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Factors associated with elevated consumption of alcohol in older adults—comparison between China and Norway: The CLHLS and the HUNT Study

BMJ Open Aug 08, 2019

Li J, et al. – Researchers performed a secondary data analysis using two large cross-sectional studies to determine the prevalence and factors associated with elevated alcohol intake among adults aged ≥ 65 years in China and Norway. They also compared the prevalence and factors in both countries. The study sample consisted of 3,223 (weighted) Chinese older adults and 6,210 Norwegian older adults. In addition, elevated alcohol consumption was the dependent variable, which was calculated as a ratio of those with elevated drinking among current drinkers, and multivariable logistic regression was used to test the dependent variable. Among current drinkers from both patient population samples, the prevalence of elevated alcohol consumption was 78.3% (weighted) and 5.1%, respectively. In both Chinese and Norwegian samples, male sex was associated with a greater probability of increased alcohol consumption. In the Chinese sample, individuals who were older, with higher education and a living spouse or partner were less inclined to have elevated drinking. A greater level of education was correlated with a higher possibility of increased drinking among Norwegian elderly adults. In the Norwegian sample, living in rural areas and having greater life satisfaction were associated with a lower odds of increased drinking. Overall, relative to the prevalence and socioeconomic distribution, increased alcohol consumption patterns were markedly diverse between China and Norway. Furthermore, in order to develop and implement culturally relevant public health policies regarding alcohol in the future, public health policymakers and professionals should be aware of the cultural variations and consider the demographic, social, and economic features of their intended population, noted the authors.

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