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BMC Geriatrics

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Open Access 01-12-2017 | Research Article

Factors associated with consumption of alcohol in older adults - a comparison between two cultures, China and Norway: the CLHLS and the HUNT-study

Authors: Juan Li, Bei Wu, Geir Selbæk, Steinar Krokstad, Anne-S. Helvik

Published in: BMC Geriatrics | Issue 1/2017

Abstract

Background

There is little knowledge about the consumption of alcohol among Chinese and Norwegian older adults aged 65 years and over. The aim of this study was to investigate the prevalence and factors related to alcohol consumption among older adults in China and Norway.

Methods

The Chinese Longitudinal Healthy Longevity Survey (CLHLS) data in 2008–2009 conducted in China and The Nord-Trøndelag Health Study data in 2006–2008 (HUNT3) conducted in Norway were used. Mulitvariable logistic regression was used to test the factors related to alcohol consumption.

Results

The prevalence of participants who drink alcohol in the Chinese and Norwegian sample were 19.88% and 46.2%, respectively. The weighted prevalence of participants with consumption of alcohol in the Chinese sample of women and men were 7.20% and 34.14%, respectively. In the Norwegian sample, the prevalence of consumption of alcohol were 43.31% and 65.35% for women and men, respectively. Factors such as younger age, higher level of education, living in urban areas, living with spouse or partner, and better health status were related to higher likelihood of alcohol consumption among Norwegian older women and men; while reported better health status and poorer life satisfaction were related to higher likelihood of alcohol consumption among Chinese. In addition, rural males and older females with higher level of education were more likely to consume alcohol.

Conclusion

The alcohol consumption patterns were quite different between China and Norway. Besides economic development levels and cultures in the two different countries, demographic characteristics, socioeconomic status, overall health status, and life satisfaction were associated with alcohol consumption as well.

Galvan FH, Caetano R. Alcohol use and related problems among ethnic minorities in the United States. Alcohol Res Heal. 2003;27:87–94.

Dawson DA, Grant BF, Chou SP, Pickering RP. Subgroup Variation in U.S. Drinking Patterns: Results of the 1992 National Longitudinal Alcohol Epidemiologic Study. J. Subst. Abuse. 1995;7:331–44.CrossRefPubMed

World Health Organisation. WHO Regions Country Profiles. 2014;1–202.

Skogen JC, Knudsen AK, Myrtveit SM, Sivertsen B. Abstention, alcohol consumption, and common somatic symptoms: the Hordaland health study (HUSK). Int J Behav Med. 2014;22:24–31.CrossRef

KnutHeim T. Older and use of drugs - elderly “preventable”? [Internet]. forebygging.no. 2015 [cited 2016 Jan 8] Available from: http://www.forebygging.no/Artikler/2015/Eldre-og-bruk-av-rusmidler%2D-kan-eldre-forebygges/.

World Health Organization. Global status report on alcohol and health 2014. Glob. status Rep. alcohol [Internet]. 2014;1–392. Available from: http://www.who.int/substance_abuse/publications/global_alcohol_report/msbgsruprofiles.pdf.

Moos RH, Brennan PL, Schutte KK, Moos BS. High-risk alcohol consumption and late-life alcohol use problems. Am J Public Health. 2004;94:1985–91.CrossRefPubMedPubMedCentral

Moore A a, Gould R, Reuben DB, Greendale GA, Carter MK, Zhou K, et al. Longitudinal patterns and predictors of alcohol consumption in the United States. Am. J. Public Health. 2005;95:458–65.CrossRefPubMedPubMedCentral

Bjørk C, Thygesen LC, Vinther-Larsen M, Grønbæk MN. Time trends in heavy drinking among middle-aged and older adults in Denmark. Alcohol Clin Exp Res. 2008;32:120–7.CrossRefPubMed

10.

Strandberg TE, Strandberg AY, Salomaa VV, Pitkälä K, Tilvis RS, Miettinen TA. Alcoholic beverage preference, 29-year mortality, and quality of life in men in old age. J. Gerontol. A. Biol. Sci. Med Sci. 2007;62:213–8.CrossRefPubMed

11.

