Skip to main content
Log in

Alcohol use and potential risk for alcohol-related adverse drug reactions among community-based elderly

  • Articles
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

This paper documents the frequency of alcohol consumption and concurrent use of alcohol and medications in a random sample of elderly community dwellers. Further, a profile of older persons who are likely to be drinking alcohol is developed and the extent to which they are at potential clinical risk due to their concurrent use of alcohol with prescription and over-the-counter medications is explored. While approximately 43 percent are abstainers, the majority of older respondents reported using alcohol. Older drinkers who take one or more drugs which place them at potential risk for negative drug-alcohol interactions represent one-quarter of this sample but are often overlooked in estimating the extent of alcohol problems in the elderly. By far, the most common risk was from the use of OTC pain medications and alcohol (19 percent). The multivariate analyses revealed that sex, educational attainment, and religious affiliation are important factors to consider in developing a profile of older people who are at risk for alcohol-related ADRs. Implications for health care and social service professionals who work with elderly community-dwellers are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Gambert, S., Newton, M, & Duthie, E. (1984). Medical issues in alcoholism in the elderly. In J. Hartford & T. Samorajski (Eds.), Alcoholism in the elderly. New York: Raven Press. Pp. 175–191.

    Google Scholar 

  2. James, O. The medical consequences of alcoholism in the elderly. In N. Krager, J. Madden & R. Walker (Eds.), Alcohol related problems. New York: John Wiley & Sons, 1984. Pp. 147–157.

    Google Scholar 

  3. Atkinson, R.M. Substance use and abuse in late life. In R.M. Atkinson (Ed.), Alcohol and Drug Abuse in Old Age. Washington, D.C.: American Psychiatric Press. Pp. 2–21.

  4. Miller, N.S., Belkin, B. M., and Gold, M.S. Alcohol and Drug Dependence Among the Elderly: Epidemiology, Diagnosis, and Treatment. Comprehensive Psychiatry, 32:153–165, 1991.

    Google Scholar 

  5. Kofoed, L. OTC drug overuse in the elderly: What to watch for. Geriatrics, 40:55–59, 1985.

    Google Scholar 

  6. Johnson, L. How to diagnose and treat chemical dependency in the elderly. J Gerontological Nursing, 15:22–26, 1990.

    Google Scholar 

  7. Jinks, M.J. and Raschko, R. R. A Profile of Alcohol and Prescription Drug Use in a High Risk Community-Based Elderly Population. DICP, 24:971–975, 1990.

    Google Scholar 

  8. Adams, W.L., Garry, P.J., Rhyne, R., Hunt, W.C., and Goodwin, J.S. Alcohol Intake in the Healthy Elderly: Changes with Age in a Cross-Sectional and Longitudinal Study. J Am Geriatr Soc, 38:211–216, 1990.

    Google Scholar 

  9. Scott, R.B. and Mitchell, M.C. Aging, Alcohol, and the Liver. J Am Geriatr Soc, 36:255–265, 1988.

    Google Scholar 

  10. Shuckit, M. & Pastor, P. The elderly as a unique population: Alcoholism. Alcoholism: Clinical and Experimental Research, 2:31–38, 1978.

    Google Scholar 

  11. Morrissey, E.R. Methodological Issues in the Study of Special Populations. In M.A. Schuckit (Ed.) Alcohol Patterns and Problems. New Jersey: Rutgers University Press, 1985. Pp. 79–111.

    Google Scholar 

  12. Tropman, J.E. Conflict in Culture: Permissions Versus Controls and Alcohol Use in American Society. Lanham, MD: University Press of America, 1986.

    Google Scholar 

  13. Clark, W.B. and Midanik, L. Alcohol Use and Alcohol Problems Among U.S. Adults: Results of the 1979 National Survey. Alcohol and Health Monograph No. 1, Rockville, MD: National Institutes of Alcohol Abuse and Alcoholism, 1982.

    Google Scholar 

  14. United States Department of Health and Human Services Sixth Special Report to the U.S. Congress on Alcohol and Health. DHHS Publication # ADM-87-1519, Rockville, Maryland, 1987.

  15. Bock, E.W., Cochran, J.K., and Beeghley, L. Moral Messages: The Relative Influence of Denomination on the Religiosity-Alcohol Relationship. Sociological Quarterly, 28:89–103, 1987.

    Google Scholar 

  16. Cahalan, D., Cisin, I.H., and Crossley, H.M. American Drinking Practices: A National Study of Drinking Behavior and Attitudes. New Jersey: Journal of Studies on Alcohol, Inc., 1969.

    Google Scholar 

  17. Schoenborn, C.A. and Cohen, B.H. Trends in Smoking, Alcohol Consumption, and Other Health Practices Among U.S. Adults, 1977 and 1983. National Center for Health Statistics Advancedata, June 30, 1986.

