Patterns and predictors of late-life drinking trajectories: A 10-year longitudinal study
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This study examines the extent of group-level and intra-individual decline in alcohol consumption among adults as they traverse a 10-year interval spanning late-middle to early-old age. Further, it identifies key baseline predictors of these adults' 10-year drinking trajectories. Community residents (n = 1,291; age 55 to 65 years at baseline) were assessed at 4 points over a 10-year interval on demographic and health characteristics, coping responses, social context, and alcohol consumption. Descriptive cross-wave statistics, and multilevel regression analyses, indicated that in the sample overall, participants' 10-year patterns of alcohol consumption were relatively stable. However, men's patterns, and those of individuals drinking beyond recommended alcohol consumption guidelines at baseline, were more variable and showed steeper rates of decline, than did those of women and individuals drinking within recommended levels. Contrary to expectation baseline use of substances to reduce tension and heavier reliance on avoidance coping predicted faster rate of decline in alcohol consumption. Post hoc prospective mediation analyses suggested that this may have occurred because these and other baseline predictors heighten risk of developing new health problems which, in turn, motivate reduced alcohol consumption.
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Most survey items came from the Health and Daily Living Form, an instrument with strong psychometric properties in family studies of alcohol use and other mental health disorders.
“Survey items were drawn mainly from the Health and Daily Living Form (HDL),16 which has demonstrated strong psychometric characteristics in family studies of alcohol use or other mental health disorders.17,18”
From Al-Anon family groups' newcomers and members: Concerns about the drinkers in their lives: Concerns About Drinkers in Al-Anon (2014) · cites this paper as [17]
The Method > Measures section (page unavailable) says the study used Health and Daily Living Form items, including alcohol-consumption items. It does not say that most survey items came from the form or establish its psychometric properties in family studies; the psychometric findings reported there concern a different instrument, the Drinking Problem Index. (LLM, conf=0.85)
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“Survey Survey items were drawn mainly from the Health and Daily Living Form (HDL),(16) which has demonstrated strong psychometric characteristics in family studies of alcohol use or other mental health disorders.(17,18) The survey was pretested with four individuals (Al‐Anon group secretary, long‐term member, newcomer…”
Self-citation
- Authors
- Brennan, P. L., Schutte, K. K., & Moos, R. H.
- Affiliations
- VA Palo Alto Health Care System (US)
- ORCID
- Brennan, Penny L.
- Venue
- Psychology of Addictive Behaviors
- Published
- 2010-06
- Volume
- 24
- Issue
- 2
- Pages
- 254-264
- ISSN
- 0893-164X (ISSN-L)
- 1939-1501
- PMC
- PMC2891546
- OpenAlex
- W2058430951
- Cited by
- 61
- References
- 56
- Citations by year
- 2026: 1 · 2025: 5 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 7 · 2015: 7 · 2014: 5 · 2013: 7 · 2012: 4
- FWCI
- 4.20
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychology of Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (AA06699; AA15685)
- US Department of Veterans Affairs
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- alcohol consumption, alcohol use trajectories, older adults, gender differences, alcohol guidelines, coping strategies, avoidance coping, health problems
- MeSH terms
- Adaptation, Psychological, Age Factors, Aged, Alcohol Drinking, Female, Health Status, Health Surveys, Humans, Life Change Events, Longitudinal Studies, Male, Middle Aged, Regression Analysis, Sex Factors, Social Behavior, Social Environment, Chi-Square Distribution
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