title: Pain and use of alcohol in later life: prospective evidence from the health and retirement study.
abstract: OBJECTIVE
  To determine whether (a) late-life pain predicts growth in older adults' use of alcohol, and elevated risk of drinking problems; and (b) sociodemographic characteristics moderate these relationships.
  
  
  METHODS
  Five times over an 8-year interval, N = 5,446 Health and Retirement Study (HRS) participants provided information about their pain and alcohol use. Two-part latent growth modeling and logistic regression were used to analyze these data.
  
  
  RESULTS
  Participants with more pain at baseline had lower initial levels and a faster rate of decline over the next 8 years in alcohol consumption, but they also were at elevated risk of having drinking problems. Income and African American background interacted with pain to predict 8-year change in alcohol consumption and presence of drinking problems.
  
  
  CONCLUSIONS
  Late-life pain does not predict growth in older adults' alcohol consumption, but is nonetheless linked to elevated risk of drinking problems, especially among African Americans.
authors: Center for Health Care Evaluation, VA Palo Alto Health Care System, Menlo Park, CA 94025, USA. penny.brennan@va.gov
authors: Penny L
authors: PL
authors: Brennan
authors: Sonya
authors: S
authors: Soohoo
mesh_terms: D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology*; D019973:Alcohol-Related Disorders / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology*; D011446:Prospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D012959:Socioeconomic Factors
keywords: alcohol consumption; drinking problems; late-middle-age; older adults; pain
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