Patterns of alcohol use over time among older different-sex couples: Implications for health.

IF 2.4 3区 医学 Q2 PSYCHOLOGY
Angela Turkelson, Kira S Birditt, Courtney A Polenick, James A Cranford, Frederic C Blow
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Abstract

Objective: Longitudinal patterns of alcohol use among older couples may have important implications for health. This study identified trajectories of alcohol use among different-sex couples and their associations with health over 24 years.

Method: Participants included 9,823 older married/cohabiting different-sex couples from the Health and Retirement Study (HRS), in which participants complete surveys every 2 years. We included couples with at least three waves of alcohol and health data between 1996 and 2020.

Results: Dual-trajectory latent class growth analysis revealed five longitudinal couple-level trajectories of alcohol use: concordant infrequent/abstaining, concordant light, concordant moderate, discordant husband heavy wife light, and discordant husband moderate wife infrequent/abstaining. Self-rated health was higher on average but decreased more rapidly over time for concordant moderate compared to concordant infrequent/abstaining husbands and wives. On average, chronic health conditions were higher for concordant infrequent/abstaining compared to concordant light and concordant moderate couples. The number of conditions increased more rapidly over time for concordant infrequent/abstaining and discordant husband heavy wife light compared to concordant light and discordant husband moderate wife infrequent/abstaining couples.

Conclusions: These findings reveal the importance of considering couple patterns of drinking amount and drinking concordance to understand the impact of alcohol use on health among older couples.

不同性别的老年夫妇的长期饮酒模式:对健康的影响。
目的:老年夫妇饮酒的纵向模式可能对健康有重要影响。这项研究确定了24年来不同性别夫妇饮酒的轨迹及其与健康的关系。方法:参与者包括9823对来自健康与退休研究(HRS)的已婚/同居的不同性别的老年夫妇,参与者每2年完成一次调查。我们纳入了1996年至2020年间至少有三次饮酒和健康数据的夫妇。结果:双轨迹潜类增长分析揭示了五种纵向夫妻水平的饮酒轨迹:和谐型少/戒酒、和谐型轻度、和谐型中度、不和谐型丈夫重度妻子轻、不和谐型丈夫中度妻子少/戒酒。自我评价的健康水平平均较高,但随着时间的推移,与不经常/戒酒的丈夫和妻子相比,和谐适度的丈夫和妻子的健康水平下降得更快。平均而言,不经常/戒酒的和谐夫妇的慢性健康状况高于轻度和中度和谐夫妇。随着时间的推移,和谐的不频繁/戒酒和不和谐的丈夫重妻子轻与和谐的轻和不和谐的丈夫温和的妻子不频繁/戒酒的夫妇相比,条件的数量增加得更快。结论:这些发现揭示了考虑夫妻饮酒量模式和饮酒一致性对了解老年夫妇饮酒对健康的影响的重要性。
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来源期刊
CiteScore
4.80
自引率
5.90%
发文量
224
审稿时长
3 months
期刊介绍: The Journal of Studies on Alcohol and Drugs began in 1940 as the Quarterly Journal of Studies on Alcohol. It was founded by Howard W. Haggard, M.D., director of Yale University’s Laboratory of Applied Physiology. Dr. Haggard was a physiologist studying the effects of alcohol on the body, and he started the Journal as a way to publish the increasing amount of research on alcohol use, abuse, and treatment that emerged from Yale and other institutions in the years following the repeal of Prohibition in 1933. In addition to original research, the Journal also published abstracts summarizing other published documents dealing with alcohol. At Yale, Dr. Haggard built a large team of alcohol researchers within the Laboratory of Applied Physiology—including E.M. Jellinek, who became managing editor of the Journal in 1941. In 1943, to bring together the various alcohol research projects conducted by the Laboratory, Dr. Haggard formed the Section of Studies on Alcohol, which also became home to the Journal and its editorial staff. In 1950, the Section was renamed the Center of Alcohol Studies.
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