Are Changes in Financial Strain Associated with Changes in Alcohol Use and Smoking Among Older Adults?

Overview

Journal J Stud Alcohol Drugs

Specialty Psychiatry

Date 2011 Nov 5

PMID 22051205

Citations 52

Authors

Benjamin A Shaw

Neda Agahi

Neal Krause

Affiliations

Soon will be listed here.

Abstract

Objective: This study aimed to assess whether changes in levels of financial strain are associated with changes in alcohol use and smoking among older adults.

Method: Multilevel analyses were conducted using longitudinal data from a randomly selected national sample of older adults (N = 2,352; 60% female). The data were collected in six waves during the period of 1992-2006. We estimated associations between within-person changes in levels of financial strain and the odds of engaging in heavy drinking and smoking, while also testing for the moderating effects of gender, education, and age.

Results: A direct association was observed between changes in levels of financial strain and the odds of heavy drinking, particularly among elderly men (odds ratio [OR] = 1.31) and those with low levels of education (OR = 1.27). A direct association between changes in levels of financial strain and the odds of smoking was also evident, particularly among the young-old (i.e., age 65 at baseline; OR = 1.44).

Conclusions: Exposure to financial strain places some groups of older adults at increased risk for unhealthy drinking and smoking. If the current global financial crisis leads to increases in experiences of financial strain among older adults, alcohol and smoking problems can also be expected to increase in this population.

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References

Siahpush M, Yong H, Borland R, Reid J, Hammond D . Smokers with financial stress are more likely to want to quit but less likely to try or succeed: findings from the International Tobacco Control (ITC) Four Country Survey. Addiction. 2009; 104(8):1382-90. PMC: 2714876. DOI: 10.1111/j.1360-0443.2009.02599.x. View

Krause N . Social class differences in social support among older adults. Gerontologist. 1995; 35(4):498-508. DOI: 10.1093/geront/35.4.498. View

Veenstra M, Lemmens P, Friesema I, Garretsen H, Knottnerus J, Zwietering P . A literature overview of the relationship between life-events and alcohol use in the general population. Alcohol Alcohol. 2006; 41(4):455-63. DOI: 10.1093/alcalc/agl023. View

Siahpush M, Carlin J . Financial stress, smoking cessation and relapse: results from a prospective study of an Australian national sample. Addiction. 2006; 101(1):121-7. DOI: 10.1111/j.1360-0443.2005.01292.x. View

Shaw B, Krause N, Liang J, Bennett J . Tracking changes in social relations throughout late life. J Gerontol B Psychol Sci Soc Sci. 2007; 62(2):S90-9. DOI: 10.1093/geronb/62.2.s90. View

Rigler S . Alcoholism in the elderly. Am Fam Physician. 2000; 61(6):1710-6, 1883-4, 1887-8 passim. View

Veenstra M, Lemmens P, Friesema I, Tan F, Garretsen H, Knottnerus J . Coping style mediates impact of stress on alcohol use: a prospective population-based study. Addiction. 2007; 102(12):1890-8. DOI: 10.1111/j.1360-0443.2007.02026.x. View

Li L, Conwell Y . Effects of changes in depressive symptoms and cognitive functioning on physical disability in home care elders. J Gerontol A Biol Sci Med Sci. 2009; 64(2):230-6. PMC: 2655022. DOI: 10.1093/gerona/gln023. View

Shaw B, Krause N . Exploring race variations in aging and personal control. J Gerontol B Psychol Sci Soc Sci. 2001; 56(2):S119-24. DOI: 10.1093/geronb/56.2.s119. View

10.

Turner R, Marino F . Social support and social structure: a descriptive epidemiology. J Health Soc Behav. 1994; 35(3):193-212. View

11.

Krause N . Exploring age differences in the stress-buffering function of social support. Psychol Aging. 2006; 20(4):714-7. DOI: 10.1037/0882-7974.20.4.714. View

12.

Lemke S, Schutte K, Brennan P, Moos R . Gender differences in social influences and stressors linked to increased drinking. J Stud Alcohol Drugs. 2008; 69(5):695-702. PMC: 2575387. DOI: 10.15288/jsad.2008.69.695. View

13.

Krause N . Stressors in salient social roles and well-being in later life. J Gerontol. 1994; 49(3):P137-48. DOI: 10.1093/geronj/49.3.p137. View

14.

Field D, Minkler M . Continuity and change in social support between young-old and old-old or very-old age. J Gerontol. 1988; 43(4):P100-6. DOI: 10.1093/geronj/43.4.p100. View

15.

House J, Lepkowski J, Kinney A, Mero R, Kessler R, Herzog A . The social stratification of aging and health. J Health Soc Behav. 1994; 35(3):213-34. View

16.

Kendzor D, Businelle M, Costello T, Castro Y, Reitzel L, Cofta-Woerpel L . Financial strain and smoking cessation among racially/ethnically diverse smokers. Am J Public Health. 2010; 100(4):702-6. PMC: 2836332. DOI: 10.2105/AJPH.2009.172676. View

17.

Peirce R, Frone M, Russell M, Cooper M . Relationship of financial strain and psychosocial resources to alcohol use and abuse: the mediating role of negative affect and drinking motives. J Health Soc Behav. 1994; 35(4):291-308. View

18.

Stuckler D, Basu S, Mckee M . Budget crises, health, and social welfare programmes. BMJ. 2010; 340:c3311. DOI: 10.1136/bmj.c3311. View

19.

Siahpush M, Borland R, Scollo M . Smoking and financial stress. Tob Control. 2003; 12(1):60-6. PMC: 1759081. DOI: 10.1136/tc.12.1.60. View

20.

Perreira K, Sloan F . Life events and alcohol consumption among mature adults: a longitudinal analysis. J Stud Alcohol. 2001; 62(4):501-8. DOI: 10.15288/jsa.2001.62.501. View