Drinking Patterns of Older Adults with Chronic Medical Conditions
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Understanding alcohol consumption patterns of older adults with chronic illness is important given the aging baby boomer generation, the increase in prevalence of chronic conditions and associated medication use, and the potential consequences of excessive drinking in this population.
To estimate the prevalence of alcohol consumption patterns, including at-risk drinking, in older adults with at least one of seven common chronic conditions.
This descriptive study used the nationally representative 2005 Medicare Current Beneficiary Survey linked with Medicare claims. The sample included community-dwelling, fee-for-service beneficiaries 65 years and older with one or more of seven chronic conditions (Alzheimer’s disease and other senile dementia, chronic obstructive pulmonary disease, depression, diabetes, heart failure, hypertension, and stroke; n = 7,422). Based on self-reported alcohol consumption, individuals were categorized as nondrinkers, within-guidelines drinkers, or at-risk drinkers (exceeds guidelines).
Overall, 30.9 % (CI 28.0–34.1 %) of older adults with at least one of seven chronic conditions reported alcohol consumption in a typical month in the past year, and 6.9 % (CI 6.0–7.8 %) reported at-risk drinking. Older adults with higher chronic disease burdens were less likely to report alcohol consumption and at-risk drinking.
Nearly one-third of older adults with selected chronic illnesses report drinking alcohol and almost 7 % drink in excess of National Institute on Alcohol Abuse and Alcoholism (NIAAA) guidelines. It is important for physicians and patients to discuss alcohol consumption as a component of chronic illness management. In cases of at-risk drinking, providers have an opportunity to provide brief intervention or to offer referrals if needed.
KEY WORDSat-risk drinking alcohol consumption Medicare beneficiaries chronic conditions older adults
This study was funded by the National Institute on Alcohol Abuse and Alcoholism grant 5R21AA015746.
All listed authors made substantive contributions to the design, conduct, or reporting of this study.
There are no other individuals who made substantial contributions but do not meet criteria for authorship. The authors thank Michele Hutcheon for manuscript preparation.
Addiction Health Services Research Conference 10/18/12 NY.
Conflict of Interest
The authors declare that they do not have a conflict of interest.
- 1.Institute of Medicine. Retooling for an aging America: Building the healthcare workforce. In. Washington, DC: The National Academies Press; 2008.Google Scholar
- 2.Berenson RA, Horvath J. Confronting the barriers to chronic care management in Medicare. Health Aff (Millwood). 2003;Suppl Web Exclusives:W3-37–53.Google Scholar
- 7.Stuart BC. How disease burden influences medication patterns for Medicare beneficiaries: implications for policy. Issue Brief (Commonw Fund). 2008;30:1–12.Google Scholar
- 23.NIAAA. Harmful Interactions: Mixing Alcohol with Medications. In: NIH; 2007.Google Scholar
- 25.Medicare Current Beneficiary Survey (MCBS) (Accessed 2-17-2013 at http://www.cms.gov/Research-Statistics-Data-and-Systems/Research/MCBS/index.html.)
- 26.Medicare Current Beneficiary Survey (MCBS). 2005. (Accessed 2-17-2013 at http://www.cms.gov/Research-Statistics-Data-and-Systems/Research/MCBS/Questionnaires-Items/CMS1253244.html.)
- 27.Buccaneer. Chronic Condition Warehouse: User Manual In. Version 1.6 ed; 2010.Google Scholar
- 28.Hcup CCS. Healthcare Cost and Utilization Project (HCUP). In. Rockville, MD: Agency for Healthcare Research and Quality; 2011.Google Scholar
- 32.StataCorp. Stata Statistical Software: Release 10. In. College Station, TX: StataCorp LP; 2007.Google Scholar
- 44.Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global Strategy for the Diagnosis, Management and Prevention of COPD. 2011.Google Scholar
- 51.Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse 2004. (Accessed 2-17-2013 at http://www.uspreventiveservicestaskforce.org/uspstf/uspsdrin.htm.)
- 52.CMS. Decision Memo for Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse (CAG-00427 N) In: CMS; 2011.Google Scholar