Alcohol use, abuse and dependence in an older European population: Results from the MentDis_ICF65+study

被引：24

作者：

Munoz, Manuel ^{[1
]}

Ausin, Berta ^{[1
]}

Santos-Olmo, Ana B. ^{[1
]}

Haerter, Martin ^{[2
]}

Volkert, Jana ^{[2
,3
]}

Schulz, Holger ^{[2
]}

Sehner, Susanne ^{[4
]}

Dehoust, Maria Christina ^{[2
]}

Suling, Anna ^{[4
]}

Wegscheider, Karl ^{[4
]}

Canuto, Alessandra ^{[5
]}

Crawford, Mike J. ^{[6
]}

Grassi, Luigi ^{[7
]}

Da Ronch, Chiara ^{[7
]}

Hershkovitz, Yael ^{[8
]}

Quirk, Alan ^{[6
]}

Rotenstein, Ora ^{[8
]}

Shalev, Arieh Y. ^{[9
]}

Strehle, Jens ^{[10
]}

Weber, Kerstin ^{[11
]}

Wittchen, Hans-Ulrich ^{[10
]}

Andreas, Sylke ^{[2
,12
]}

机构：

[1] Univ Complutense Madrid, Sch Psychol, Madrid, Spain

[2] Univ Med Ctr Hamburg Eppendorf, Dept Med Psychol, Hamburg, Germany

[3] Heidelberg Univ, Dept Psychosocial Prevent, Heidelberg, Germany

[4] Univ Med Ctr Hamburg Eppendorf, Inst Med Biometry & Epidemiol, Hamburg, Germany

[5] East Vaud Psychiat Inst, Nant Fdn, Geneva, Switzerland

[6] Royal Coll Psychiatrist, London, England

[7] Univ Ferrara, Inst Psychiat, Dept Biomed & Specialty Surg Sci, Ferrara, Italy

[8] Hadassah Univ, Dept Psychiat, Med Ctr, Jerusalem, Israel

[9] NY Langone Med Ctr, Dept Psychiat, New York, NY USA

[10] Tech Univ Dresden, Inst Clin Psychol & Psychotherapy, Dresden, Germany

[11] Univ Hosp Geneva, Curabilis, Med Direct, Geneva, Switzerland

[12] Alpen Adria Univ Klagenfurt, Inst Psychol, Klagenfurt, Austria

来源：

PLOS ONE | 2018年 / 13卷 / 04期

关键词：

COMORBIDITY-SURVEY-REPLICATION; NATIONAL EPIDEMIOLOGIC SURVEY; MENTAL-HEALTH; USE DISORDERS; ANXIETY DISORDERS; UNITED-STATES; ADULTS; PREVALENCE; DRINKING; PEOPLE;

D O I：

10.1371/journal.pone.0196574

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Background Alcohol use disorders (AUD) in older people have been the subject of increasing interest in Europe and worldwide. However, thus far, no reliable data exist regarding the prevalence of AUD in people over the age of 65 years in Europe. Objective To assess the current (past month), 12-month and lifetime prevalence of alcohol use, abuse and dependence in people aged 65-84 years. Study design The MentDis_ICF65+ study was a representative stepwise cross-sectional survey that was conducted in six European and associated cities (Hamburg, Germany; Ferrara, Italy; London/Canterbury, England; Madrid, Spain; Geneva, Switzerland and Jerusalem, Israel). Method In total, 3,142 community-dwelling people aged between 65 and 84 years who lived in participating cities were assessed with an age-sensitive diagnostic interview (CIDI65+). Results The prevalence of lifetime alcohol use was 81% for the overall sample. The observed AUD (DSM-IV-TR) prevalence was as follows: current, 1.1%; 12-month, 5.3% and lifetime, 8.8%. Alcohol consumption and AUD were more prevalent in males, and a significant interaction between gender and city was observed; greater gender differences in the prevalence of these disorders were observed in Hamburg, London/Canterbury and Geneva in comparison to the other cities. The prevalence of lifetime alcohol consumption and 12-month AUD tended to be lower in older persons. Conclusion The results highlight the appropriateness of using age-adjusted diagnostic tools (CIDI65+) to identify alcohol use and AUD in older people. Different alcohol use patterns were observed in males and females. The results seem to indicate the presence of different alcohol use patterns between northern and southern European countries. Specialized services are proposed, including brief and/or more intensive interventions framed intensive and more simple interventions framed in stepped care strategies, to improve the social and health resources available for older people across Europe.

引用

页数：14

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