title: Predictors of reduction and cessation of drinking in community-dwelling men: results from the normative aging study.
abstract: As part of a longitudinal study of health and aging, the conditions and motivational factors that prospectively predicted either cessation or reduction in alcohol consumption were compared. Data were from 1,517 community-dwelling men who in 1973 (Time 1) and 1982 (Time 2) completed mailed questionnaires about their drinking behaviors. Time 2 quitters (n = 62) had consumed no alcohol for at least the 6 months before that survey; reducers (n = 255) had decreased their yearly alcohol consumption by at least one-half. Compared to 971 controls, quitters reported more drinking problems at Time 1; reducers reported higher consumption at Time 1, which was the only factor predictive of subsequent reduction (p less than .001). Regression analyses considering contextual-motivational factors for drinking showed that at Time 1 quitters were less likely than controls to have consumed alcohol during evenings out (p = .008), in family-home settings (p = .013), or for salutary reasons (p = .084); conversely, they were more likely to have consumed alcohol to reduce negative affect (p = .011). Reducers cited more social-situational reasons for curtailing drinking; quitters cited more personal reasons related to health and alcohol effects. These findings indicate that in a community sample of men, problematic drinking behaviors tend to predict subsequent abstention rather than reduced drinking.
authors.affiliation: Medical Service, Boston Veterans Administration Medical Center, Massachusetts 02130.
authors.forename: J A
authors.initials: JA
authors.lastname: Hermos
authors.forename: J S
authors.initials: JS
authors.lastname: Locastro
authors.forename: R J
authors.initials: RJ
authors.lastname: Glynn
authors.forename: G R
authors.initials: GR
authors.lastname: Bouchard
authors.forename: L O
authors.initials: LO
authors.lastname: De Labry
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D000428:Alcohol Drinking / Q000523:psychology*; D001900:Boston; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009042:Motivation; D011379:Prognosis; D012650:Self Disclosure; D012917:Social Adjustment; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D013695:Temperance; D014505:Urban Population