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首页> 外文期刊>BMC Public Health >Is alcohol consumption in older adults associated with poor self-rated health? Cross-sectional and longitudinal analyses from the English Longitudinal Study of Ageing
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Is alcohol consumption in older adults associated with poor self-rated health? Cross-sectional and longitudinal analyses from the English Longitudinal Study of Ageing

机译：老年人饮酒是否与自我评价不佳相关？英文纵向老龄化研究的横断面和纵向分析

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Background Increases in alcohol related mortality and morbidity have been reported among older people in England over the last decade. There is, however, evidence that drinking is protective for some health conditions. The validity of this evidence has been questioned due to residual confounding and selection bias. The aim of this study is to clarify which drinking profiles and other demographic characteristics are associated with poor self-rated health among a community-based sample of older adults in England. The study also examines whether drinking designated as being “increasing-risk” or “higher-risk” is associated with poorer self-rated health. Method This study used data from Wave 0, Wave 1 and Wave 5 of the English Longitudinal Study of Ageing [ELSA]. Logistic regression analysis, was used to examine the association between drinking profiles (based on quantity and frequency of drinking) and self-rated health, adjusting for gender, age, wealth, social class, education, household composition, smoking and body mass index [BMI]. Results Twenty percent of the sample reported drinking above the recommended level at wave 0. Rates of poor self-rated health were highest among those who had stopped drinking, followed by those who never drank. The rates of poor self-rated health among non-drinkers were significantly higher than the rates of poor self-rated health for any of the groups who reported alcohol consumption. In the adjusted logistic regression models there were no drinking profiles associated with significantly higher rates of poor self-rated health relative to occasional drinkers. Conclusions Among those who drank alcohol, there was no evidence that any pattern of current alcohol consumption was associated with poor self-rated health, even after adjustment for a wide range of variables. The results associated with the stopped drinking profile indicate improvement in self-rated health can be associated with changes in drinking behaviour. Although several limitations of the study are noted, policy makers may wish to consider how these findings should be translated into drinking guidelines for older adults.
机译：背景技术在过去的十年中，英国老年人中与酒精有关的死亡率和发病率有所增加。但是，有证据表明，饮酒可以保护某些健康状况。由于残留的混杂因素和选择偏见，该证据的有效性受到质疑。这项研究的目的是弄清哪些饮酒特征和其他人口统计学特征与英格兰社区老年人样本中自我评估的健康状况差有关。该研究还研究了被指定为“高风险”或“高风险”的饮酒与较差的自我评价健康状况有关。方法该研究使用了英国纵向衰老研究[ELSA]的第0波，第1波和第5波的数据。使用Logistic回归分析检查饮酒状况（基于饮酒的数量和频率）与自我评价的健康之间的关联，并根据性别，年龄，财富，社会阶层，教育程度，家庭组成，吸烟和体重指数进行调整[ BMI]。结果20％的样本报告在第0波时饮酒高于建议水平。在停止饮酒的人中，自我评价欠佳的健康率最高，其次是从未饮酒的人。非饮酒者的自我评估健康状况差的比率显着高于任何饮酒的人群自我评估健康状况的差。在调整后的逻辑回归模型中，与偶尔饮酒者相比，没有饮酒习惯与不良自我评价健康率显着更高相关。结论在那些饮酒的人中，没有证据表明，即使在调整了许多变量之后，目前的任何饮酒方式都与自我评估的健康状况有关。与停止饮酒有关的结果表明，自我评估的健康状况的改善可能与饮酒行为的改变有关。尽管注意到了这项研究的一些局限性，但政策制定者不妨考虑如何将这些发现转化为老年人的饮酒指南。

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