Pain and use of alcohol in later life: prospective evidence from the health and retirement study

J Aging Health. 2013 Jun;25(4):656-77. doi: 10.1177/0898264313484058. Epub 2013 May 1.

Abstract

Objective: To determine whether (a) late-life pain predicts growth in older adults' use of alcohol, and elevated risk of drinking problems; and (b) sociodemographic characteristics moderate these relationships.

Method: Five times over an 8-year interval, N = 5,446 Health and Retirement Study (HRS) participants provided information about their pain and alcohol use. Two-part latent growth modeling and logistic regression were used to analyze these data.

Results: Participants with more pain at baseline had lower initial levels and a faster rate of decline over the next 8 years in alcohol consumption, but they also were at elevated risk of having drinking problems. Income and African American background interacted with pain to predict 8-year change in alcohol consumption and presence of drinking problems.

Discussion: Late-life pain does not predict growth in older adults' alcohol consumption, but is nonetheless linked to elevated risk of drinking problems, especially among African Americans.

Keywords: alcohol consumption; drinking problems; late-middle-age; older adults; pain.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Alcohol Drinking / epidemiology*
  • Alcohol-Related Disorders / epidemiology*
  • Black or African American / psychology
  • Black or African American / statistics & numerical data
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pain / epidemiology*
  • Prospective Studies
  • Risk Factors
  • Severity of Illness Index
  • Socioeconomic Factors