  18. Mendelson, J.H. and Mello, N. Alcohol Use and Abuse in America. Boston: Little, Brown, and Company, 1985.

    Google Scholar 

  19. Stolley, J., Buckwalter, K., Fjordbak, B., and Bush, S. Iatrogenisis in the Elderly: Drug-Related Problems. J Gerontological Nursing, 17:12–16, 1991.

    Google Scholar 

  20. Simonson, W. Medications & the elderly. Rockville, Md: Aspen, 1984.

    Google Scholar 

  21. Moeller, J.F. and Mathiowetz, N. Prescribed Medicines: A Summary of Use and Expenditures by Medicare Beneficiaries. (DHHS Publication No. (PHS)89-3448). National Medical Expenditure Survey Research Findings 3, Research and Health Care Technology Assessment. Rockville, MD: Public Health Service, 1989.

    Google Scholar 

  22. Williams, E.P. Health Promotion and Aging: Alcohol. In F.G. Abdellah and S.R. Moore (Eds.) Surgeon General's Workshop on Health Promotion and Aging: Background Papers Rockville, MD: Office of the Surgeon General, 1988. Pp. A1-A20.

    Google Scholar 

  23. Pagliaro, L.A. and Pagliaro, A.M. Pharmacological Aspects of Aging. St. Louis: C.V. Mosby, 1983.

    Google Scholar 

  24. Malcom, M.T. Problem Drinking in the Elderly. In N. Krasner et al. (Eds.) Alcohol-Related Problems. New York: John Wiley and Sons, Ltd., 1984. Pp. 139–146.

    Google Scholar 

  25. Eng, K. and Emlet, C.A. Using Education to Prevent Geriatric Medication Misuse. J Applied Gerontology, 9:185–193, 1990.

    Google Scholar 

  26. Thomas, B.A. and Regan, T.J. Interactions Between Alcohol and Cardiovascular Medications. Alcohol Health and Research World, 14:333–339, 1990.

    Google Scholar 

  27. Groves, R. and Kahn, R. Surveys by telephone: A national comparison with personal interviews. Corpus Christi, TX: Academic Press, 1979.

    Google Scholar 

  28. Fillenbaum, G. Multidimensional functional assessment of older adults: The Duke older American resources & services procedure. Hillsdale, NJ: Lawrence Earlbaum Associates, 1988.

    Google Scholar 

  29. Cantril, H. The pattern of human concern. New Brunswick, NJ: Rutgers University Press, 1965.

    Google Scholar 

  30. Physicians Desk Reference (45th Ed.). Oradell, NJ: Medical Economics Data, 1991.

  31. Physicians Desk Reference for Nonprescription Drugs (12 Ed.). Oradell, NJ: Medical Economics Data, 1991.

  32. DiGregorio, G. & Barbieri, E. Handbook of commonly prescribed drugs. West Chester, PA: Medical Surveillance, Inc., 1989.

    Google Scholar 

  33. DiGregorio, G., Barbieri, E., & Salotti, P. Handbook of over the counter preparations. West Chester, PA: Medical Surveillance, Inc., 1988.

    Google Scholar 

  34. Schick, F. L. Statistical Handbook on Aging Americans. Phoenix, AZ: Oryn Press, 1986.

    Google Scholar 

  35. Marsh, J.C. Public Issues and Private Problems: Women and Drug Use. J Social Issues, 38:153–165, 1982.

    Google Scholar 

  36. Kagel, J.D. Women Who Drink: Changing Images, Changing Realities. J Social Work Education, Fall: 21–28, 1987.

  37. Morgan, P.A. Women and Alcohol: The Disinhibition Rhetoric in an Analysis of Denomination. J Psychoactive Drugs, 19:129–133, 1987.

    Google Scholar 

  38. Rowles, G. and Reinharz, S. (Eds.) Qualitative Gerontology. New York: Springer, 1988.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Lorna Earl Forster, Ph.D. is an Assistant Professor of Sociology at Clinton Community College Plattsburgh, New York; Rachel Pollow, Ph.D. is an Associate Professor of Nursing at the State University of New York at Plattsburgh; and Eleanor Palo Stoller, Ph.D. is a Full Professor of Sociology at the State University of New York at Plattsburgh.

This research was supported by Grant No. RO1 AGO7794, National Institute on Aging, US Department of Health and Human Services.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Forster, L.E., Pollow, R. & Stoller, E.P. Alcohol use and potential risk for alcohol-related adverse drug reactions among community-based elderly. J Community Health 18, 225–239 (1993). https://doi.org/10.1007/BF01324433

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01324433

Keywords

Navigation