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Alcohol consumption and all-cause mortality among elderly in Finland

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Alcohol consumption and
all-cause mortality among
elderly in Finland
Jukka T. Halme1, Kaija Seppä2, Hannu
Alho1, Mauri Aalto1
1National
Institute for Health and Welfare (THL), Finland
2 University of Tampere, Finland
A prevalence/mortality study ...
How does it relate to BI?
• Not much is really known about prevalence of
heavy drinking among the elderly ...is there a
target group for BI or not?
• The proportion and absolute number of older
persons in communities in the western world is
increasing ...that means an increasing demand
to develop counselling services and also BIs for
the elderly.
Halme JT, Inebria, Newcastle
8.10.2009
2
Introduction
• Limits for heavy drinking: NIAAA and American Geriatrics
Society: among healthy persons aged 65+ years: no more
than 7 drinks per week or 3 drinks on a single day (NIAAA,
2005). Empirical evidence supporting these limits is
sparse.
• Estimated prevalences of heavy drinking among eldely
– In the U.S. (Breslow et al. 2003): 9-10 % for males, 2-3 % for
females
– In the UK. (Lang et al. 2007): 29 % for males, 10 % for females
• Mortality: Some studies support J- or U-shaped
association between alcohol consumption and all-cause
mortality also among populations of older persons
(Groenbaek et al. 1998, Thun et al. 1997, Goldberg et al
1994). But there are contradictory results, too (Reid et al.
2002).
Halme JT, Inebria, Newcastle
8.10.2009
3
Subjects and methods
• Health 2000 Study: Population survey in Finland ( interviews, health
examinations and questionnaires).
• Subjects: n=1569, 73% of the original sample, 65% female, weighted
n=1357.
• QF –measures of alcohol use.
• Deaths: Follow-up from 2000 to 2007, data from the official Cause-of-Death
register maintained by Statistics Finland.
• Demographic and potentially confounding variables in mortality analyses:
age in years, education, the number of persons sharing household,
presence of a chronic medical condition, presence of angina pectoris, BMI,
regular smoking, use of prescription drugs and self-rated health.
• Data was analysed with STATA 8.2 using weights designed by Statistics of
Finland.
Halme JT, Inebria, Newcastle
8.10.2009
4
Results: Alcohol consumption
AGE GROUP
MEN
MEN
65-74 years
75+ years
Total %
Abstinence
22.8
48.4
31.1
<1 dr /w
19.4
18.4
19.1
1-7 dr/w
32.7
23.0
29.6
8-14 dr/w
11.0
4.6
8.9
15+ dr/w
14.1
5.7
11.4
weighted N
350
169
100
WOMEN
WOMEN
Abstinence
47.1
74.6
59.4
<1 dr /w
32.7
18.7
26.5
1-7 dr/w
18.1
6.5
12.9
8-14 dr/w
1.8
0.2
1.1
15+ dr/w
0.2
0.1
0.2
weighted N
463
375
100
Halme JT, Inebria, Newcastle
8.10.2009
Heavy
Drinking
in men
20.3 %
Heavy
Drinking
in women
1.2 %
5
Results: Odds for all-cause
mortality among elderly MEN
4
Covariate-adjusted
RRs of deathRRs of
death
3,5
RR
lower 95% CI
upper 95 % CI
3
2,5
OR=2.11
2
1,5
1
0,5
0
0
<1
1 to 7
8 to 14
HalmeDrinks
JT, Inebria,
Newcastle
per
week
Drinks
per
8.10.2009week
15+
6
Conclusions
• Is there a target group for BIs among elderly?
• Heavy drinking is rather common and severe health risk
among Finnish elderly men. The present study showed
an increased all-cause mortality risk for older men
drinking more than two drinks per day on average.
• More studies are required for developing clinical
guidelines for alcohol use among the elderly.
Halme JT, Inebria, Newcastle
8.10.2009
7
Thank You!
• e-mail: jukka.halme@thl.fi
Halme JT, Inebria, Newcastle
8.10.2009
8
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