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Age-related differences in the associations among at-risk drinking, alcohol use disorder, and psychological distress across the adult lifespan: a nationwide representative study in South Korea

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Abstract

Purpose

To investigate age-related differences in the relationships among at-risk alcohol consumption, alcohol use disorder (AUD), and psychological distress with a special focus on older adults.

Methods

We used a nationwide cross-sectional study of a representative sample of community-dwelling adults from the Korean Epidemiologic Catchment Area study for psychiatric disorders conducted by door-to-door interviews. The Korean version of the Composite International Diagnostic Interview was applied. Subjects were categorized into four age groups: young-to-middle-aged (20–54 years), near-old (55–64 years), early-old (65–74 years), and late-old (≥ 75 years). The associations among at-risk drinking, alcohol use disorder, and psychological distress were examined according to age groups.

Results

Among a total of 5102 individuals, half of them drank alcohol in the previous year, of whom 20.5% were at-risk drinkers (≥ 100 g/week). Older people were less often diagnosed with AUD than young-to-middle-aged adults with a similar degree of at-risk drinking. They were less likely to meet the DSM-5 AUD criteria in terms of social and vocational role disruption or creation of a physically hazardous situation. However, at-risk drinking showed a stronger association with subjective psychological distress in older adults, particularly in the near-old group (adjusted odds ratio 1.82, 95% confidence interval 1.09–3.03; p = 0.023).

Conclusions

These findings indicate the importance of screening for mental health problems in older adults, especially near-old adults, who drink more than 100 g of alcohol per week even when they do not satisfy the criteria for a diagnosis of AUD.

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Acknowledgements

This study was funded by the Korean Ministry of Health and Welfare, which played no role in study design; data collection, analysis, or interpretation; the writing of the report; or the decision to publish. No author has any commercial or financial interest that might create a conflict of interest in terms of manuscript submission.

Author information

Correspondence to Bong-Jin Hahm.

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The authors declare that they have no conflict of interest.

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Park, J.E., Hong, J.P., Jeon, H.J. et al. Age-related differences in the associations among at-risk drinking, alcohol use disorder, and psychological distress across the adult lifespan: a nationwide representative study in South Korea. Soc Psychiatry Psychiatr Epidemiol (2020). https://doi.org/10.1007/s00127-020-01845-5

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Keywords

  • At-risk drinking
  • Alcohol use disorder
  • Psychological distress
  • DSM-IV
  • DSM-5