuire EA, Tobin JD, Andres R, Norris AH, Mezey E. Aging and ethanol metabolism. Clin Pharmacol Ther. 1977;21(3):343–54.
Novier A, Diaz-Granados JL, Matthews DB. Alcohol use across the lifespan: An analysis of adolescent and aged rodents and humans. Pharmacol Biochem Behav. 2015;133:65–82.
Sacco P, Bucholz KK, Spitznagel EL. Alcohol use among older adults in the National Epidemiologic Survey on Alcohol and Related Conditions: A latent class analysis. J Stud Alcohol Drugs. 2009;70(6):829–38.
Holahan CJ, Schutte KK, Brennan PL, Holahan CK, Moos RH. Episodic heavy drinking and 20-year total mortality among late-life moderate drinkers. Alcohol Clin Exp Res. 2014;38(5):1432–8.
Center for Behavioral Health Statistics and Quality. 2014 National Survey on Drug Use and Health: Detailed tables. Substance Abuse and Mental Health Services Administration, editor. Rockville, MD: US Department of Health and Human Services; 2015.
Blazer DG, Wu L. The epidemiology of at risk and binge drinking among middle-aged and elderly community adults: National Survey on Drug Use and Health. Am J Psychiatry. 2009;166:1162–9.
Kuerbis AN, Hagman BT, Sacco P. Functioning of alcohol use disorders criteria among middle-aged and older adults: implications for DSM-5. Subst Use Misuse. 2013;48(4):309–22.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders : DSM-IV. 4th ed. Washington, DC: American Psychiatric Association; 1994.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, Fifth Edition: DSM-5. 5th ed. Arlington, (VA): American Psychiatric Publishing; 2013.
Kahler CW, Strong DR. A Rasch model analysis of DSM-IV alcohol abuse and dependence items in the National Epidemiological Survey on Alcohol and Related Conditions. Alcohol Clin Exp Res. 2006;30(7):1165–75.
Saha TD, Chou SP, Grant BF. Toward an alcohol use disorder continuum using item response theory: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychol Med. 2006;36(7):931–41.
Lin JC, Karno MP, Grella CE, Ray LA, Liao DH, Moore AA. Psychiatric correlates of alcohol and tobacco use disorders in US adults aged 65 years and older: Results from the 2001–2002 National Epidemiologic Survey of Alcohol and Related Conditions. Am J Geriatr Psychiatry. 2014;22(11):1356–63.
Kuerbis A, Sacco P, Blazer D, Moore AA. Substance use disorders in older adults. Clin Geriatr Med. 2014;30(3):629–54.
Blow FC. TIP 26: Substance abuse among older adults. Rockville, MD: National Library of Medicine; 1998. 26 p.
Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009;373(9682):2223–33.
Moore AA, Morton SC, Beck JC, Hays RD, Oishi SM, Partridge JM, et al. A new paradigm for alcohol use in older persons. Med Care. 1999;37(2):165–79.
Qato DM, Manzoor BS, Lee TA. Drug–alcohol interactions in older U.S. adults. J Am Geriatr Soc. 2015;63(11):2324–31.
Cousins G, Galvin R, Flood M, Kennedy M, Motterlini N, Henman M, et al. Potential for alcohol and drug interactions in older adults: evidence from the Irish longitudinal study on ageing. BMC Geriatr. 2014;14(1):57.
Mukamal KJ, Mittleman MA, Longstreth Jr WT, Newman AB, Fried LP, Siscovick DS. Self-reported alcohol consumption and falls in older adults: Cross-sectional and longitudinal analyses of the Cardiovascular Health Study. J Am Geriatr Soc. 2004;52(7):1174–9.
Barnes AJ, Moore AA, Xu H, Ang A, Tallen L, Mirkin M, et al. Prevalence and correlates of at-risk drinking among older adults: The project SHARE study. J Gen Intern Med. 2010;25(8):840–6.
Sacco P, Burruss K, Smith CA, Kuerbis A, Harrington D, Moore AA, et al. Drinking behavior among older adults at a continuing care retirement community: Affective and motivational influences. Aging Ment Health. 2015;19(3):279–89.
Sacco P, Bucholz KK, Harrington D. Gender differences in stressful life events, social support, perceived stress, and alcohol use among older adults: results from a national survey. Subst Use Misuse. 2014;49(4):456–65.
Merrick EL, Horgan CM, Hodgkin D, Garnick DW, Houghton SF, Panas L, et al. Unhealthy drinking patterns in older adults: prevalence and associated characteristics. J Am Geriatr Soc. 2008;56(2):214–23.
Krause N. Race, religion, and abstinence from alcohol in late life. J Aging Health. 2003;15(3):508–33.
Wray LA, Alwin DF, McCammon RJ. Social status and risky health behaviors: Results from the Health and Retirement Study. J Gerontol B Psychol Sci Soc Sci. 2005;60 Spec No 2:85-92.
Han B, Gfroerer J, Colliver JD, Penne MA. Substance use disorder among older adults in the United States in 2020. Addiction. 2009;104(1):88–96.
Wu L-T, Blazer DG. Illicit and nonmedical drug use among older adults: A review. J Aging Health. 2011;23(3):481–504.
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Sacco, P. (2016). Understanding Alcohol Consumption Patterns among Older Adults: Continuity and Change. In: Kuerbis, A., Moore, A., Sacco, P., Zanjani, F. (eds) Alcohol and Aging. Springer, Cham. https://doi.org/10.1007/978-3-319-47233-1_2
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DOI: https://doi.org/10.1007/978-3-319-47233-1_2
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