Alcohol-related hospitalizations of elderly people. Prevalence and geographic variation in the United States

Adams, Wendy L.

doi:10.1001/jama.270.10.1222

Cited by 93 publications

(83 citation statements)

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“…Alcohol misuse is a prevalent, costly, and underrecognized problem among older adults. 53 In our study 10% of patients reported drinking more than seven drinks per week, which is considered a hazardous level by the National Institute of Alcohol Abuse and Alcoholism. 30 This is similar to the prevalence found in other studies.…”

Section: Discussionmentioning

confidence: 57%

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Stevens

Richmond

Pereira

et al. 2014

Academic Emergency Medicine

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Objectives: Health outcomes among older emergency department (ED) patients may be influenced by physical, economic, and psychological problems not routinely identified during the ED visit. The objective of this study was to characterize such problems among older adults presenting to the ED.Methods: This was a prevalence study with enrollment during 4-hour periods randomly selected between 9 a.m. and 9 p.m. on random days of the week over a period of 8 weeks at an academic ED in the southeast United States. Participants were noninstitutionalized, cognitively intact adults aged 65 years or older without life-threatening illness or injury. Consenting patients were asked about the frequency of 10 prespecified problems during the past year.Results: Patients (N = 138) were non-Hispanic white (69%) and female (57%) and almost all had primary providers (95%) and health insurance (98%). Forty percent reported their overall health as fair (21%) or poor (19%). Hazardous drinking habits were reported by 10% of patients. The prevalence of problems occurring either "sometimes" or "often" in the past year were pain (60%), difficulty walking (47%), lack of money (32%), isolation and loneliness (14%), lack of transportation (12%), difficulty scheduling a doctor's appointment (4%), difficulty getting prescriptions filled (4%), and lack of dental care (6%). Nine patients (7%) reported experiencing physical or psychological abuse at some point in the past year. Females, minorities, and individuals living in urban areas reported higher rates of most problems.Conclusions: Nonmedical problems are common among cognitively intact, independent living, noncritically ill older patients presenting to an ED in the southeast United States.ACADEMIC EMERGENCY MEDICINE 2014;21:651-658

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Section: Discussionmentioning

confidence: 57%

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Stevens

Richmond

Pereira

et al. 2014

Academic Emergency Medicine

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“…One coauthor (R.S.) reviewed medical records to determine current primary and alcohol-attributable medical diagnoses (Adams et al, 1993). At 3 and 12 months, research associates reassessed, via interview, most domains covered at enrollment.…”

Section: Assessmentsmentioning

confidence: 99%

Some Medical Inpatients With Unhealthy Alcohol Use May Benefit From Brief Intervention

Saitz

Palfai

Cheng

et al. 2009

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Studies of alcohol brief intervention for medical inpatients have mixed results. We explored potential moderators of the effectiveness of brief intervention for unhealthy alcohol use among medical inpatients. Method: This is a secondary analysis of a randomized controlled trial of brief motivational counseling among 341 urban-hospital medical inpatients (99 women) with unhealthy alcohol use. Self-reported main outcomes were receipt of alcohol treatment by 3 months in subjects with dependence and change in the mean number of drinks per day 3 and 12 months after enrollment in all subjects. Results: Among subjects with dependence, the effect of brief intervention on receipt of alcohol treatment differed signifi cantly by gender and age (p = .02 for each interaction). In stratifi ed analyses, brief intervention was associated with receipt of alcohol treatment in women (adjusted odds ratio [AOR] = 3.9, 95% confi dence interval [CI]: 1.2-12.7), and younger (<44 years) subjects (AOR = 3.6, 95% CI: 1.3-10.1). Among subjects with nondependent, unhealthy alcohol use, brief intervention was signifi cantly associated with fewer drinks per day and better physical health-related quality of life at 3 months. However, among those with dependence, intervention was associated with worse physical health-related quality of life and more hospital use, and no changes in drinking. In adjusted analyses among those with and without dependence, brief intervention was not associated with mental health-related quality of life, alcohol problems, or readiness to change. Effects of brief intervention on consumption outcomes were not consistently moderated by demographic characteristics, comorbidity/health, or readiness to change. Conclusions: Some medical inpatients with unhealthy alcohol use, particularly women, younger adults, and patients without dependence may benefi t from brief intervention. Few factors that were expected to moderate brief intervention effects did so. Additional research should assess which medical inpatients, if any, can benefi t from brief intervention. (J. Stud. Alcohol Drugs 70: [426][427][428][429][430][431][432][433][434][435] 2009)

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“…3 In the USA, alcohol-related hospitalizations in older adults occur with a frequency similar to heart attacks. 4 These findings may seem surprising given that average per-person alcohol consumption decreases, rates of binge drinking decrease, and the incidence and prevalence of alcohol abuse and dependence disorders also tend to decrease with age 1,[5][6][7][8] (mildly until around age 70 and more steeply thereafter), 9 although not for all subgroups. 10,11 Among late middle-aged U.S. adults (45-65 years), prevalence of past-year alcohol abuse or dependence is estimated to be 8.2 % for males and 2.9 % for females, 2,12 4-5 % of adults 55 and older report binge drinking in the past month, 13 and 9 % of adults over age 65 consume alcohol in excess of national guidelines.…”

Section: Introductionmentioning

confidence: 99%

Neighborhood Psychosocial Hazards and Binge Drinking among Late Middle-Aged Adults

et al. 2013

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Older adults may be more vulnerable to negative health effects from alcohol as they age. Distress and adverse neighborhood conditions that provoke distress may influence drinking behavior. Using baseline data from the Baltimore Memory Study, a cohort study of adults aged 50-70 years living in 65 Baltimore City neighborhoods, we investigated the association between neighborhood psychosocial hazards (NPH) and the number of binge drinking days in the past month among non-abstainers (N0645). We used negative binomial regression with generalized estimating equations to estimate the relative number of binge drinking days per month associated with a one standard deviation increase in NPH score. Residing in neighborhoods with more psychosocial hazards was independently associated with more binge drinking for females, but not for males. For females, each one standard deviation increase in NPH score was associated with a 1.52 relative risk of binge drinking (95 % confidence interval, 1.10, 2. 10) in the adjusted model. The findings were robust to a sensitivity analysis in which we used the average number of drinks per drinking occasion as an alternative outcome. Our findings provide evidence linking adverse neighborhood conditions with alcohol consumption in non-abstaining late middle-aged women, and suggest that late middle-aged men and women may have different reactions to adverse residential neighborhoods.

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Alcohol-related hospitalizations of elderly people. Prevalence and geographic variation in the United States

Cited by 93 publications

References 0 publications

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Prevalence of Nonmedical Problems Among Older Adults Presenting to the Emergency Department

Some Medical Inpatients With Unhealthy Alcohol Use May Benefit From Brief Intervention

Neighborhood Psychosocial Hazards and Binge Drinking among Late Middle-Aged Adults

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