Sažetak
Introduction: There is a dearth of information on alcohol consumption in the elderly in Africa. The aim of the study was to determine the prevalence of lifetime and 7 day alcohol consumption in a community sample of elderly Nigerians and the association of 7 day excessive alcohol consumption to several common health conditions.
Methods: Face-to-face interviews were carried out among 2,149 elderly persons aged 65 years and older, selected through a multistage stratified sampling method of households in the Yoruba-speaking areas of Nigeria (22% of Nigerian population). Using a daily inventory of drinking, lifetime and 7-day alcohol consumption estimates were derived. Excessive alcohol consumption was defined as use of more than 1 unit/day at a sitting or more than 7 units/week. Major depressive disorder was assessed with the WHO Composite International Diagnostic Interview; chronic general medical conditions were assessed by self reports.
Results: Majority (54.8%) of the respondents were lifetime abstainers. Past-week alcohol use was reported by 12.0% of men and 3.6% of women. Drinking rates declined with increasing age in both sexes (p < 0.05). Past week excessive alcohol consumption was less likely among persons residing in rural areas, OR = 0.41 95% CI (0.17-0.99) but more likely to be associated with chronic backache or neck pain OR = 2.04, 95% CI, (1.0-4.59 and cognitive impairment OR=4.2, 95% CI, (1.21-15.1).
Conclusion: Excessive consumption is relatively common among elderly males. Alcohol consumption in the elderly is associated with chronic pain, cognitive impairment and living in urban areas.
Keywords: Alcohol, epidemiology, medical - comorbidity, chronic pain, cognitive impairment,
Résumé
Contexte:il ya un manque d’information sur la consommation d’alcool chez les personnes âgées en Afrique. Le but de l’étude était de déterminer la prévalence de durée de vi e et 7joursde consommati on d’alc ool dedans un échanti llon co mmunautai redes âgésNi géri ans etl’associ ationde7joursdeconsom mati onexcessi ved’alcool àplusi eurs condi tionsde santécouran ts.
Méthodes: Entrevus face-à-face ont été réalisées parmi 2149 personnes âgées de 65 ans et plus, sélectionné par une méthode d’échantillonnage stratifié des foyers à plusieurs degrés dans les zones parlant-Yoruba du Nigeria (22% de la population du Nigeria). En utilisant un inventaire quotidien d’eau potable, les estimations de la consommation d’alcool la durée de vie et 7 jours ont été dérivées. Consommation excessive d’alcool a été définie comme l’utilisation de plus d’une unité / jour lors d’une séance ou plus de 7 unités / semaine. Le trouble dépressif majeur a été évalué avec le Composite International d’Interview Diagnostic de l’OMS; conditions médicales générales chroniques ont été évaluées par auto-rapports.
Résultats: La majorité (54,8%) des répondants étaient des abstinents à vie. Consommation d’alcool dans la semaine passée a été rapportée par 12,0% des hommes et 3,6% des femmes. Le taux de consommation d’alcool a diminué avec l’âge dans les deux sexes (p <0,05). Consommation excessive d’alcool dans la Semaine passée était moins probable chez les personnes résidant dans les zones rurales, OR = 0,41 IC à 95% (0,17 - 0,99), mais plus susceptibles d’être associée à des maux de dos chronique ou douleur au cou OR = 2,04, IC à 95%, (1,0 -4,59) et trouble cognitif OR = 4,2, IC à 95%, (1,21 -15,1).
Conclusion: La consommation excessive est relativement fréquente chez les hommes âgés. La consommation d’alcool chez les personnes âgées est associée à la douleur chronique, au trouble cognitif et la vie dans les zones urbaines. Mots-clés:alcool, épidémiologie, Co-morbidité médicale, douleur chronique, trouble cognitif,
Correspondence: Dr. V.O. Lasebikan, Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria. Email: victorlash@yahoo.com
Reference
Ilomaki J., et al., Alcohol consumption and tobacco smoking among community-dwelling older Australian men: The Concord Health and Ageing in Men Project. Australas J Ageing, 2013. 5(10): p. 12048.
Standridge J.B., Zylstra R.G and S.M. Adams, Alcohol consumption: an overview of benefits and risks. South Med J, 2004. 97(7): p. 664-672.
Moore A.A., et al., Alcohol use, comorbidity, and mortality. J Am Geriatr Soc, 2006. 54(5): p. 757-62.
O’Keefe J.H., Bybee K.A. and Lavie C J. Alcohol and cardiovascular health: the razor-sharp double-edged sword. J Am Coll Cardiol, 2007. 50(11): p. 1009-1014.
Rehm J., et al. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet, 2009. 373(9682): p. 2223-2233.
Oslin D.W. Alcohol use in late life: disability and comorbidity. J Geriatr Psychiatry Neurol, 2000. 13(3): p. 134-140.
Lim W.Y., et al. Lifetime and twelve-month prevalence of heavy-drinking in Singapore: Results from a representative cross-sectional study. BMC Public Health, 2013. 13(1): p. 1471-2458.
Kim J.M., et al. Alcoholism in older Korean men: prevalence, aetiology, and comorbidity with cognitive impairment and dementia in urban and rural communities. Int J Geriatr Psychiatry, 2002. 17(9): p. 821-827.
