Age-related differences in the associations among at-risk drinking, alcohol use disorder, and psychological distress across the adult lifespan: a nationwide representative study in South Korea
- Authors
- Park, Jee Eun; Hong, Jin Pyo; Jeon, Hong Jin; Seong, Su Jeong; Sohn, Jee Hoon; Ha, Tae Hyon; Lee, Dong-Woo; Park, Jong-Ik; Cho, Seong-Jin; Chang, Sung Man; Kim, Byung-Soo; Suk, Hye Won; Cho, Maeng Je; Hahm, Bong-Jin
- Issue Date
- Oct-2020
- Publisher
- SPRINGER HEIDELBERG
- Keywords
- At-risk drinking; Alcohol use disorder; Psychological distress; DSM-IV; DSM-5
- Citation
- SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, v.55, no.10, pp.1335 - 1344
- Journal Title
- SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
- Volume
- 55
- Number
- 10
- Start Page
- 1335
- End Page
- 1344
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/26450
- DOI
- 10.1007/s00127-020-01845-5
- ISSN
- 0933-7954
- Abstract
- Purpose To investigate age-related differences in the relationships among at-risk alcohol consumption, alcohol use disorder (AUD), and psychological distress with a special focus on older adults. Methods We used a nationwide cross-sectional study of a representative sample of community-dwelling adults from the Korean Epidemiologic Catchment Area study for psychiatric disorders conducted by door-to-door interviews. The Korean version of the Composite International Diagnostic Interview was applied. Subjects were categorized into four age groups: young-to-middle-aged (20-54 years), near-old (55-64 years), early-old (65-74 years), and late-old (>= 75 years). The associations among at-risk drinking, alcohol use disorder, and psychological distress were examined according to age groups. Results Among a total of 5102 individuals, half of them drank alcohol in the previous year, of whom 20.5% were at-risk drinkers (>= 100 g/week). Older people were less often diagnosed with AUD than young-to-middle-aged adults with a similar degree of at-risk drinking. They were less likely to meet the DSM-5 AUD criteria in terms of social and vocational role disruption or creation of a physically hazardous situation. However, at-risk drinking showed a stronger association with subjective psychological distress in older adults, particularly in the near-old group (adjusted odds ratio 1.82, 95% confidence interval 1.09-3.03; p = 0.023). Conclusions These findings indicate the importance of screening for mental health problems in older adults, especially near-old adults, who drink more than 100 g of alcohol per week even when they do not satisfy the criteria for a diagnosis of AUD.
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