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At-risk drinking, loneliness and self-reported diagnosed depression among older people, 70-84 years of age
Reg Västmanland, Unit Publ Hlth, Västerås, Sweden..
Reg Västmanland, Unit Publ Hlth, Västerås, Sweden..
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Reg Värmland, Ctr Clin Res, Karlstad, Sweden..ORCID iD: 0000-0003-2532-2498
2023 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 27, no 5, p. 1037-1044Article in journal (Refereed) Published
Abstract [en]

Objectives At-risk drinking of alcohol is increasing in the older population and both at-risk drinking and loneliness have been shown to be risk factors for depression. The aim of this study was therefore to investigate the associations between at-risk drinking, loneliness, and self-reported diagnosed depression in the older population. Methods The study was based on 10,096 persons aged 70-84 years who answered a survey questionnaire sent to a random population sample in Mid-Sweden in 2017. The overall response rate was 77%. The associations between at-risk drinking, loneliness and depression were analysed using multivariate logistic regression, adjusting for age, educational level, country of birth, economic stress, social support, living alone, physical activity, smoking, BMI, and medication use. Results The prevalence of at-risk drinking during the last 12 months was 8% among men and 4% among women. In total, 8% of the men and 14% of the women suffered from loneliness at least weekly. Having a current diagnosed depression was more commonly reported among women (9%) than among men (5%). At-risk drinking was associated with a higher prevalence of diagnosed depression in both men (OR:1.76; 95% CI:1.03-3.01) and women (OR:1.83; 95% CI:1.06-3.18), compared to moderate drinking when adjusting for loneliness and potential confounders. Furthermore, persons who suffered from loneliness every week had a higher prevalence of diagnosed depression (OR:5.95; 95% CI:3.72-9.53 in men and OR:4.80; 95% CI:3.44-6.69 in women) than those who did not suffer from loneliness. Conclusion In this population-based study, both at-risk drinking and loneliness were independently associated with self-reported diagnosed depression among men and women aged 70-84 years. These findings are important for prevention of depression among older people.

Place, publisher, year, edition, pages
Routledge, 2023. Vol. 27, no 5, p. 1037-1044
Keywords [en]
Loneliness, alcohol consumption, older people, depression, mental health
National Category
Health Sciences
Research subject
Public Health Science
Identifiers
URN: urn:nbn:se:kau:diva-91549DOI: 10.1080/13607863.2022.2098919ISI: 000828942200001PubMedID: 35866543Scopus ID: 2-s2.0-85134471695OAI: oai:DiVA.org:kau-91549DiVA, id: diva2:1689110
Available from: 2022-08-22 Created: 2022-08-22 Last updated: 2023-07-06Bibliographically approved

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