At-risk alcohol use and binge drinking was more likely among 50 to 64 year olds compared to those over 64 years of age and among men, according to a new nationwide study.
The study which examined alcohol use among the middle aged and elderly Americans was published in the August 17 online issue of American Journal of Psychiatry.
Twenty three percent of men and 9 percent of women aged 50 – 64 years were binge drinkers. Among adults age 65 and older, binge drinking was reported by15 percent of men and 3 percent of women. Binge drinking was defined as five or more drinks on same occasion within the past 30 days.
Data from the 2005 and 2006 National Survey on Drug Use and Health was used for the study†. Of the almost 11,000 respondents, about two-thirds were 50 to 64 years of age and one-third were age 65 or older.
Definitions for drinking occasion were classified into four categories: 1) no use of alcohol in the past year; 2) low-risk use (no more than one drink per day); 3) at-risk use (two more drinks per day); and 4) binge drinking (five or more drinks on same occasion). For those who drank alcohol, the activity was based on drinking behavior for the past 30 days.
Overall, 66 percent of men and 55 percent of women reported using alcohol during the past year. Men showed a higher prevalence of at-risk drinking relative to women (17% versus 11%) as well as a higher binge drinking prevalence (20% versus 6%). At-risk and binge drinking was not associated with a report of serious psychological distress.
In men, attended college, separated/divorced/widowed, high levels of family income (>$75,000), tobacco smoking and use of illicit drugs was associated with reported alcohol use. A higher prevalence of nonmedical prescription drug use was noted among male binge drinkers.
In women, middle-age, tobacco smoking, and nonmedical use of prescription drugs was associated with binge drinking. High levels of family income were associated with low and at-risk drinking but not binge drinking. Women who attended college were associated with at-risk drinking. Both Caucasian and Hispanic women were more likely than African American women to report low-risk drinking.
“We feel that our findings are important to the public health of middle-aged and elderly persons as they point to a potentially unrecognized problem that often ‘flies beneath’ the typical screen for alcohol problems in psychiatry practices,” said lead researcher Dan G. Blazer, M.D. of Duke University Medical Center in Durham, NC.
†The National Survey on Drug Use & Health is the primary source of information on the prevalence, patterns, and consequences of alcohol, tobacco, and illegal drug use and abuse in the general U.S. civilian non institutionalized population, age 12 and older. It is currently conducted by the Substance Abuse & Mental Health Services Administration’s (SAMHSA) Office of Applied Studies (OAS).
The Bottom Line
At-risk and binge-drinking is associated with youth. For this reason, doctors often do not see signs that a middle-aged or elderly patient has a drinking problem. By paying closer attention to concomitant behaviors like illicit drug and non-prescription drug use, health care professionals and loved ones can intervene before the alcohol problem escalates.
The detrimental effects of alcohol are well-known but less acknowledged in our senior citizens. Paying attention to signs of misuse is instrumental in the prevention of injury, accidents, drug interactions and other health issues.
If you’re not sure if you or a loved one has a problem with alcohol, then take a look at the government sponsored website Rethinking Drinking. The online test helps you to determine if your drinking level is beneficial or harmful, based on your age, health status and how much you drink.
David H. Rahm, M.D. is the founder and medical director of The Wellness Center, a medical clinic located in Long Beach, CA. Dr. Rahm is also president and medical director of VitaMedica. Dr. Rahm is one of a select group of conventional medical doctors who have education and expertise in functional medicine and nutritional science. Over the past 20 years, Dr. Rahm has published articles in the plastic surgery literature and educated physicians about the importance of good peri-operative nutrition.