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Drinking, Aging, and Global Public Policy

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Alcohol and Aging

Abstract

With the largest living generation transitioning into old age, and life spans increasing around the world, the global population is growing older. However, public policy measures to address harmful drinking, including in developed countries, rarely include attention to the specific needs of the elderly. For the elderly, drinking can be associated with an increased risk for harm but may also confer some benefits. These need to be weighed against each other in the crafting of policy measures. Any comprehensive policy approach must also take into account drinking patterns among the aging population, which appear to be diverging from those of past generations. There is an urgent need for the implementation of comprehensive, integrative public policies to address harmful drinking among the elderly in both national and international contexts. While public policy and regulation provide the framework to address harmful drinking, they are inadequate to address the specific demands of older people and other potentially “at-risk” groups. Therefore, regulation around alcohol should be supplemented with targeted interventions, including age-specific drinking guidelines, and screening and brief interventions, which are better able to address the particular needs of older drinkers.

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Notes

  1. 1.

    It should be noted that at the time of the writing of this chapter, the UK Department of Health had just issued revised guidelines for alcohol consumption, but these were not yet reflected in guidelines issued by the Royal College of Psychiatrists.

References

  1. Adams WL, Garry PJ, Rhyne R, Hunt WC, Goodwin JS. Alcohol intake in the healthy elderly. Changes with age in a cross-sectional and longitudinal study. J Am Geriatr Soc. 1990;38(3):211–6.

    Article  CAS  PubMed  Google Scholar 

  2. Moore AA, Gould R, Reuben DB, Greendale GA, Carter MK, Zhou K, et al. Longitudinal patterns and predictors of alcohol consumption in the United States. Am J Public Health. 2005;95(3):458–65.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Scott RB. Alcohol effects in the elderly. Compr Ther. 1989;15(6):8–12. Review.

    CAS  PubMed  Google Scholar 

  4. Blazer DG, Wu LT. The epidemiology of substance use and disorders among middle aged and elderly community adults: national survey on drug use and health. Am J Geriatr Psychiatry. 2009;17(3):237–45.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Deutsche Hauptstelle fűr Suchtfragen (DHS). Informationen zum thema: Alkohol im alter. Hamm: DHS; 2008.

    Google Scholar 

  6. Johnson I. Alcohol problems in old age: a review of recent epidemiological research. Int J Geriatr Psychiatry. 2000;15(7):575–81.

    Article  CAS  PubMed  Google Scholar 

  7. Royal College of Psychiatrists. Our invisible addicts. First report of the older persons’ substance misuse working group of the Royal College of Psychiatrists. Report No.:CR165. London: Royal College of Psychiatrists; 2011.

    Google Scholar 

  8. National Institute for Health and Clinical Excellence. Alcohol-use disorders: preventing the development of hazardous and harmful drinking. NICE Public Health Guidance 24. London: NICE; 2010.

    Google Scholar 

  9. Ganguli M, Vander Bilt J, Saxton JA, Shen C. Alcohol consumption and cognitive function in late life: a longitudinal community study. Neurology. 2005;65(8):1210–7.

    Article  CAS  PubMed  Google Scholar 

  10. Mukamal KL, Chung H, Jenny NS, Kuller LH, Longstreth Jr WT, Mittleman MA, et al. Alcohol use and the risk of ischemic stroke among older adults: the cardiovascular health study. Stroke. 2005;36(9):1830–4.

    Article  PubMed  Google Scholar 

  11. Weyerer S, Schäufele M, Wiese B, Maier W, Tebarth F, van den Bussche H, Pentzek M, Bickel H, Luppa M. Riedel-Heller SG; German AgeCoDe Study group (German Study on Ageing, Cognition and Dementia in Primary Care Patients). Current alcohol consumption and its relationship to incident dementia: results from a 3-year follow-up study among primary care attenders aged 75 years and older. Age Ageing. 2011;40(4):456–63.

    Article  PubMed  Google Scholar 

  12. Aartsen M. Ageing and the development of alcohol use and misuse. In: Crome I, Wu L-T, Rao R, Crome P, editors. Substance use and older people. Chichester, UK: Wiley; 2015.

