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Is alcohol consumption in older adults associated with poor self-rated health? Cross-sectional and longitudinal analyses from the English Longitudinal Study of Ageing

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Frisher, Martin, Mendonça, Marina, Shelton, Nicola, Pikhart, Hynek, de Oliveira, Cesar and Holdsworth, Clare (2015) Is alcohol consumption in older adults associated with poor self-rated health? Cross-sectional and longitudinal analyses from the English Longitudinal Study of Ageing. BMC Public Health, 15 (1). 703 . doi:10.1186/s12889-015-1993-x

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Official URL: http://dx.doi.org/10.1186/s12889-015-1993-x

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Abstract

Background
Increases in alcohol related mortality and morbidity have been reported among older people in England over the last decade. There is, however, evidence that drinking is protective for some health conditions. The validity of this evidence has been questioned due to residual confounding and selection bias. The aim of this study is to clarify which drinking profiles and other demographic characteristics are associated with poor self-rated health among a community-based sample of older adults in England. The study also examines whether drinking designated as being “increasing-risk” or “higher-risk” is associated with poorer self-rated health.

Method
This study used data from Wave 0, Wave 1 and Wave 5 of the English Longitudinal Study of Ageing [ELSA]. Logistic regression analysis, was used to examine the association between drinking profiles (based on quantity and frequency of drinking) and self-rated health, adjusting for gender, age, wealth, social class, education, household composition, smoking and body mass index [BMI].

Results
Twenty percent of the sample reported drinking above the recommended level at wave 0. Rates of poor self-rated health were highest among those who had stopped drinking, followed by those who never drank. The rates of poor self-rated health among non-drinkers were significantly higher than the rates of poor self-rated health for any of the groups who reported alcohol consumption. In the adjusted logistic regression models there were no drinking profiles associated with significantly higher rates of poor self-rated health relative to occasional drinkers.

Conclusions
Among those who drank alcohol, there was no evidence that any pattern of current alcohol consumption was associated with poor self-rated health, even after adjustment for a wide range of variables. The results associated with the stopped drinking profile indicate improvement in self-rated health can be associated with changes in drinking behaviour. Although several limitations of the study are noted, policy makers may wish to consider how these findings should be translated into drinking guidelines for older adults.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Science > Psychology
Journal or Publication Title: BMC Public Health
Publisher: BioMed Central Ltd.
ISSN: 1471-2458
Official Date: 24 July 2015
Dates:
DateEvent
24 July 2015Published
30 June 2015Accepted
Volume: 15
Number: 1
Article Number: 703
DOI: 10.1186/s12889-015-1993-x
Access rights to Published version: Open Access

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