The psychological impact of heavy drinking among the elderly on their co-residents: the 10/66 group population based survey in the Dominican Republic.


Nadkarni, A; Acosta, D; Rodriguez, G; Prince, M; Ferri, CP; (2011) The psychological impact of heavy drinking among the elderly on their co-residents: the 10/66 group population based survey in the Dominican Republic. Drug and alcohol dependence, 114 (1). pp. 82-6. ISSN 0376-8716 DOI: https://doi.org/10.1016/j.drugalcdep.2010.09.005

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Abstract

BACKGROUNDThere is very limited literature on alcohol use among the elderly and little is known about the impact it has on family and caregivers, especially in low and middle income countries. AIMTo estimate the independent effect of heavy alcohol use among the elderly on the psychological health of their co-residents. METHODSThis is a secondary analysis using data from the comprehensive cross-sectional survey of the 10/66 dementia research group population-based research programme in the Dominican Republic. The characteristics of the elderly participants as well as the co-residents were described. The independent association of heavy drinking among the participants with psychological morbidity in their co-residents was estimated. Different models were generated to rule out potential mediating effects of disability and behavioural symptoms. RESULTSPrevalence of heavy alcohol use in the elderly in Dominican Republic was 10.6%. There was a statistically significant independent effect of heavy alcohol use by the elderly on their co-residents mental health (PR=1.47; 95% CI 1.07-2.01) which was not accounted by disability (Sobel-Goodman test, p=0.15). Severity of psychological and behavioural symptoms partially (29.1% of the total effect) explained this association (Sobel-Goodman mediation test, p=0.006). CONCLUSIONSHealth services for the elderly in low and middle income countries will have to be configured around detection of alcohol problems among the elderly as well as offering appropriate support to their co-residents.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: Centre for Global Mental Health
PubMed ID: 20970926
Web of Science ID: 288312100012
URI: http://researchonline.lshtm.ac.uk/id/eprint/27851

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