    Google Scholar 

  13. Hallgren M, Hogberg P, Andreasson S. Alcohol consumption and harm among elderly Europeans: falling between the cracks. Eur J Public Health. 2010;20(6):616–7.

    Article  PubMed  Google Scholar 

  14. O’Connell H, Chin AV, Cunningham C, Lawlor B. Alcohol use disorders in elderly people-redefining an age old problem in old age. BMJ. 2003;327(7416):664–7.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Minimum legal age limits [internet]. Washington, DC: IARD; 2015. http://www.iard.org/Policy/Policy-Resources/Policy-Tables-by-Country/Minimum-Legal-Age-Limits. Accessed 3 Sept 2015.

  16. Blood Alcohol Concentration (BAC) Limits. [internet]. Washington, DC: IARD; 2015. http://www.iard.org/Policy/Policy-Resources/Policy-Tables-by-Country/Blood-Alcohol-Concentration-BAC-Limits. Accessed 3 Sept 2015.

  17. Anderson P, Scafato E, Galluzza L. VINTAGE project Working Group. Alcohol and older people from a public health perspective. Ann Ist Super Sanita. 2012;48(3):232–47.

    Article  PubMed  Google Scholar 

  18. Wadd S, Lapworth K, Sullivan M, Forrester D, Galvani S. Working with older drinkers. Report No.:85. Bedfordshire, UK: University of Bedfordshire; 2011.

    Google Scholar 

  19. Breslow RA, Faden VB, Smothers B. Alcohol consumption by elderly Americans. J Stud Alcohol. 2003;64(6):884–92.

    Article  PubMed  Google Scholar 

  20. Cnesps—Istituto Superiore di Sanità. VINTAGE: Good Health into Older Age [internet]. Cnesps—Istituto Superiore di Sanità; 2009. http://www.epicentro.iss.it/vintage/. Accessed 3 Sept 2015.

  21. Galluzzo L, Scafato E, Martire S, Anderson P, Colom J, Segura L, et al. Alcohol and older people. The European project VINTAGE: Good Health into Older Age. Design, methods and major results. Ann Ist Super Sanita. 2012;48(3):221–31.

    Article  PubMed  Google Scholar 

  22. Palacio-Vieira J, Segura L, Gual A, Colom J, Ahlstrom S, Rados Krnel S, et al. Good practices for the prevention of alcohol harmful use amongst the elderly in Europe, the VINTAGE project. Ann Ist Super Sanita. 2012;48(3):248–55.

    Article  PubMed  Google Scholar 

  23. Stimson G, Grant M, Choquet M, Garrison P, editors. Drinking in context. Patterns, interventions, and partnerships. New York: Brunner Routledge; 2007.

    Google Scholar 

  24. Barbosa C, Cowell A, Bray J, Aldridge A. The cost-effectiveness of alcohol screening, brief intervention, and referral to treatment (SBIRT) in emergency and outpatient settings. J Subst Abuse Treat. 2015;53:1–8. doi:10.1016/j.jsat.2015.01.003.

    Article  PubMed  Google Scholar 

  25. Sassi F, editor. Tackling harmful alcohol use: economics and public health policy. Paris: OECD; 2015.

    Google Scholar 

  26. Drinking Guidelines for General Population [internet]. Washington, DC: IARD; 2015. http://www.iard.org/Policy/Policy-Resources/Policy-Tables-by-Country/Drinking-Guidelines-for-General-Population. Accessed 3 Sept 2015.

  27. Australia. National Health and Medical Research Council. Australian guidelines to reduce health risks from drinking alcohol. Canberra: Commonwealth of Australia; 2009.

    Google Scholar 

  28. Germany. Bundesministerium fűr Gesundheit. “Normal” alcohol consumption and its health outcomes. Germany: Bundesministerium fűr Gesundheit; 2015.

    Google Scholar 

  29. Alcohol [internet]. Denmark: Danish Health and Medicines Authority; 2015. https://sundhedsstyrelsen.dk/da/sundhed/alkohol.Accessed 3 Sept 2015.

  30. Finland. National Nutrition Council of Finland. Beverages in Nutrition. Finland: National Nutrition Council of Finland; 2008.

