Painful Medical Conditions and Alcohol Use: A Prospective Study among Older Adults
Open Access
- 1 July 2011
- journal article
- Published by Oxford University Press (OUP) in Pain Medicine
- Vol. 12 (7), 1049-1059
- https://doi.org/10.1111/j.1526-4637.2011.01156.x
Abstract
Objective. To determine associations between older adults' baseline painful medical conditions and their 10-year drinking behavior, and whether personal and life context characteristics moderate these associations. Methods. At baseline, then, 1, 4, and 10 years later, late-middle-aged community residents (M = 61 years; N = 1,291) were surveyed regarding their painful medical conditions, use of alcohol, and personal and life context characteristics. Latent growth modeling was used to determine concurrent and prospective relationships between painful medical conditions and 10-year drinking behavior, and moderating effects of personal and life context characteristics on these relationships. Results. At baseline, individuals reporting more numerous painful medical conditions consumed alcohol less frequently, but had more frequent drinking problems, than did individuals with fewer such conditions. Being female and having more interpersonal social resources strengthened the association between painful medical conditions and less ethanol consumed. For men more so than women, more numerous painful medical conditions were associated with more frequent drinking problems. Baseline painful medical conditions alone had no prospective effect on 10-year change in drinking behavior, but being older and having more interpersonal social resources made it more likely that baseline painful medical conditions would predict decline over time in frequency of alcohol consumption and drinking problems. Conclusions. Late-middle-aged individuals who have more numerous painful medical conditions reduce alcohol consumption but nonetheless remain at risk for more frequent drinking problems. Gender, age, and interpersonal social resources moderate the influence of painful medical conditions on late-life alcohol use. These results imply that older individuals with pain are at little immediate or long-term risk for increased alcohol consumption, but clinicians should remain alert to drinking problems among their older pain patients, especially men.Keywords
This publication has 65 references indexed in Scilit:
- The Timing of Onset of Pain and Substance Use DisordersThe American Journal on Addictions, 2010
- Patterns and predictors of late-life drinking trajectories: A 10-year longitudinal study.Psychology of Addictive Behaviors, 2010
- Self-Report of Alcohol Use for Pain in a Multi-Ethnic Community SampleThe Journal of Pain, 2009
- Predictors of alcohol use among people experiencing chronic painPsychology, Health & Medicine, 2009
- Alcohol Consumption Among Older Adults in Primary CareJournal of General Internal Medicine, 2007
- Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey ReplicationArchives of General Psychiatry, 2005
- Alcohol use self report in chronic back pain—relationships to psychosocial factors, function performance, and medication useDisability and Rehabilitation, 2003
- Gender variations in clinical pain experiencePain, 1996
- Assessment of Older Women with Chronic PainJournal of Women & Aging, 1994
- Epidemiology of primary health problems in Beirut.Journal of Epidemiology and Community Health, 1989