Henni A., et al. Prevalence and issues of screening for alcohol consumption among elderly inpatients admitted to acute geriatric inpatient unit. Geriatr Psychol Neuropsychiatr Vieil, 2013. 11(1): p. 33-41.
Banta J.E., Mukaire P.E and Haviland H.M, Binge drinking by gender and race/ethnicity among California adults, 2007/2009. Am J Drug Alcohol Abuse, 2014. 12: p. 12.
Karlamangla A., et al. Longitudinal trajectories of heavy drinking in adults in the United States of America. Addiction, 2006. 101(1): p. 91-99.
Moos R.H., et al. High-risk alcohol consumption and late-life alcohol use problems. Am J Public Health, 2004. 94(11): p. 1985-1991.
Gureje O. and V.O. Lasebikan. Alcohol beverages type, problem drinking and self-reported health status. Nigeria Journal of Psychiatry, 2006. 4(1): p. 4-8.
Aira M., et al. Factors influencing inquiry about patients’ alcohol consumption by primary health care physicians: qualitative semi-structured interview study. Fam Pract, 2003. 20(3): p. 270-275.
Kish L. Survey Sampling1965, New York: John Wiley.
Dar K. Alcohol use disorders in elderly people: fact or fiction? Advances in Psychiatric Treatment, 2006. 12(3): p. 173-181.
Dufour M.C., Bertolucci D and Weed J. “Multiple Cause Mortality Data: General Description Methodological Issues, and Preliminary Findings.” Presented at the National Institute on Alcohol Abuse and Alcoholism Conference on the Epidemiology of Alcohol Use and Abuse Among U.S. Ethnic Minority Groups, 1985.
Haro J.M., et al. Concordance of the Composite International Diagnostic Interview Version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Health surveys: Int J Methods Psychiatr Res. 2006;15(4):167-180.
American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, A.P. Association, Editor 1994: Washington DC.
Welsh K.A., et al. The Consortium to Establish a Registry for Alzheimer’s Disease (CERAD). Part V. A normative study of the neuropsychological battery. Neurology, 1994. 44 (4): p. 609-614.
Hendrie H.C., et al. Incidence of dementia and Alzheimer disease in 2 communities: Yoruba residing in Ibadan, Nigeria, and African Americans residing in Indianapolis, Indiana. JAMA, 2001. 285(6): p. 739-747.
National Centre for Health Statistics., Evaluation of National Health Interview Survey diagnostic reporting. Vital and Health Statistics 2, 1994. 120: p. 1 - 116.
Katz S., et al. Studies of Illness in the Aged. The Index of Adl: A Standardized Measure of Biological and Psychosocial Function. JAMA, 1963. 185: p. 914-919.
Nagi S.Z. An epidemiology of disability among adults in the United States. Milbank Mem Fund Q Health Soc, 1976. 54(4): p. 439-467.
World Health Organization, H.f. 1999 [cited 2005 November 16]; Available from: http://www.who.int/hpr/expo
Ferguson, et al. Estimating permanent income using indicator variables. In: Murray CJL, Evans DB, editors. Health Systems Performance Assessment: Debates, Methods and Empiricism 2003, World Health Organization: Geneva.
Stata Corp. Stata Statistical Software, version 7.0 for windows, 2001: Stata, College Station; Texas.
Hosmer, D.W. and Lemeshow S. Applied Logistic Regression, 2000: New York.
NIAAA. The Physicians’ Guide to Helping Patients with Alcohol Problems, 1995, NIAAA: Rockville, MD.
Room R. and Makela K. Typologies of the cultural position of drinking. J Stud Alcohol, 2000. 61(3): p. 475-483.
Cheng H. and Furnham A. Correlates of adult binge drinking: evidence from a British cohort. PLoS ONE, 2013. 8(11).
Oshima S., et al. [Dose effect of alcohol on sex differences in blood alcohol metabolism—cases where healthy subjects with ALDH2*1/1 genotype drunk beer with meal]. Nihon Arukoru Yakubutsu Igakkai Zasshi, 2013. 48(3): p. 187-197.
Adams W.L., et al. Alcohol intake in the healthy elderly. Changes with age in a cross-sectional and longitudinal study. J Am Geriatr Soc, 1990. 38(3): p. 211-216.
Moore A.A., et al. Longitudinal patterns and predictors of alcohol consumption in the United States. Am J Public Health, 2005. 95(3): p. 458-465.
Stall R. Research issues concerning alcohol consumption among aging populations. Drug Alcohol Depend, 1987. 19(3): p. 195-213.
Johnson I. Medication and alcohol in nursing homes. The British Journal of Psychiatry, 2000. 177(3): p. 282.
Matzger H., et al. Does marital status predict long-term drinking? Five-year observations of dependent and problem drinkers. J Stud Alcohol, 2004. 65(2): p. 255-265.
Zhou X., et al. A comparative survey on alcohol and tobacco use in urban and rural populations in the Huaihua District of Hunan Province, China. Alcohol, 2006. 39(2): p. 87-96.
Barnes A.J., et al. Prevalence and correlates of at-risk drinking among older adults: the project SHARE study. J Gen Intern Med, 2010. 25(8): p. 840-846.
Virtaa J.J., et al. Midlife alcohol consumption and later risk of cognitive impairment: a twin follow-up study. J Alzheimers Dis, 2010. 22(3): p. 939-948.