    Google Scholar 

  31. Hong Kong. Department of Health. Effects of alcohol on a person. Hong Kong: Department of Health; 2012.

    Google Scholar 

  32. Italy. National Research Institute on Food and Nutrition. Guidelines for healthy Italian food habits. Italy: National Research Institute on Food and Nutrition; 2003.

    Google Scholar 

  33. New Zealand. Ministry of Health. Food and nutrition guidelines for healthy adults: a background paper. New Zealand: Ministry of Health; 2003.

    Google Scholar 

  34. New Zealand. Health Promotion Agency. Alcohol and older people: what you need to know. New Zealand: Health Promotion Agency; 2015.

    Google Scholar 

  35. Switzerland. Federal Office for Public Health, Addiction Suisse. Messages pour des repères relatifs à la consommation d’alcool. Switzerland: Federal Office for Public Health; 2015.

    Google Scholar 

  36. United Kingdom Department of Health. UK Chief Medical Officers’ Alcohol Guidelines Review. Summary of the proposed guidelines. Department of Health; 2015.

    Google Scholar 

  37. United States. Department of Agriculture. Dietary guidelines for Americans. Washington, DC: U.S. Government Printing Office; 2010.

    Google Scholar 

  38. United States. Substance Abuse and Mental Health Services Administration (SAMHSA), Administration on Aging (AoA). Older Americans behavioral health. Issue brief 2: alcohol misuse and abuse prevention. Rockville, MD: USDHSS; 2012.

    Google Scholar 

  39. Alcohol and Your Health: Older Adults. United States Department of Health and Human Services. http://www.niaaa.nih.gov/alcohol-health/special-populations-co-occurring-disorders/older-adults. Accessed 3 Sept 2015.

  40. Arbeitsgemeinschaft Wissenschaftlich Medizinischen Fachgesellschaften (AWMF). S3-Leitlinie “Screening, Diagnose und Behandlung alkoholbezogener Stőrungen.” Heidelberg: AWMF; 2015.

    Google Scholar 

  41. Wolter DK. Alkohol im Alter. Trinkgewohnheiten, risikoarmer Konsum und alkoholbeaogene Stőrungen. Z Gerontol Geriatr. 2015;6:557–70. doi:10.1007/s00391-015-0925-9.

    Article  Google Scholar 

  42. Bien TH, Miller WR, Tonigan JS. Brief interventions for alcohol problems: a review. Addiction. 1993;88(3):315–35.

    Article  CAS  PubMed  Google Scholar 

  43. Kaner EF, Beyer F, Dickinson HO, Pienaar E, Campbell F, Schlesinger C, et al. Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database Syst Rev. 2007;2:CD004148.

    Google Scholar 

  44. McQueen J, Howe TE, Allan L, Mains D, Hardy V. Brief interventions for heavy alcohol users admitted to general hospital wards. Cochrane Database Syst Rev. 2011;8:CD005191.

    Google Scholar 

  45. Gordon AJ, Conigliaro J, Maisto SA, McNeil M, Kraemer KL, Kelley ME. Comparison of consumption effects of brief interventions for hazardous drinking elderly. Subst Use Misuse. 2003;38(8):1017–35.

    Article  PubMed  Google Scholar 

  46. Schonfeld L, King-Kallimanis BL, Duchene DM, Etheridge RL, Herrera JR, Barry KL, et al. Screening and brief intervention for substance misuse among older adults: the Florida BRITE project. Am J Public Health. 2010;100(1):108–14.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Angus C, Scafato, E Ghirini, S Torbica, A Ferre, F Struzzo P, et al. Cost-effectiveness of a programme of screening and brief interventions for alcohol in primary care in Italy. BMC Fam Pract. 2014;15:26. doi:10.1186/1471-2296-15-26

  48. Purshouse RC, Brennan A, Rafia R, Latimer NR, Archer RJ, Angus CR, Preston LR, Meier PS. Modelling the cost-effectiveness of alcohol screening and brief interventions in primary care in England. Alcohol Alcohol. 2013;48(2):180–8.

    Article  PubMed  Google Scholar 

  49. Lee HS, Mericle AA, Ayalon L, Areán PA. Harm reduction among at-risk elderly drinkers: a site-specific analysis from the multi-site Primary Care Research in Substance Abuse and Mental Health for Elderly (PRISM-E) study. Int J Geriatr Psychiatry. 2009;24(1):54–60.