Aira M, Hartikainen S, Sulkava R. Community prevalence of alcohol use and concomitant use of medication--a source of possible risk in the elderly aged 75 and older. Int. J. Geriatr. Psychiatry. 2005;20:680–5.CrossRefPubMed

12.

Støver M, Bratberg G, Nordfjørn T, Krokstad S. Use of alcohol and prescription drugs among elderly (60+) in Norway. The HUNT study, Norway. Use alcohol Prescr. drugs among Elder. Norway. HUNT study, Norw. HUNT forskningssenter, NTNU; 2012. p. 34.

13.

Alcohol GM, Markets E. October. Internatinal Center for Alcohol Policies Series on Alcohol in Society: Wastong, DC, USA; 1998.

14.

Hao W, Su Z, Liu B, Zhang K, Yang H, Chen S, et al. Drinking and Drinking Patterns and Health Status in the General Population of Five Areas of China. 2004;39:43–52.

15.

Zhang J, Wang J, Lu Y, Qiu X, Fang Y. Alcohol abuse in a metropolitan city in China: a study of the prevalence and risk factors. Addiction. 2004;99:1103–10.CrossRef

16.

Hao W. Alcohol policy and the public good: a Chinese view. Addiction. 1995;90:1448–50.

17.

Lin TY, Lin DT. Alcoholism among the Chinese: further observations of a low-risk population. Cult Med Psychiatry. 1982;6:109–16.CrossRefPubMed

18.

Millwood IY, Li L, Smith M, Guo Y, Yang L, Bian Z, et al. Alcohol consumption in 0.5 million people from 10 diverse regions of china: Prevalence, patterns and socio-demographic and health-related correlates. Int. J. Epidemiol. 2013;42:816–27.CrossRefPubMedPubMedCentral

19.

Sun W, Schooling CM, Chan WM, Ho KS, Lam TH, Leung GM. Moderate alcohol use, health status, and mortality in a prospective Chinese elderly cohort. Ann Epidemiol. 2009;19:396–403.CrossRefPubMed

20.

Nordlund S. pular norms, alcohol policy and drinking behavior. In: Anderson P, Braddick F, Reynolds J, Gual A, editors. Alcohol Policy Eur. Evid. from Amphor. 2012. p. 24–31.

21.

Kumar BN. Grøtvedt L. Meyer HE. The Oslo Immigrant Health Profile. NIPH, rapport: Meyer HE; 2008.

22.

Tang Y, Xiang X, Wang X, Cubells JF, Babor TF, Hao W. WHO | Alcohol and alcohol-related harm in China: policy changes needed. Bull. World Health Organ. [Internet]. World Health Organization; 2013 [cited 2016 Jan 11];91:270–276 Available from: http://www.who.int/bulletin/volumes/91/4/12-107318/en/.

23.

Karlsson T, Österberg E. Alcohol Policies in EU Member States and Norway [Internet]. [cited 2016 Mar 8] Available from: http://ec.europa.eu/health/ph_projects/1998/promotion/fp_promotion_1998_a01_27_en.pdf.

24.

Skogen JC, Knudsen AK, Mykletun A, Nesvåg S, Overland S. Alcohol consumption, problem drinking, abstention and disability pension award. The Nord-Trøndelag health study (HUNT). Addiction. 2012:98–108.

25.

Nordlund S. The use of alcohol and other drugs in Norway. Nor J Epidemiol. 1996;6:3–12.

26.

Wu B, Mao Z-F, Rockett IRH, Yue Y. Socioeconomic status and alcohol use among urban and rural residents in China. Subst Use Misuse. 2008;43:952–66.CrossRefPubMed

27.

Slagvold B, Løset KA. Alcohol consumption in old age. Trends and causes. What does the NorLAG.study tell? Forebygging.no. 2014.

28.

