Factors associated with alcohol consumption and prescribed drugs with addiction potential among older women and men - the Nord-Trøndelag health study (HUNT2 and HUNT3), Norway, a population-based longitudinal study.
Addictive drugs
Ageing
Alcohol
Drinkers
Drinking
Elderly
HUNT
Longitudinal study
Psychotropic drugs
Substance misuse
Journal
BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548
Informations de publication
Date de publication:
18 04 2019
18 04 2019
Historique:
received:
15
10
2018
accepted:
24
03
2019
entrez:
20
4
2019
pubmed:
20
4
2019
medline:
29
1
2020
Statut:
epublish
Résumé
Little is known about factors associated with alcohol consumption and use of drugs with addiction potential in older adults. The aim of this study was to explore the association between socio-demographic variables, physical and mental health and the later (11 years) use of frequent drinking, prescribed drugs with addiction potential and the possible combination of frequent drinking and being prescribed drugs with addiction potential in older adults (≥ 65 years). In this longitudinal study, we used data from two surveys of the Nord-Trøndelag Health Study (HUNT2 1995-1997 and HUNT3 2006-2008), a population based study in Norway. We totally included 10,656 individuals (5683 women) aged 54 years and older when they participated in HUNT2. Frequent drinking was defined as drinking alcohol 4 days or more per week. Data on prescribed drugs with addiction potential were drawn from the Norwegian Prescription Database. Drugs with addiction potential were defined as at least one prescription of benzodiazepines, z-hypnotics or opioids during one year for a minimum of two consecutive years between 2005 and 2009. The typical frequent drinker in HUNT3 was younger, more educated, lived in urban areas, and reported smoking and drinking frequently in HUNT2 compared to the non-frequent drinker in HUNT3. The typical user of prescribed drugs with addiction potential in HUNT3 was an older woman who smoked and was in poor health, suffered from anxiety, had been hospitalized in the last 5 years and used anxiety or sleep medication every week or more often in HUNT2. The typical individual in HUNT3 with the possible combination of frequent drinking and being prescribed drugs with addiction potential had more education, smoked, drank frequently and used anxiety or sleep medication in HUNT2. Individuals who were identified as frequent drinkers in HUNT2 were more likely to be frequent drinkers in HUNT3, and to have the possible combination of frequent drinking and being prescribed drugs with addiction potential in HUNT3. Health care professionals need to be aware of use of alcohol among older adults using drugs with addiction potential.
Sections du résumé
BACKGROUND
Little is known about factors associated with alcohol consumption and use of drugs with addiction potential in older adults. The aim of this study was to explore the association between socio-demographic variables, physical and mental health and the later (11 years) use of frequent drinking, prescribed drugs with addiction potential and the possible combination of frequent drinking and being prescribed drugs with addiction potential in older adults (≥ 65 years).
METHODS
In this longitudinal study, we used data from two surveys of the Nord-Trøndelag Health Study (HUNT2 1995-1997 and HUNT3 2006-2008), a population based study in Norway. We totally included 10,656 individuals (5683 women) aged 54 years and older when they participated in HUNT2. Frequent drinking was defined as drinking alcohol 4 days or more per week. Data on prescribed drugs with addiction potential were drawn from the Norwegian Prescription Database. Drugs with addiction potential were defined as at least one prescription of benzodiazepines, z-hypnotics or opioids during one year for a minimum of two consecutive years between 2005 and 2009.
RESULTS
The typical frequent drinker in HUNT3 was younger, more educated, lived in urban areas, and reported smoking and drinking frequently in HUNT2 compared to the non-frequent drinker in HUNT3. The typical user of prescribed drugs with addiction potential in HUNT3 was an older woman who smoked and was in poor health, suffered from anxiety, had been hospitalized in the last 5 years and used anxiety or sleep medication every week or more often in HUNT2. The typical individual in HUNT3 with the possible combination of frequent drinking and being prescribed drugs with addiction potential had more education, smoked, drank frequently and used anxiety or sleep medication in HUNT2.
CONCLUSION
Individuals who were identified as frequent drinkers in HUNT2 were more likely to be frequent drinkers in HUNT3, and to have the possible combination of frequent drinking and being prescribed drugs with addiction potential in HUNT3. Health care professionals need to be aware of use of alcohol among older adults using drugs with addiction potential.
