Prevalence and neuropsychiatric comorbidities of alcohol use disorders in an elderly Korean population
Objectives We investigated the prevalence and comorbidities of problem drinking in community-dwelling elders living in Korea. Methods Structured face-to-face diagnostic interviews were administered to the 714 Korean elders randomly sampled from Seongnam, Korea. According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria and the Alcohol Use Disorders Identification Test (AUDIT) scores, the participants were categorized into one of six diagnostic groups: lifetime abstainer, ex-drinker, social drinking, at-risk drinking, alcohol abuse, and alcohol dependence. Results Prevalence rates of social drinking, at-risk drinking, alcohol abuse, and alcohol dependence were estimated to be 13.60%, 5.42%, 2.28%, and 2.92%, respectively. Problem drinking was associated with increased risks of smoking (OR=3.52), whereas social drinking was associated with decreased risks of stroke (OR=0.27) and depression (OR=0.49). Conclusions Problem drinking was common particularly in men and associated with smoking. Social drinking was associated with the lower risks of stroke and depression. Copyright (C) 2009 John Wiley & Sons, Ltd. ; This work was supported by an Independent Research Grant (IRG) from Pfizer Global Pharmaceuticals (grant no. 06–05–039) and a Grant for Developing Seongnam Health Promotion Program for the Elderly from Seongnam City Government in Korea (grant no. 800–20050211). ; Park JT, 2008, J KOREAN MED SCI, V23, P199, DOI 10.3346/jkms.2008.23.2.199 ; Duranceaux NCE, 2008, J STUD ALCOHOL DRUGS, V69, P227 ; Hasin DS, 2007, ARCH GEN PSYCHIAT, V64, P830 ; Gossop M, 2007, ADDICT BIOL, V12, P190, DOI 10.1111/j.1369-1600.2007.00066.x ; Cho MJ, 2007, J NERV MENT DIS, V195, P203, DOI 10.1097/01.nmd.0000243826.40732.45 ; Eng MY, 2007, ALCOHOL RES HEALTH, V30, P22 ; Huth C, 2007, J STUD ALCOHOL DRUGS, V68, P6 ; PARK J, 2007, PSYCHIAT INVEST, V4, P80 ; YOUU SW, 2006, ANXIETY MOOD, V2, P50 ; Lukassen J, 2005, SOC SCI MED, V61, P1658, DOI 10.1016/j.soscimed.2005.03.019 ; Ait-Daoud N, 2005, ALCOHOL CLIN EXP RES, V29, P1541, DOI 10.1097/01.alc.0000174692.20933.49 ; Aira M, 2005, INT J GERIATR PSYCH, V20, P680, DOI 10.1002/gps.1340 ; Cook TAR, 2005, J STUD ALCOHOL, V66, P196 ; Room R, 2005, LANCET, V365, P519 ; Hahm BJ, 2005, SOC PSYCH PSYCH EPID, V40, P114, DOI 10.1007/s00127-005-0854-9 ; Kim O, 2004, ADDICT BEHAV, V29, P1595, DOI 10.1016/j.addbeh.2004.02.037 ; Bond GE, 2004, J AGING HEALTH, V16, P615, DOI 10.1177/0898264304268587 ; Winblad B, 2004, J INTERN MED, V256, P240 ; Lee DY, 2004, J INT NEUROPSYCH SOC, V10, P72 ; Reynolds K, 2003, JAMA-J AM MED ASSOC, V289, P579, DOI 10.1001/jama.289.5.579 ; Moore AA, 2003, J AM GERIATR SOC, V51, P44 ; Sun F, 2002, BEHAV GENET, V32, P229 ; Lee JH, 2002, J GERONTOL B-PSYCHOL, V57, pP47 ; Wang JL, 2002, DEPRESS ANXIETY, V15, P42, DOI 10.1002/da.1084 ; Thomas VS, 2001, J AM GERIATR SOC, V49, P415 ; Dubois B, 2000, NEUROLOGY, V55, P1621 ; Johnson I, 2000, INT J GERIATR PSYCH, V15, P575 ; Dixit AR, 2000, AM J PSYCHIAT, V157, P751 ; Rodgers B, 2000, PSYCHOL MED, V30, P421 ; LEE BO, 2000, J KOREAN ACAD ADDICT, V4, P83 ; Mulinga JD, 1999, INT J GERIATR PSYCH, V14, P564 ; Moore AA, 1999, J AM GERIATR SOC, V47, P412 ; Caetano R, 1999, DRUG ALCOHOL DEPEN, V54, P45 ; CHO MJ, 1999, J KOREAN NEUROPSYCHI, V38, P48 ; Thaller V, 1998, COLLEGIUM ANTROPOL, V22, P603 ; Ruchlin HS, 1997, PREV MED, V26, P651 ; GIRLING DM, 1995, J AFFECT DISORDERS, V34, P319 ; OHARE T, 1995, ADDICT BEHAV, V20, P261 ; ISAACSON JH, 1994, J GEN INTERN MED, V9, P550 ; *AM PSYCH ASS TASK, 1994, DIAGN STAT MAN MENT ; ADAMS WL, 1993, JAMA-J AM MED ASSOC, V270, P1222 ; ROMAN GC, 1993, NEUROLOGY, V43, P250 ; DUFOUR MC, 1992, CLIN GERIATR MED, V8, P127 ; BIEN TH, 1990, INT J ADDICT, V25, P1429 ; WILLIAMS OD, 1989, AM J EPIDEMIOL, V129, P687 ; WECHSLER D, 1987, WECHSLER MEMORY SCAL ; STALL R, 1986, ANTHR EPIDEMIOLOGY I ; MCKHANN G, 1984, NEUROLOGY, V34, P939 ; KLATSKY AL, 1983, ALCOHOL CLIN EXP RES, V7, P372 ; HATANO S, 1976, B WORLD HEALTH ORGAN, V54, P541 ; 4