Introduction: Although a clear relationship has been established between elevated alcohol consumption and psychiatric problems in old age, there are few descriptions of the prevalence of elevated alcohol consumption in older adults who have been referred to geriatric psychiatric treatment. Aim: To describe the prevalence of self-reported elevated alcohol consumption in men and women referred to geriatric psychiatry wards in Norway, and to explore factors associated with elevated alcohol consumption. Method: This cross-sectional study includes data from a registry of geriatric psychiatry patients aged ≥ 65 years from December 2016 until December 2018. The outcome measure was reported elevated alcohol consumption assessed with the short version of the Alcohol Use Disorders Identification Test (AUDIT-C). The analyses used demographic data as well as a measure of cognitive function, psychiatric diagnosis and use of psychotropic drugs. Results: In total, 367 patients (131, 35.7% men) with a mean (SD) age of 74.7 (7.6) years were included. Of these patients, 27% scored above the pre-set cut-off for elevated alcohol consumption according to AUDIT-C (≥ 3 and 4 for women and men, respectively). The prevalence of elevated alcohol did not differ by gender. In adjusted logistic regression analysis, older age, living with someone and use of antidepressants were associated with reduced odds for reporting elevated alcohol consumption (OR 0.93, 95% CI 0.89–0.96; OR 0.54, 95% CI 0.31–0.97; and 0.54, 95% CI 0.32–0.92, respectively). Conclusion: A relatively high proportion of psychiatric patients aged 65 years or older reported elevated alcohol consumption, regardless of diagnosis. Older age, living with someone and use of antidepressants were associated with lower odds for elevated alcohol consumption.

中文翻译：

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老年精神科住院患者饮酒量增加

简介：虽然已经建立了酒精消费量增加与老年精神问题之间的明确关系，但很少有关于被转诊到老年精神科治疗的老年人中酒精消费量增加的流行率的描述。目的：描述挪威老年精神病学病房中男性和女性自我报告饮酒量增加的流行率，并探讨与饮酒量增加相关的因素。方法：这项横断面研究包括来自 2016 年 12 月至 2018 年 12 月的年龄 ≥ 65 岁的老年精神病学患者登记的数据。结果测量报告使用酒精使用障碍识别测试（AUDIT- C）。分析使用了人口统计数据以及认知功能、精神病诊断和精神药物使用的测量。结果：共纳入 367 名患者（131 名，35.7% 男性），平均 (SD) 年龄为 74.7 (7.6) 岁。在这些患者中，根据 AUDIT-C，27% 的患者得分高于预先设定的酒精消耗量上限（女性和男性分别≥ 3 和 4）。酒精含量升高的流行率并没有因性别而异。在调整后的逻辑回归分析中，年龄较大、与某人同住和使用抗抑郁药与报告饮酒量增加的几率降低相关（OR 0.93，95% CI 0.89-0.96；OR 0.54，95% CI 0.31-0.97；和 0.54， 95% CI 0.32–0.92，分别）。结论：相对较高比例的 65 岁或以上的精神病患者报告饮酒量增加，无论诊断如何。年龄较大、与某人同住和使用抗抑郁药与饮酒量增加的几率较低有关。