Identifiants
pubmed: 30999872
doi: 10.1186/s12877-019-1114-2
pii: 10.1186/s12877-019-1114-2
pmc: PMC6472008
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
113Références
BMC Res Notes. 2014 Oct 20;7:741
pubmed: 25332101
Addiction. 2004 Jul;99(7):829-38
pubmed: 15200578
BMC Geriatr. 2017 Jul 31;17(1):172
pubmed: 28760157
J Epidemiol Community Health. 2000 Dec;54(12):917-22
pubmed: 11076988
Pharmacoepidemiol Drug Saf. 2008 Sep;17(9):926-933
pubmed: 18489010
Alcohol Alcohol. 2011 May-Jun;46(3):349-56
pubmed: 21508197
Aust Fam Physician. 2009 Mar;38(3):102-5
pubmed: 19283248
Alcohol. 2008 Jun;42(4):261-7
pubmed: 18400450
Scand J Caring Sci. 2015 Jun;29(2):325-32
pubmed: 25213551
Drug Alcohol Depend. 2017 Jan 01;170:198-207
pubmed: 27979428
Int J Epidemiol. 2013 Aug;42(4):968-77
pubmed: 22879362
Sleep Med. 2012 Aug;13(7):893-7
pubmed: 22704401
Nordisk Alkohol Nark. 2017 Feb;34(1):57-71
pubmed: 32934467
Alcohol Clin Exp Res. 2014 May;38(5):1432-8
pubmed: 24588326
Scand J Prim Health Care. 2013 Jun;31(2):73-8
pubmed: 23621352
Pharmacoepidemiol Drug Saf. 2011 Apr;20(4):378-85
pubmed: 21259378
J Health Soc Behav. 2016 Mar;57(1):77-96
pubmed: 26957135
Br J Psychiatry. 2001 Dec;179:540-4
pubmed: 11731359
Br J Clin Pharmacol. 2008 Apr;65(4):593-9
pubmed: 18093258
J Anxiety Disord. 2012 Jan;26(1):12-9
pubmed: 21903358
J Am Geriatr Soc. 2015 Nov;63(11):2324-31
pubmed: 26503899
BMC Geriatr. 2014 Apr 27;14:57
pubmed: 24766969
Eur J Public Health. 2013 Dec;23(6):1069-75
pubmed: 23115327
J Gen Intern Med. 2010 Aug;25(8):840-6
pubmed: 20396975
Addict Behav. 2012 Oct;37(10):1151-7
pubmed: 22704915
Subst Use Misuse. 2017 Oct 15;52(12):1575-1588
pubmed: 28524740
Int J Geriatr Psychiatry. 2017 Apr;32(4):414-420
pubmed: 27113813
Age Ageing. 2004 Mar;33(2):170-7
pubmed: 14960434
Public Health. 2016 Oct;139:79-87
pubmed: 27387049
J Am Geriatr Soc. 2016 Dec;64(12):2546-2553
pubmed: 27879984
Scand J Caring Sci. 2016 Sep;30(3):586-93
pubmed: 26453179
Scand J Prim Health Care. 2015 Jun;33(2):107-14
pubmed: 25965505
Alcohol Alcohol. 2015 Jan;50(1):1-10
pubmed: 25433252
J Am Geriatr Soc. 2008 Dec;56(12):2285-91
pubmed: 19093928
BMC Public Health. 2013 Mar 08;13:207
pubmed: 23497391
Ther Adv Psychopharmacol. 2017 Jul;7(6-7):191-200
pubmed: 28740636
Pharmacopsychiatry. 2008 Nov;41(6):242-51
pubmed: 19067262
Acta Psychiatr Scand. 1983 Jun;67(6):361-70
pubmed: 6880820
Nord J Psychiatry. 2014 Feb;68(2):107-16
pubmed: 23521539
Subst Use Misuse. 2014 Mar;49(4):456-65
pubmed: 24131262
BMJ Open. 2016 Oct 8;6(10):e012182
pubmed: 27855095
Subst Use Misuse. 2015;50(10):1284-93
pubmed: 25603494
Alcohol Res. 2016;38(1):69-77
pubmed: 27159813
Alcohol Clin Exp Res. 2008 Jan;32(1):120-7
pubmed: 18070244
Am J Geriatr Pharmacother. 2007 Mar;5(1):64-74
pubmed: 17608249
Nicotine Tob Res. 2011 Oct;13(10):919-25
pubmed: 21571690
Alcohol Clin Exp Res. 2015 Feb;39(2):371-9
pubmed: 25597432
J Gen Intern Med. 2007 Jan;22(1):92-7
pubmed: 17351846
Lancet. 2018 Sep 22;392(10152):1015-1035
pubmed: 30146330
Am J Geriatr Psychiatry. 2003 Sep-Oct;11(5):568-76
pubmed: 14506091
Nord J Psychiatry. 2011 Oct;65(5):338-44
pubmed: 21341979
BMC Med Res Methodol. 2012 Sep 14;12:143
pubmed: 22978749
Pain. 2007 Nov;132 Suppl 1:S26-S45
pubmed: 17964077
Ann Pharmacother. 2013 Feb;47(2):257-68
pubmed: 23362039
JAMA Psychiatry. 2017 Sep 1;74(9):911-923
pubmed: 28793133
BMC Public Health. 2016 Aug 05;16:723
pubmed: 27492155
Neuropsychol Rev. 2011 Mar;21(1):41-53
pubmed: 21225347
J Affect Disord. 2008 Mar;106(3):273-8
pubmed: 17707514
BMC Public Health. 2017 Jan 10;17(1):58
pubmed: 28068991
J Acad Nutr Diet. 2015 Feb;115(2):213-224
pubmed: 25288520
PLoS One. 2017 Sep 8;12(9):e0184428
pubmed: 28886172
BMC Psychiatry. 2017 Mar 9;17(1):90
pubmed: 28279159
Nicotine Tob Res. 2004 Feb;6(1):133-44
pubmed: 14982697
BMC Med. 2015 Mar 06;13:47
pubmed: 25858476
Drug Alcohol Depend. 2015 Apr 1;149:117-21
pubmed: 25678441
Am J Public Health. 2010 Dec;100(12):2541-7
pubmed: 20724688
Age Ageing. 2013 Mar;42 Suppl 1:i1-57
pubmed: 23420266
CNS Drugs. 2001;15(6):469-94
pubmed: 11524025