Is regular drinking in later life an indicator of good health? Evidence from the English longitudinal study of ageing
Open accessAbstract
BACKGROUND: Older people who drink have been shown to have better health than those who do not. This might suggest that moderate drinking is beneficial for health, or, as considered here, that older people modify their drinking as their health deteriorates. The relationship between how often older adults drink and their health is considered for two heath states: self-rated health (SRH) and depressive symptoms. METHODS: Data were analysed from the English Longitudinal Study of Ageing (ELSA), a prospective cohort study of older adults, using multilevel ordered logit analysis. The analysis involved 4741 participants present at wave 0, (1998/1999 and 2001), wave 4 (2008/2009) and wave 5 (2010/2011). The outcome measure was frequency of drinking in last year recorded at all three time points. RESULTS: Older adults with fair/poor SRH at the onset of the study drank less frequently compared with adults with good SRH (p<0.05). Drinking frequency declined over time for all health statuses, though respondents with both continual fair/poor SRH and declining SRH experienced a sharper reduction in the frequency of their drinking over time compared with older adults who remained in good SRH or whose health improved. The findings were similar for depression, though the association between depressive symptoms and drinking frequency at the baseline was not significant after adjusting for confounding variables. CONCLUSIONS: The frequency of older adults' drinking responds to changes in health status and drinking frequency in later life may be an indicator, rather than a cause, of health status.
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Using ELSA, Holdsworth et al. (2016) find that alcohol consumption is more an indicator of good mental and physical health than an input factor into health.
“Using ELSA, Holdsworth et al. (2016) find that alcohol consumption is more an indicator of good mental and physical health than an input factor into health.”
From The relationship between physical and mental health: A mediation analysis (2017) · cites this paper as Holdsworth et al., 2016
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- Authors
- Holdsworth, C., Mendonça, M., Pikhart, H., Frisher, M., de Oliveira, C., & Shelton, N.
- Affiliations
- Keele University (GB)
- University College London (GB)
- Department of Epidemiology & Public Health, University College London, London, UK
- Corresponding author
- Holdsworth, Clare
- Venue
- Journal of Epidemiology and Community Health
- Publisher
- BMJ
- Published
- 2016-01-21
- Volume
- 70
- Issue
- 8
- Pages
- 764-770
- ISSN
- 0141-7681 (ISSN-L)
- 0143-005X
- 1470-2738
- PMC
- PMC4975801
- OpenAlex
- W2260702373
- Cited by
- 56
- References
- 36
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 4 · 2023: 5 · 2022: 8 · 2021: 1 · 2020: 6 · 2019: 9 · 2018: 7 · 2017: 6 · 2016: 2
- FWCI
- 7.26
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Journal of Epidemiology & Community Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Keele Research Repository (Keele University) (submittedVersion, cc-by)
- UCL Discovery (University College London) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Warwick Research Archive Portal (University of Warwick) (submittedVersion)
- Funders
- Economic and Social Research Council (ES/K004131/1)
- National Institute on Aging (R01AG017644)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- alcohol consumption, older adults, drinking frequency, self-rated health, depressive symptoms, health status change, English Longitudinal Study of Ageing
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aging, Alcohol Drinking, Female, Health Status, Humans, Longitudinal Studies, Male, Middle Aged, Prospective Studies
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