A Study of Factors Associated with High-Risk Drinking among the Older Adults in the Community
0
Citation
0
Reference
10
Related Paper
Abstract:
This study aimed to identify high-risk drinking behaviors among community-dwelling older adults aged 65 and over and to explore the demographic and health-related factors influencing these behaviors. The analysis utilized data from the Korean Longitudinal Study of Ageing (KLoSA), specifically the 8th wave (2020), focusing on 4,405 community-dwelling older adults aged 65 and above. To determine factors influencing high-risk drinking, a binomial logistic regression analysis was conducted. The results showed that men were significantly more likely than women to engage in high-risk drinking, and that those aged 65-75 were more likely to drink at high-risk levels than those over 75. Additionally, the absence of a spouse and lower frequency of social contact were significantly associated with high-risk drinking. Among health-related factors, smoking was associated with a notably higher rate of high-risk drinking. Based on these findings, practical intervention strategies for preventing and mitigating high-risk drinking among older adults are suggested.Keywords:
Spouse
Longitudinal Study
A nine year study of half a million elderly US couples shows that hospitalisation of one person increased the risk of death for the partner.
The study shows that the risk of death after a spouse was hospitalised was highest in the first month and remained high for up to two years after the spouse's hospitalisation. Mental impairment in the hospitalised spouse caused higher mortality in the partner than physical impairment of the hospitalised spouse ( New England Journal of Medicine 2006;354:719-30).
“We've known for 150 years that the death of a spouse increases the risk of death in the partner. What we have not known is that illness in a spouse increases …
Spouse
Functional impairment
Cite
Citations (0)
This study examines the degree to which older, noninstitutionalized husbands and wives are involved in providing various types of assistance, the likelihood of providing assistance to one's spouse and to others, and the characteristics associated with giving more forms of help. The findings suggest that older wives are more likely than older husbands to provide most of these forms of assistance. Furthermore, husbands are more likely to help their spouses, while wives are more likely to report helping people outside the conjugal pair. Multiple regression analysis suggests that the ability of the potential recipient spouse to perform daily living tasks is a key factor in determining number of forms of help provided by the potential helping spouse.
Spouse
Cite
Citations (8)
The illness of a spouse can affect the health of a caregiving partner. We examined the association between the hospitalization of a spouse and a partner's risk of death among elderly people.We studied 518,240 couples who were enrolled in Medicare in 1993. We used Cox regression analysis and fixed-effects (case-time-control) methods to assess hospitalizations and deaths during nine years of follow-up.Overall, 383,480 husbands (74 percent) and 347,269 wives (67 percent) were hospitalized at least once, and 252,557 husbands (49 percent) and 156,004 wives (30 percent) died. Mortality after the hospitalization of a spouse varied according to the spouse's diagnosis. Among men, 6.4 percent died within a year after a spouse's hospitalization for colon cancer, 6.9 percent after a spouse's hospitalization for stroke, 7.5 percent after a spouse's hospitalization for psychiatric disease, and 8.6 percent after a spouse's hospitalization for dementia. Among women, 3.0 percent died within a year after a spouse's hospitalization for colon cancer, 3.7 percent after a spouse's hospitalization for stroke, 5.7 percent after a spouse's hospitalization for psychiatric disease, and 5.0 percent after a spouse's hospitalization for dementia. After adjustment for measured covariates, the risk of death for men was not significantly higher after a spouse's hospitalization for colon cancer (hazard ratio, 1.02; 95 percent confidence interval, 0.95 to 1.09) but was higher after hospitalization for stroke (hazard ratio, 1.06; 95 percent confidence interval, 1.03 to 1.09), congestive heart failure (hazard ratio, 1.12; 95 percent confidence interval, 1.07 to 1.16), hip fracture (hazard ratio, 1.15; 95 percent confidence interval, 1.11 to 1.18), psychiatric disease (hazard ratio, 1.19; 95 percent confidence interval, 1.12 to 1.26), or dementia (hazard ratio, 1.22; 95 percent confidence interval, 1.12 to 1.32). For women, the various risks of death after a spouse's hospitalization were similar. Overall, for men, the risk of death associated with a spouse's hospitalization was 22 percent of that associated with a spouse's death (95 percent confidence interval, 17 to 27 percent); for women, the risk was 16 percent of that associated with death (95 percent confidence interval, 8 to 24 percent).Among elderly people hospitalization of a spouse is associated with an increased risk of death, and the effect of the illness of a spouse varies among diagnoses. Such interpersonal health effects have clinical and policy implications for the care of patients and their families.
