and health in later life 20132014 Clare Holdsworth PI Nicola Shelton Marina Mendonça Hynek Pikhart Martin Frisher Cesar Oliveira Background Levels of alcohol consumption increased for middle and older age groups in the last 30 years for both men and women Smi ID: 777803
Download The PPT/PDF document "Drinking profiles , social capital" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Drinking profiles, social capital and health in later life (2013-2014)
Clare Holdsworth (PI)Nicola SheltonMarina MendonçaHynek PikhartMartin FrisherCesar Oliveira
Slide2BackgroundLevels of alcohol consumption increased for middle and older age groups in the last 30 years for both men and women (Smith and Foxcroft, 2009).Cohort effect (i.e. Generation)Period effect (e.g. more financial resources)Age (e.g. active ageing and greater life expectancy)
Number of elderly population expected to increase 38% in the UK by 2031 (IAS, 2010): Alcohol consumption among the elderly - cause of public concern
Slide3BackgroundU-shape relationship between alcohol consumption and health: Poorer health associated with abstainers (e.g. ‘sick-quitter’ hypothesis ) or excessive drinkers (e.g. Polen et al, 2010).
Relation between drinking and health contradictory in older ages: Alcohol consumption associated with more physical and mental health problems and higher mortality rates (e.g. Crome, et al. 2011; Dar, 2006; NHS Information Centre, 2008) But, some studies found no association between levels of alcohol consumption and health (e.g. Lang, et al., 2007).
Slide4BackgroundAlcohol consumption and health moderated by social capital (Bloomfield et al., 2006; Marmot 2005) Alcohol Harm Paradox: Higher social position associated with higher alcohol consumption and better health, whereas alcohol-related illness and mortality linked with deprivation. Research on drinking behaviours focused both on quantity
and frequency of drinking. But findings suggest that they are not equally associated with health and social capitalUnpacking complexity : Explore relationship between different drinking behaviours/profiles and its association with health and social capital
Slide5AimsTo identify and characterize drinking profiles in older ageTo analyse how these
drinking profiles are associated with social capital, health and socio-demographic characteristics
Slide6Data
ELSA W0 (HSE): Baseline for alcohol variables Present study: W0: Drinking and health variables
W1: Social capital variables
1998
1999
2001
W6
2012/13
W4
2008/9
W5
2010/11
W3
2006/7
W2
2004/5
W1
2002/3
N = 11205
English Longitudinal Study of Ageing (ELSA):
Panel study of people living in England aged 50 and older
Slide7Drinking Variables
Drinking ProfilesDrinking StatusAmount of Alcohol
Frequency of drinking
Non-drinker
Non-Drinker
Drinker
Below Limits
(Men ≤21 units;
Women≤ 14 units)
Occasional
(≤ 4 days)
Low Drinker
Daily
(≥ 5days)
Steady Drinker
Above Limits
(Men > 21 units
Women > 14 unit)
Occasional
(≤ 4 days)
Focal Drinker
Daily
(≥ 5days)
Heavy Drinker
Social Capital & Health Variables
Level of Education
Wealth Quintiles
SES
Self-Rated
Health
Socio-demographic
Age
Marital Status
Variables
Slide8Variables
Men (%)(n = 5057)
Women (%)
(n = 6148)
All (%)
(N = 11205)
Mean age at baseline
62.09 (9.97)
62.63 (10.49)
62.39 (10.26)
45-64
60.90
59.22
59.98
65-74
25.71
24.69
25.15
75 +
13.39
16.09
14.87
Marital Status
Single
6.39
4.98
5.62
Married/remarried
76.03
61.04
67.81
Separated/divorced
9.20
12.32
10.91
Widowed
8.39
21.66
15.67
Educational Qualification
No
qualification
37.00
48.01
43.04
Intermediate35.5834.7335.11 High27.4217.2521.84Wealth Bottom quintile17.7721.0719.57 2nd quintile19.8820.1120.00 3rd quintile19.7420.1719.97 4th quintile21.0219.2120.03 Top quintile21.6019.4420.42SES Manual50.3636.4042.69 Non Manual48.2759.7954.60Self-Rated Health Poor Health9.818.399.03 Fair Health23.7525.0724.48 Good Health66.4466.5466.49
Descriptives
:
Socio-demographic, social capital and health variables by gender
Slide9Descriptives: Percentage distribution of drinking patterns
by gender
Slide10Multinomial Logistic Regression: Odds of being Steady and Heavy/Binge Drinker versus Low Drinker
Note: *** p<.001, **p<.01, *p<.05
Steady
Heavy/Focal
Men
Women
Men
Women
Age groups (Ref: 45-64)
65-74
1.54***
1.94***
.75**
.92
75+
2.21***
3.05***
.53***
.78
Mar. Stat. (Ref: Married)
Single
1.38
.67
1.60**
.79
Separated/divorced
.76
.80
1.46**
1.06
Widowed
.96
.81
1.57**
.93
Self-Rat. Heal. (Ref: Poor)
Fair
.90
.92
1.24
.82
Good
.71
1.03
1.46**
1.03
Educ. Qual. (
Ref.:No
qual.) Intermediate1.141.251.19*1.27* High1.45**1.77***1.45***1.57***Wealth (Ref.:Bottom) 2nd1.081.121.041.08 3rd1.281.08.861.02 4th1.77**1.55*1.011.33 Top2.36***2.47***1.34*2.00***SES (Ref.: Manual) Non Manual1.171.41**.971.63***
Slide11SummaryGender: Important moderator of drinking behaviours. Men are more likely to be drinkers and to be heavy/focal drinkers than women. Age: Older participants are more likely to be steady drinkers, while those at ‘younger’ older ages are more likely to engage in heavy/focal drinking.
Health: Drinking profiles are generally not associated with self-rated health, but male heavy drinkers are more likely to report better health. Social Capital: People in higher social position are more likely to be steady and heavy drinkers. This association is stronger for women. Marital Status: Being married seems to be a protective factor for men against heavy drinking
Slide12Thank you for your attention!
For further information please contact mmendonca@keele.ac.uk
Slide13VariablesMen (%)
(n = 5057)Women (%)(n = 6148)All (%)(N = 11205)Mean age at baseline
62.09 (9.97)
62.63 (10.49)
62.39 (10.26)
45-64
60.90
59.22
59.98
65-74
25.71
24.69
25.15
≥75
13.39
16.09
14.87
Marital Status
Single
6.39
4.98
5.62
Married/remarried
76.03
61.04
67.81
Separated/divorced
9.20
12.32
10.91
Widowed
8.39
21.66
15.67
Educational Qualification
No qualification
37.00
48.01
43.04
Intermediate
35.58
34.73
35.11
High
27.42
17.25
21.84Wealth
Bottom quintile
17.7721.0719.572nd quintile19.8820.1120.003rd quintile19.7420.1719.974th quintile21.0219.2120.03Top quintile21.6019.4420.42SESManual50.3636.4042.69Non Manual48.2759.7954.60Self-Rated HealthPoor Health9.818.399.03Fair Health23.7525.0724.48Good Health66.4466.5466.49Drinking ProfilesNon-drinkers7.3613.8610.93Low drinkers53.5563.9959.28Steady drinkers12.198.189.99Focal drinkers7.162.674.70Heavy drinkers19.7511.2915.10Descriptives: Sociodemographic, Health and Drinking Variables by Gender