Alcohol pouring practices among 65‐ to 74‐year‐olds in Western Australia

Wilkinson, Celia; Allsop, Steve; Chikritzhs, Tanya

doi:10.1111/j.1465-3362.2010.00218.x

Cited by 26 publications

(35 citation statements)

References 18 publications

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“…Older adults can be relatively ill-informed about alcohol measurements on which guidelines are based [50], [51]. Participants reasoned that recommended guidelines are inconsistent with individual capacities, but also showed concern that being considered an unhealthy drinker, even at low levels of drinking, might signify alcoholism.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Alcohol, Health and Identities among UK Adults in Later Life

et al. 2013

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Increasing alcohol consumption among older individuals is a public health concern. Lay understandings of health risks and stigma around alcohol problems may explain why public health messages have not reduced rates of heavy drinking in this sector. A qualitative study aimed to elucidate older people's reasoning about drinking in later life and how this interacted with health concerns, in order to inform future, targeted, prevention in this group. In 2010 a diverse sample of older adults in North East England (ages 50–95) participated in interviews (n = 24, 12 male, 12 female) and three focus groups (participants n = 27, 6 male, 21 female). Data were analysed using grounded theory and discursive psychology methods. When talking about alcohol use older people oriented strongly towards opposed identities of normal or problematic drinker, defined by propriety rather than health considerations. Each of these identities could be applied in older people's accounts of either moderate or heavy drinking. Older adults portrayed drinking less alcohol as an appropriate response if one experienced impaired health. However continued heavy drinking was also presented as normal behaviour for someone experiencing relative wellbeing in later life, or if ill health was construed as unrelated to alcohol consumption. Older people displayed scepticism about health advice on alcohol when avoiding stigmatised identity as a drinker. Drinking patterns did not appear to be strongly defined by gender, although some gendered expectations of drinking were described. Identities offer a useful theoretical concept to explain the rises in heavy drinking among older populations, and can inform preventive approaches to tackle this. Interventions should engage and foster positive identities to sustain healthier drinking and encourage at the community level the identification of heavy drinking as neither healthy nor synonymous with dependence. Future research should test and assess such approaches.

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Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Alcohol, Health and Identities among UK Adults in Later Life

et al. 2013

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“…A systematic review (protocol available from lead author) of 12 previous studies found that participants often pour more than 1 standard drink or unit as their usual glass of alcoholic beverages (Banwell, ; Carruthers and Binns, ; Gill and Donaghy, ; Gill et al., ; Gual et al., ; Kaskutas and Graves, ; Kerr et al., , ; Lemmens, ; Nayak et al., ; Wilkinson et al., ; Wilson, ). A single study reports investigating the perceived number of standard drinks poured in addition to measuring participants' self‐defined usual glass.…”

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confidence: 99%

Actual and Perceived Units of Alcohol in a Self‐Defined “Usual Glass” of Alcoholic Drinks in England

Boniface¹,

Kneale

Shelton³

2012

Alcoholism Clin & Exp Res

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BackgroundSeveral studies have found participants pour more than 1 standard drink or unit as their usual glass. This is the first study to measure actual and perceived amounts of alcohol in a self-defined usual glass of wines and spirits in the general population.MethodsParticipants were a convenience sample of adults who drink alcohol or who pour drinks for other people (n = 283, 54% women) at 6 sites in South East England. The survey was face to face and comprised a self-completion questionnaire and pouring task. Estimation accuracy, categorised as correct (±0.5 units), underestimate (>0.5 units), or overestimate (>0.5 units) was the main outcome.ResultsThe mean number of units poured was 1.90 (SD 0.80; n = 264) for wine and 1.93 (SD 0.78; n = 201) for spirits. The amount of alcohol in a self-defined usual glass was estimated in 440 glasses (248 wine and 192 spirits). Overestimation took place in 42% glasses of spirit poured and 29% glasses of wine poured, and underestimation in 17 and 19%, respectively. Multinomial logistic regression found volume poured to be significantly associated with underestimating both wines and spirits, and additionally for wine only, belonging to a non-white ethnic group and being unemployed or retired. Not having a university degree was significantly associated with overestimating both drink types.ConclusionsThis study is the first in the general population and did not identify systematic underestimation of the amount of alcohol in a self-defined usual glass. Underestimation is significantly associated with volume poured for both drink types; therefore, advocating pouring smaller glasses could reduce underestimation of alcohol consumption.

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“…[27] In the context of an ageing global population and increasing demands on the health care system, GPs and community pharmacists, who are typically older people's first point of contact with the primary health care system, [28] represent a cost-effective and convenient channel [11,17] to deliver alcohol-related interventions. Moreover, GPs' and community pharmacists' role as a source of credible health information is particularly relevant, given evidence that many older people have limited knowledge of relevant drinking guidelines, [29] and are less likely to associate alcohol with cancer than younger people. [30] Compounding this are the mixed messages which routinely appear in the media concerning potential health risks and benefits of low levels of alcohol for this segment of the population.…”

Section: Introductionmentioning

confidence: 99%

Prescribing or dispensing medication represents the best opportunity for GPs and pharmacists to engage older people in alcohol-related clinical conversations

Wilkinson

Dare

French

et al. 2016

International Journal of Pharmacy Practice

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Alcohol pouring practices among 65‐ to 74‐year‐olds in Western Australia

Cited by 26 publications

References 18 publications

A Qualitative Study of Alcohol, Health and Identities among UK Adults in Later Life

A Qualitative Study of Alcohol, Health and Identities among UK Adults in Later Life

Actual and Perceived Units of Alcohol in a Self‐Defined “Usual Glass” of Alcoholic Drinks in England

Prescribing or dispensing medication represents the best opportunity for GPs and pharmacists to engage older people in alcohol-related clinical conversations

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