Hajat S, Haines A, Bulpitt C, Fletcher A. Patterns and determinants of alcohol consumption in people aged 75 years and older: results from the MRC trial of assessment and management of older people in the community. Age Ageing. 2004;33:170–7.CrossRefPubMed

29.

NIH_National_Institute_on_Aging. Alcohol Use In Older People [Internet]. 2015 [cited 2016 Jan 1]. Available from: https://www.nia.nih.gov/health/publication/alcohol-use-older-people.

30.

Frydenlund R. Older persons, alcohol and use of psychofarmaca. Review of existing literature. In Norwegian. Kompetansesentret-rus Oslo, Velferdsetaten Oslo kommune; 2012.

31.

Woo J, Ho SC, Yu ALM. Lifestyle factors and health outcomes in elderly Hong Kong Chinese aged 70 years and over. Gerontology. 2002;48:234–40.CrossRefPubMed

32.

Barry LC, Murphy TE, Gill TM. Depression and functional recovery after a disabling hospitalization in older persons. J Am Geriatr Soc. 2011;59:1320–5.CrossRefPubMedPubMedCentral

33.

Zeng Y, Liu Y, Zhang C, Xiao Z. Data quality assessment of the Chinese Longitudinal Healthy Longevity Survey 1998, 2000, and 2002 waves. Anal. Determ. Heal. Longev. Beijing: Peking University Press; 2004. p. 3–22.

34.

Gu D, Dupre ME, Liu G. Characteristics of the institutionalized and community-residing oldest-old in China. Soc Sci Med. 2007;64:871–83.CrossRefPubMed

35.

Zeng Y, Dudley L. Poston J. Gu D. Healthy Longevity in China. Springer: Vlosky DA; 2008.

36.

Krokstad S, Westin S. Health inequalities by socioeconomic status among men in the Nord-Trøndelag health study. Norway Scand J Public Health. 2002;30:113–24.CrossRefPubMed

37.

Krokstad S, Langhammer A, Hveem K, Holmen TL, Midthjell K, Stene TR, et al. Cohort profile: the HUNT study. Norway Int J Epidemiol. 2013;42:968–77.CrossRefPubMed

38.

Holmen J, Midthjell K, Krüger Ø, Langhammer A, Holmen TL, Bratberg GH, et al. The Nord-Trøndelag health study 1995-97 (HUNT 2): objectives, contents, methods and participation. Nor Epidemiol. 2003;13:19–32.

39.

Langhammer A, Krokstad S, Romundstad P, Heggland J, Holmen J. The HUNT Study: participation is associated with survival and depends on socioeconomic status, diseases and symptoms. BMC med. Res. Methodol. [internet]. BMC medical research methodology; 2012;12:143. Available from: BMC Medical Research Methodology.

40.

Holmen J et al. The Nord-Trøndelag Health Survey 1984–86. Purpose, background and methods. Participation, non-participation and frequency distributions. Health service research. Center for samfunnsmedisinsk research; 1990.

41.

Kamal-chaoui L, Leman E, Rufei Z. Urban Trends and Policy in China. OECD Reg. Dev. Work. Pap. 2009;2009/1:OECD Publishing.

42.

HUNT. The health Study in Nord-Trøndelag (HUNT) [Internet]. 2009 [cited 2009 Jan 20] Available from: https://www.ntnu.edu/hunt.

43.

Peng R, Wu B. Changes of health status and institutionalization among older adults in China. J Aging Health. 2015;27:1223–46.CrossRefPubMed

44.

Zhang W, Liu G. Childlessness, psychological well-being, and life satisfaction among the elderly in China. J Cross Cult Gerontol. 2007;22:185–203.CrossRefPubMed

45.

Zhu H. Unmet Needs in Long-term Care and their Associated Factors Among the Oldest Old in China. BMC Geriatr. ???; 2015;15:1–11.

46.

Helvik A-S, Jacobsen GW, Hallberg LR-M. Effects of Impaired Hearing on Perceived Health and Life Situation. Scand. J. Disabil. Res Taylor & Francis Group; 2006;8:263–277.

