Trends in Alcohol Consumption Among Older Americans: National Health Interview Surveys, 1997 to 2014.
paper
Cited
Public
- Authors
- Breslow, Rosalind A; Castle, I-Jen P; Chen, Chiung M; Graubard, Barry I
- Year
- 2017
- Journal
- Alcoholism, clinical and experimental research
- PMID
- 28340502
- DOI
- 10.1111/acer.13365
- PMCID
- PMC5439499
BACKGROUND: The majority of U.S. older adults consume alcoholic beverages. The older population is projected to almost double by 2050. Substantially more drinkers are likely. PURPOSE: To describe gender-specific trends (1997 to 2014) in prevalence of drinking status (lifetime abstention, former drinking, current drinking [including average volume], and binge drinking) among U.S. adults ages 60+ by age group and birth cohort. METHODS: In the 1997 to 2014 National Health Interview Surveys, 65,303 respondents ages 60+ (31,803 men, 33,500 women) were current drinkers; 6,570 men and 1,737 women were binge drinkers. Prevalence estimates and standard errors were computed by age group (60+, 60 to 64, 65 to 69, 70 to 74, 75 to 79, 80+) and birth cohort (<1925, 1925 to 1935, 1936 to 1945, 1946 to 1954). Trends were examined using joinpoint regression and described as average annual percent change (AAPC; overall change 1997 to 2014) and annual percent change (APC; in-between infection points). Primary analyses were unadjusted. All analyses (unadjusted and adjusted for demographics/lifestyle) were weighted to produce nationally representative estimates. Statistical procedures accounted for the complex survey design. RESULTS: Among men ages 60+, unadjusted prevalence of current drinking trended upward, on average, 0.7% per year (AAPC, pย =ย 0.02); average volume and prevalence of binge drinking remained stable. Adjusted results were similar. Among women age 60+, unadjusted prevalence of current drinking trended upward, on average, 1.6% per year (AAPC, pย <ย 0.0001), but average volume remained stable; prevalence of binge drinking increased, on average, 3.7% per year (AAPC, pย <ย 0.0001). Adjusted results were similar. Trends varied by age group and birth cohort. Among men born 1946 to 1954, unadjusted prevalence of current drinking trended upward, on average, 2.4% per year (AAPC, pย =ย 0.02); adjusted results were nonsignificant. CONCLUSIONS: Our finding of upward trends in drinking among adults ages 60+, particularly women, suggests the importance of public health planning to meet future needs for alcohol-related programs.
Prevalence of lifetime abstention, current drinking, and binge drinking, ages 60 years and older, fitted with joinpoint log-linear regression: National Health Interview Survey, United States, 1997โ2014.
Prevalence of current drinking and binge drinking for birth cohorts by age group: National Health Interview Survey, United States, 1997โ2014.
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| Name | Type |
|---|---|
| 1910-1914 birth cohort local | cohort |
| <1925 local | cohort |
| 1925โ1935 local | cohort |
| 1925โ1935 birth cohort local | cohort |
| 1936โ1945 local | cohort |
| 1936โ1945 birth cohort local | cohort |
| 1946โ1954 local | cohort |
| 1946โ1954 birth cohort local | cohort |
| 1950-1954 birth cohort local | cohort |
| 1956-1960 birth cohort local | cohort |
| 5-year age categories local | cohort |
| abstainers | phenotype |
| Adults 60+ local | cohort |
| Adults age 60+ local | cohort |
| Adults ages 60+ local | cohort |
| adults ages 65+ local | cohort |
| Adults ages 65+ local | cohort |
| age 60+ local | cohort |
| age 60+ local | phenotype |
| age 65+ | cohort |
| Age 80+ local | cohort |
| age group | cohort |
| Age group 60-64 | cohort |
| Age group 65-69 local | cohort |
| Age group 70-74 local | cohort |
| Age group 75-79 local | cohort |
| Age group 80+ local | cohort |
| alcohol | phenotype |
| Alcohol-related harms local | phenotype |
| Alcohol-related public health needs local | phenotype |
| average number of drinks consumed per day local | phenotype |
| average number of drinks per day local | phenotype |
| average volume local | phenotype |
| Average volume local | phenotype |
| Baby boom cohort local | cohort |
| baby boom cohort (1946-1964) local | cohort |
| Baby boomers | cohort |
