title: Alcohol-Related Diagnoses in Hospital Admissions for All Causes Among Middle-Aged and Older Adults: Trends and Cohort Differences From 1993 to 2010.
abstract: OBJECTIVE
  This aim of this study was to characterize trends in alcohol-related hospital admissions among middle-aged and older adults from 1993 to 2010 in relation to age, gender, race, and cohort membership.
  
  
  METHODS
  This study utilized repeated cross-sectional data from the Nationwide Inpatient Sample. Using alcohol-related classified admissions, yearly rates and longitudinal trends of alcohol-related inpatient hospitalizations based on age, period, birth cohort, gender, and race were estimated.
  
  
  RESULTS
  Among those aged 45 and older, admissions rose from an estimated 610,634 to more than 1,134,876, and rates of any alcohol-related diagnosis also increased from 1993 to 2010. Rates for men were consistently higher than women, and rates for Blacks were higher than Whites. Age was associated with decreasing rates, but post-World War II cohorts displayed higher rates over time.
  
  
  CONCLUSIONS
  Rates of alcohol-related admissions are increasing among adults above age 45, which may be a function of cohort effects. Training the health care workforce is crucial to respond to this trend.
authors.affiliation: University of Maryland-Baltimore, Baltimore, MD, USA psacco@ssw.umaryland.edu.
authors.forename: Paul
authors.initials: P
authors.lastname: Sacco
authors.affiliation: University of Maryland-Baltimore, Baltimore, MD, USA.
authors.forename: George Jay
authors.initials: GJ
authors.lastname: Unick
authors.affiliation: Hunter College, New York, NY, USA.
authors.forename: Alexis
authors.initials: A
authors.lastname: Kuerbis
authors.affiliation: University of Maryland-Baltimore County, Baltimore, MD, USA.
authors.forename: A Güneş
authors.initials: AG
authors.lastname: Koru
authors.affiliation: David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
authors.forename: Alison A
authors.initials: AA
authors.lastname: Moore
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D019973:Alcohol-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000208:ethnology; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data* / Q000639:trends*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017678:Sex Distribution; D014481:United States / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data
keywords: alcohol; cohorts; epidemiology; health services; older adult; trends