Spouse
Stroke
Cite
Citations (496)
Spouse
Cite
Citations (0)
BACKGROUND: Studies have generally shown that kidney donation to a spouse has a positive impact on marriage. But what happens when kidney donation occurs outside of the marriage? This is the first ever study to evaluate the impact on marriage when donation occurs to someone other than the spouse. METHODS: Two groups of donors were studied: those that donated to their spouse and those that donated to someone other than their spouse. An online survey was sent using the Revised Dyadic Adjustment Scale (RDAS) to evaluate the effect of donation on the marriage. This tool consists of 14 questions which measure how satisfying and stable the relationship is. The response of the two groups of donors is the subject of this study. RESULTS: 31 donors who donated to someone outside the marriage and 11 that donated directly to their spouse completed the survey. 10 donor surveys were incorrectly completed and were therefore disregarded from analysis. The results showed equal or better scores when donation occurred to a non-spouse as compared to a spouse. The non-spouse donors actually scored higher on two questions, one regarding the agreement in the relationship when it comes to career choices (P=0.05) and the other regarding the frequency of having stimulating exchanges of ideas (P=0.02). With the highest possible total score of 69, those who donated to a spouse scored 47 and those donating to someone other than spouse scored 53 (P=0.16). The cut-off score for the RDAS is 48. Scores of 47 and below indicate marital distress. In one final additional question 91% of those that donated to a spouse reported “no change or good effect” on the marriage. 97 % of those who donated to someone other than their spouse reported similarly “no change or good effect” on the marriage (P=.46). CONCLUSION: This is the first ever study to evaluate the effect of kidney donation on marriage when the spouse is not the recipient. Marriage is not impacted negatively when kidney donation occurs to someone other than the spouse.
Spouse
Kidney donation
Cite
Citations (0)
This descriptive study explored the demands made by spouse caregivers of terminally ill, adult cancer patients. A one-time, semistructured, at-home interview with 65 spouses, was conducted by the investigator. Content analyses of spouse caregiver interviews revealed nine major categories of caregivi
Spouse
Terminally ill
Descriptive research
Cite
Citations (139)
Using the Actor-Partner Interdependence Model, this study examined how spouses’ characteristics influence their own and each other’s advance directive (AD) completion. Health and Retirement data on 2,243 heterosexual married couples 65+ were analyzed. Both one’s own age and spouse’s age were positively associated with a higher likelihood of completing an AD. The worse a spouse’s health, the less likely the other spouse would have an AD. Men’s education was positively associated with AD completion for both spouses, but women’s education only increased their own likelihood of having an AD. Men’s prior hospitalization or outpatient surgery also increased the likelihood of having an AD for both themselves and their wives, whereas women’s hospitalization/surgery had no significant effect on either spouse. These findings highlight the need to account for the characteristics and experiences of both husbands and wives in advance care planning research and point to important gender differences in spousal influences.
Spouse
Directive
Cite
Citations (0)
Exploring the Most Important Negative Life Events in Older Adults Bereaved of Child, Spouse, or Both
Losing a child or a spouse is described as the worst of experiences. However, it is not known whether older adults bereaved of a child, spouse, or both child and spouse experience these losses as among the most important negative events in their lifetime. The aim of this study was to investigate whether the 1,437 older adults bereaved of a child, spouse, or both included in the southern part of the Swedish National Study of Aging and Care mentioned these losses when asked about their three most important negative life events. Gender differences in their choices of important negative life events were also explored. About 70% of those bereaved of a child or a spouse mentioned these losses as among their three most important negative life experiences. In the child-and-spouse-bereaved group, 48% mentioned both the loss of their child and spouse, while 40% mentioned either the loss of a child or a spouse. Gender differences were only found in the child-and-spouse-bereaved group, with a few more women mentioning the loss of the child but not the spouse, and the men showing the opposite pattern.
Spouse
Cite
Citations (12)
For married patients, chronic illness management often includes involvement of their spouses. We examined expectations regarding spouse involvement in the health of a partner with type 2 diabetes ( N = 139 couples) from the perspectives of the patient and spouse. Partners' dyadic expectations and spouses' gender were posited to moderate spouses' diet‐related control and patients' diet adherence. Among male patients, when both partners shared an expectation for spouse involvement greater diet‐related spouse control was associated with better diet adherence of patients. In contrast, when expectations for spouse involvement were not shared, greater spouse control by wives was associated with poorer diet adherence. Dyadic expectations for spouse involvement did not moderate the association between spouse control and diet adherence among female patients. Findings suggest that shared expectations for spouse involvement can facilitate spouses' attempts to improve patients' dietary adherence, especially among male patients and their wives.
Spouse
Cite
Citations (40)