了解政策可接受的风险因素:65岁以上人士的酒精消费和长期护理使用情况
Gintare Malisauskaite1, Olena Nizalova1, Katerina Gousia1
1PSSRU (Personal Social Services Research Unit), University of Kent, Canterbury, CT2 7NF, UK.
Social science & medicine (1982)
|March 12, 2024
概括
经常饮酒可能会微弱地增加正式的长期护理 (LTC) 使用,但当考虑健康状况时,这种效应会消失. 未观察到的因素显著影响酒精-LTC关系.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 现有的关于酒精消费和长期护理 (LTC) 使用的研究是有限的,过时的,并非英国特有的.
- 之前的研究往往忽略了非正式的护理,只专注于入住养老院.
研究的目的:
- 调查过去饮酒频率对老年人正式和非正式LTC使用的影响.
- 探索酒精消费影响LTC利用的调解途径.
主要方法:
- 英语老化纵向研究 (ELSA) 数据集 (2002-2017) 的纵向分析.
- 回归分析,包括仪器变量 (IV) 与酒精使用的多基因得分,以评估因果关系.
- 专注于65岁以上没有先前使用LTC的个人.
主要成果:
- 仪器变量估计显示频繁饮酒和正式LTC使用之间存在微弱显著的积极关联,在控制健康时变得无关紧要.
- 使用IV方法,频繁饮酒对非正式LTC使用没有发现统计学意义上的影响.
- 非IV估计表明与非正式护理有负面关联,与正式护理有弱负面关联,突显了未观察到的混的作用.
结论:
- 没有观察到的混因素,如健康状况和行为偏好,在酒精消费和LTC之间的关系中起着至关重要的作用.
- 酒精对LTC的影响很可能通过不良健康影响以及潜在的对个人关系和寻求护理行为的影响来调解.
- 需要进一步的研究,以充分阐明酒精,健康和长期护理需求之间的复杂相互作用.
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