| beer | drug |
| binge drinking | phenotype |
| birth cohort | cohort |
| Birth cohort 1910-1914 local | cohort |
| birth cohort <1925 local | cohort |
| Birth cohort <1925 local | cohort |
| birth cohort 1925โ1935 local | cohort |
| Birth cohort 1925-1935 local | cohort |
| birth cohort 1936โ1945 local | cohort |
| Birth cohort 1936-1945 local | cohort |
| birth cohort 1946โ1954 local | cohort |
| Birth cohort 1950-1954 local | cohort |
| Birth cohort 1956-1960 local | cohort |
| census region local | phenotype |
| Cohort <1925 local | cohort |
| Cohort 1925-1935 local | cohort |
| Cohort 1936-1945 local | cohort |
| Cohort 1946-1954 local | cohort |
| current drinkers | phenotype |
| current drinkers ages 60+ local | cohort |
| Current drinking (past-month) local | phenotype |
| Current drinking (past-year) local | phenotype |
| drinkers | phenotype |
| drinking | phenotype |
| drinking status | phenotype |
| drinks per week | phenotype |
| education | phenotype |
| Expanding population local | cohort |
| Falls local | phenotype |
| Fatal overdoses local | phenotype |
| former drinker | phenotype |
| former drinking local | phenotype |
| Former drinking local | phenotype |
| frequency | phenotype |
| Gender gap local | phenotype |
| heavy drinking | phenotype |
| Individuals ages 60+ local | cohort |
| lifetime abstention local | phenotype |
| Lifetime abstention local | phenotype |
| liquor | drug |
| marital status | phenotype |
| medication | drug |
| Medication interactions local | phenotype |
| men | cohort |
| Men <1925 birth cohort local | cohort |
| Men 1936โ1945 birth cohort local | cohort |
| Men 1946โ1954 birth cohort local | cohort |
| men 60-64 local | cohort |
| Men 60-64 local | cohort |
| Men 65-69 local | cohort |
| Men 70-74 local | cohort |
| Men 75-79 local | cohort |
| Men aged 60+ | cohort |
| men ages 60+ local | cohort |
| Men ages 60+ local | cohort |
| Men ages 80+ local | cohort |
| Men birth cohort <1925 local | cohort |
| Men birth cohort 1936โ1945 local | cohort |
| men born between 1946 and 1954 local | cohort |
| men other age groups local | cohort |
| middle-old (70โ79) local | cohort |
| middle-old (75โ84) local | cohort |
| Motor vehicle accidents | phenotype |
| National Center for Health Statistics | cohort |
| National Health Interview Survey | cohort |
| National Health Interview Surveys local | cohort |
| Nationally representative study 2002-2012 local | cohort |
| National Survey on Drug Use and Health (NSDUH) | cohort |
| NHIS | cohort |
| NHIS 1997-2014 survey local | cohort |
| NSDUH | cohort |
| old (65โ84) local | cohort |
| older adults | cohort |
| Older adults ages 60+ local | cohort |
| older age groups local | cohort |
| Older women local | cohort |
| oldest-old (85+) local | cohort |
| pre-1925 birth cohort local | cohort |
| prevalence of current drinking local | phenotype |
| quantity | phenotype |
| quantity component local | phenotype |
| Quantity of alcohol consumed on drinking days local | phenotype |
| quantity of drinks local | phenotype |
| race/ethnicity | phenotype |
| sex | phenotype |
| smoking status | phenotype |
| survey year | cohort |
| survey years 1997-2014 local | cohort |
| Toxic reactions local | phenotype |
| trauma | phenotype |
| US adults ages 60โ64 local | cohort |
| US adults ages 65+ local | cohort |
| US population | cohort |
| very-old (80+) local | cohort |
| White et al. local | cohort |
| White et al. 2015 local | cohort |
| wine | drug |
| women | cohort |
| Women <1925 birth cohort local | cohort |
| Women 60-64 local | cohort |
| Women 65-69 local | cohort |
| women 70-74 local | cohort |
| Women 70-74 local | cohort |
| Women age 65+ local | cohort |
| Women aged 60+ | cohort |
| Women ages 45-64 local | cohort |
| Women ages 60+ local | cohort |
| women ages 60โ64 local | cohort |
| Women ages 65+ local | cohort |
| Women ages 70โ74 local | cohort |
| Women birth cohort <1925 local | cohort |
| Women birth cohort 1936โ1945 local | cohort |
| women other age groups local | cohort |
| youngest age group (60โ64) local | cohort |
| young-old (60โ69) local | cohort |
| young-old (65โ74) local | cohort |
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