Reciprocal relations between stressors and drinking behavior: a three-wave panel study of late middle-aged and older women and men

被引:56
作者
Brennan, PL
Schutte, KK
Moos, RH
机构
[1] VA Palo Alto Hlth Care Syst, Ctr Hlth Care Evaluat, Palo Alto, CA 94304 USA
[2] Stanford Univ, Med Ctr, Palo Alto, CA 94304 USA
关键词
D O I
10.1046/j.1360-0443.1999.94573712.x
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Aim. To examine reciprocal relations between stressors and drinking behavior among late-middle-aged and older women and men. Design, setting, and participants. A community sample of 621 women and 941 men (mean age = 61) provided information about their life stressors and drinking behavior at three times: initial assessment, 1 year later and 4 years later. Structural equation modeling with manifest variables was used to examine cross-temporal relations between stressors and drinking behavior. Findings. Stressors did not predict heavier or more frequent drinking In fact, among women, increased health stressors predicted a reduction of alcohol consumption; among men, increased financial stressors suppressed alcohol consumption. Higher stressor levels in some life domains did foreshadow later drinking problems. More initial drinking problems resulted in more subsequent financial and spouse stressors for both women and men. Contrary to expectation, more frequent alcohol consumption presaged fewer negative life events, health stressors, and financial stressors for women, and fewer health stressors for men. Conclusions. The findings suggest that among older adults there may be a harmful feedback cycle whereby problematic drinking and life stressors exacerbate each other, but also a benign feedback cycle in which moderate alcohol consumption and life stressors reduce each other.
引用
收藏
页码:737 / 749
页数:13
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