    Google Scholar 

  50. Lin JC, Karno MP, Tang L, Barry KL, Blow FC, Davis JW, Ramirez KD, Welgreen S, Hoffing M, Moore AA. Do health educator telephone calls reduce at-risk drinking among older adults in primary care? J Gen Intern Med. 2010;25(4):334–9.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Walton MA, Goldstein AL, Chermack ST, McCammon RJ, Cunningham RM, Barry KL, Blow FC. Brief alcohol intervention in the emergency department: moderators of effectiveness. J Stud Alcohol Drugs. 2008;69(4):550–60.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Blow FC, Brower KJ, Schulenberg JE, Demo-Dananberg LM, Young JP, Beresford TP. The Michigan Alcoholism Screening Test—Geriatric Version (MAST-G): a new elderly-specific screening instrument. Alcohol Clin Exp Res. 1992;16(2):372.

    Google Scholar 

  53. Reid MC, Tinetti ME, Brown CJ, Concato J. Physician awareness of alcohol use disorders among older patients. J Gen Intern Med. 1998;13(11):729–34.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Culberson JW. Alcohol use in the elderly: beyond the CAGE. Part 2 of 2: screening instruments and treatment strategies. Geriatrics. 2006;61(11):20–6.

    PubMed  Google Scholar 

  55. United States. Substance Abuse and Mental Health Services Administration (SAMHSA). TIP 26: substance abuse among older adults: DHHS Publication No. (SMA) 01-3585. Rockville, MD: USDHHS; 2001.

    Google Scholar 

  56. McCabe KE, Ling J, Wilson GB, Crosland A, Kaner EF, Haighton CA. Alcohol service provision for older people in an area experiencing high alcohol use and health inequalities. Perspect Public Health. 2016;136(2):83–5. pii: 1757913915597259.

    Article  PubMed  Google Scholar 

  57. Ekeh AP, Parikh PP, Walusimbi M, Woods RJ, Hawk A, McCarthy MC. The prevalence of positive drug and alcohol screens in elderly trauma patients. Subst Abus. 2014;35(1):51–5.

    Article  PubMed  Google Scholar 

  58. Wang YP, Andrade LH. Epidemiology of alcohol and drug use in the elderly. Curr Opin Psychiatry. 2013;26(4):343–8.

    Article  CAS  PubMed  Google Scholar 

  59. O’Donnell A, Anderson P, Newbury-Birch D, Schulte B, Schmidt C, Reimer J, Kaner E. The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews. Alcohol Alcohol. 2014;49(1):66–78.

    Article  PubMed  Google Scholar 

  60. Herring R, Thom B. Alcohol misuse in older people: the role of home carers. Health Soc Care Community. 1997;5(4):237–45.

    Article  Google Scholar 

  61. McInnes E, Powell J. Drug and alcohol referrals: are elderly substance abuse diagnoses and referrals being missed? BMJ. 1994;308(6926):444–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Naik PC, Jones RG. Alcohol histories taken from elderly people on admission. BMJ. 1994;308(6923):248.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  63. Letizia M, Reinbolz M. Identifying and managing acute alcohol withdrawal in the elderly. Geriatr Nurs. 2005;26(3):176–83.

    Article  PubMed  Google Scholar 

  64. Carlson KA. The prevention of substance abuse and misuse among the elderly. Olympia, WA: Division of Alcohol and Substance Abuse; 1994.

    Google Scholar 

  65. Sklar AL, Boissoneault J, Fillmore MT, Nixon SJ. Interactions between age and moderate alcohol effects on simulated driving performance. Psychopharmacology (Berl). 2014;231(3):557–66.

    Article  CAS  Google Scholar 

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Correspondence to Marjana Martinic Ph.D. .

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Martinic, M., Sheveland, A. (2016). Drinking, Aging, and Global Public Policy. In: Kuerbis, A., Moore, A., Sacco, P., Zanjani, F. (eds) Alcohol and Aging. Springer, Cham. https://doi.org/10.1007/978-3-319-47233-1_16

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  • DOI: https://doi.org/10.1007/978-3-319-47233-1_16

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