47.

Hao W, Young D, Xiao S, Li L, Zhang Y. Alcohol consumption and alcohol-related problems: Chinese experience from six area samples, 1994. Addiction. 1999;94:1467–76.CrossRef

48.

Zhou X, Su Z, Deng H, Xiang X, Chen H, Hao W. A comparative survey on alcohol and tobacco use in urban and rural populations in the Huaihua District of Hunan Province. China Alcohol. 2006;39:87–96.CrossRefPubMed

49.

Bratberg GH, C Wilsnack S, Wilsnack R, Håvås Haugland S, Krokstad S, Sund ER, et al. Gender differences and gender convergence in alcohol use over the past three decades (1984–2008), The HUNT Study, Norway. BMC Public Health [Internet]. BMC Public Health; 2016;16:723. Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3384-3.

50.

Merrick EL, Horgan CM, Hodgkin D, Garnick DW, Houghton SF, Panas L, et al. Unhealthy drinking patterns in older adults: prevalence and associated characteristics. J Am Geriatr Soc. 2008;56:214–23.CrossRefPubMed

51.

NIHSeniorHealth. Alcohol Use and Older Adults - Alcohol and Aging [Internet]. 2015 [cited 2016 Jan 1] Available from: http://nihseniorhealth.gov/alcoholuse/alcoholandaging/01.html.

52.

Nordfjærn T, Brunborg GS. Associations Between Human Values and Alcohol Consumption Among Norwegians in the Second Half of Life. Subst. Use Misuse [Internet]. 2015;50:1284–93. Available from: 998237.

53.

Brunborg GS. Positive and negative affectivity as risk factors for heavy drinking in the second half of life: a prospective cohort study. Addiction. 2016;142

54.

Rao R, Schofield P, Ashworth M. Alcohol use, socioeconomic deprivation and ethnicity in older people. BMJ Open. 2015;5:e007525.CrossRefPubMedPubMedCentral

55.

Weyerer S, Schäufele M, Eifflaender-Gorfer S, Köhler L, Maier W, Haller F, et al. At-risk alcohol drinking in primary care patients aged 75 years and older. Int J Geriatr Psychiatry. 2009;24:1376–85.CrossRefPubMed

56.

Booth BM, Curran GM. Variations in drinking patterns in the rural south: joint effects of race, gender, and rural residence. Am J Drug Alcohol Abuse. 2006;32:561–8.CrossRefPubMed

57.

Borders TF, Booth BM. Rural, suburban, and urban variations in alcohol consumption in the United States: findings from the National Epidemiologic Survey on alcohol and related conditions. J Rural Health. 2007;23:314–21.CrossRefPubMed

58.

Cochrane J, Chen H, Conigrave MK, Hao W. Alcohol use in China. Alcohol Alcohol. 2003;38:537–42.CrossRefPubMed

59.

Borok J, Galier P, Dinolfo M, Welgreen S, Hoffing M, Davis JW, et al. Why do older unhealthy drinkers decide to make changes or not in their alcohol consumption? Data from the healthy living as you age study. J Am Geriatr Soc. 2013;61:1296–302.CrossRefPubMedPubMedCentral

60.

Fergusson DM, McLeod GFH, Horwood LJ, Swain NR, Chapple S, Poulton R. Life satisfaction and mental health problems (18 to 35 years). Psychol Med. 2015;45:2427–36.CrossRefPubMed

61.

Liu J. Research on the Elderly’s life satisfaction and the influence factors-analysis based on National Baseline Data of China health and retirement longitudinal study (CHARLS). Sci Res Aging. 2015;3:69–78.

Title: Factors associated with consumption of alcohol in older adults - a comparison between two cultures, China and Norway: the CLHLS and the HUNT-study
Authors: Juan Li
Bei Wu
Geir Selbæk
Steinar Krokstad
Anne-S. Helvik
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: BMC Geriatrics / Issue 1/2017
Electronic ISSN: 1471-2318
DOI: https://doi.org/10.1186/s12877-017-0562-9

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