S4.6 Tackling the alcohol consumption from different perspectives
Chair: Nadia Minicuci
Introduction: The symposium will address the alcohol pattern from different perspectives across high, low- and middle-income countries. Objectives of the symposium: To address the alcohol consumption issue using different studies conducted in high income countries (Norway, United Kingdom, and Sweden) and low-middle income countries (China, Ghana, India, Mexico, Russia and South Africa) to investigate the effect of selected socio-demographic characteristics, such as gender, poor working condition, and retirement on the alcohol consumption.
S4.6.1 Changes in alcohol patterns: Towards gender equality in alcohol consumption
Gøril Kvamme Løset, Marja Aartsen, Britt Slagsvold
NOVA, OsloMet – Oslo Metropolitan University
Background: The average alcohol intake has doubled over the last five decades in Norway. We examine the effects of education and life events on change in alcohol consumption in older adults.
Methods: We apply panel data (2002/2007) from the Norwegian study on life course, ageing, and generation (NorLAG) (N=1,503; aged 55-80 years at T1). Results: Higher education is related to more alcohol consumption, and men drink more than women. Both genders increase their alcohol intake over the study period, but higher educated women more so than higher educated men. These effects are slightly moderated by having conflicts with your partner at T2, but no by retirement or widowhood. Conclusions: Given the strong increase in educational level for women, we expect alcohol consumption to be even more gender equal in the future.
S4.6.2 Does retiring from a stressful occupation lead to a reduction in the frequency of
Swansea University, UK
Background: In this study we look at whether leaving a stressful working environment through retirement results in a reduction in problem drinking. Methods: The data are from 7 waves of ELSA. The sample was restricted to those who had retired full time from work during the study period (N = 2,968). Working conditions were measured using the Demand-Control Model. Frequency of alcohol consumption was measured using a single-item. All analyses were controlled for socio-economics and health. Results: Those with a poor psychosocial working environment drank more frequently. However, compared to those with good working conditions, they were more likely to reduce their levels of alcohol consumption following retirement (OR 1.83: 95%CI 1.62-2.11). Conclusion: With the drive to extend working lives it is important not to lose sight of the potential health benefits of retirement for certain groups.
S4.6.3 Are reasons for retirement associated with risky drinking habits following
Aging Research Centre, Karolinska Institutet, Stockholm, Sweden
Background: This study investigates the associations between retirement reasons and risky drinking habits following retirement, and whether associations differ for men and women. Methods: Data from the Swedish Longitudinal Occupational Survey of Health (SLOSH) from 2010-2016 were used. Reasons for retirement were divided into push and pull factors. Potentially risky drinking habits were identified with the CAGE-index. Results: Preliminary findings suggested weak associations between reasons for retirement and risky drinking habits after retirement. Risky drinking prior to retirement was the strongest predictor of risky drinking after retirement. Results also indicated gender differences: While having more pull factors was associated with less risky drinking among women, the opposite was the case for men. Conclusions: Predictors of risky drinking after retirement may differ for men and women and should be investigated further.
S4.6.4 Alcohol pattern: perspectives from low and middle income countries
Nadia Minicuci1, Ilaria Rocco1, Nirmala Naidoo2, Paul Kowal2,3, Somnath Chatterji2
1 National Research Council, Neuroscience Institute, Padova, Italy, 2 World Health Organization, Geneva, Switzerland, 3 The University of Newcastle, Australia
Background: Gendered norms, education, work status, and social networks contribute to differences in alcohol consumption across low- and middle-income countries (LMICs). Methods: WHO’s SAGE data from six LMICs was used to examine ever and current alcohol use and volume consumed, and estimate prevalence of lifetime abstainers, non-heavy, infrequent heavy, and frequent heavy drinkers among 35,159 subjects aged 50+ years. Results: India shows the highest prevalence of abstainers (93%) whilst China had the highest prevalence of frequent heavy drinker (5.6%). Gendered patterns of consumption varied from a difference of 11% in India to 38% in Russia. In China, India, Mexico and South Africa, higher level of education was associated with lower prevalence of heavy drinkers. Retired people in Mexico and Russia showed the highest prevalence of heavy drinkers (about 3%). Conclusions: Differences observed across six LMICs provide useful information from cultural and public health perspectives.
S4.6.5 Functioning in ageing populations and consequences for alcohol consumption
Thomas Clausen1, Paul Kowal2, Priscilla Martinez3
1 University of Oslo, Norway, 2 The University of Newcastle, Australia, 3 University of California, Berkeley, USA
Background: We examined if functioning at baseline predicted alcohol drinking behavior after a 5-year period. Methods: Longitudinal data from WHO’s Study of global AGEing and adult health (SAGE) on 3973 individuals (50+ years) from Ghana, India, Mexico, and Russia were analyzed. Functioning was assessed via the WHO Disability Assessment Schedule 2.0. Alcohol consumption was assessed as past week consumption. Results: The median functioning score was 39.1 and 38.8 at baseline and follow-up, respectively. The prevalence of any past week alcohol consumption was 10.5% and 7.7% at baseline and follow-up, respectively. In multivariate analysis, functioning score at baseline was associated with current drinking at follow-up (OR=0.98, p=0.04). Conclusion: Lower functioning was associated with decreased odds of being a current drinker 5 years later. Physical and mental functioning seems to be a prerequisite for the social interaction typically required to engage in alcohol consumption.