Smoking and alcohol consumption patterns among elderly Canadians with mobility disabilities

BMC Research Notes

Peizhong Peter Wang²  Roy West²  Sharon Buehler²  Angela Loucks-Atkinson¹  Jennifer Woodrow²  Fang Liu² 

[1] School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John’s, Newfoundland & Labrador, Canada;Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, Newfoundland & Labrador, Canada

关键词: Smoking;    Mobility limitation;    Life style;    Health behavior;    Alcohol drinking;    Aging;   

Others  :  1142512
DOI  :  10.1186/1756-0500-6-218

 received in 2012-08-29, accepted in 2013-05-30,  发布年份 2013

【 摘 要 】

Background

Mobility disability is a major adverse health outcome associated with aging and an impediment to older adults’ well-being and behaviors in social and leisure activities. It has been shown that lifestyle factors, including smoking and alcohol consumption, have been used as coping strategies to deal with the negative impact of disability. The aim of this study was to determine the prevalence of smoking and alcohol consumption among older Canadians with different levels of mobility disabilities and to examine factors associated with these two lifestyle patterns among those with disabilities.

Methods

Secondary data analysis was performed using individuals (n = 6,038) aged 65 years and older from both the 2001 Participation and Activity Limitation Survey and the 2003 Canadian Community Health Survey. Multivariate logistic regressions examined the relationship between disability severity and smoking as well as alcohol consumption while controlling for potential confounding socioeconomic factors.

Results

The proportion of current smokers among seniors with less-severe and more-severe mobility disabilities and those in the general population was comparable with 12.55%, 11.57% and 11.93%, respectively. Forty-eight percent of seniors in the general population consumed alcohol regularly, compared to only 12.85% with more-severe mobility disabilities. No significant association was shown between the severity level of mobility disabilities and smoking (odds ratio = 0.90, 95% confidence interval: 0.75, 1.08). However, seniors having more-severe disability were less likely to consume alcohol regularly (odds ratio = 0.76, 95% confidence interval: 0.65, 0.89). Other variables including age, gender, income, living status, and social participation also impacted these lifestyle patterns among the study population.

Conclusions

Smoking and alcohol patterns present different associations with the severity level of mobility disabilities. Compared with the general population, elderly Canadians with mobility disabilities had similar smoking prevalence but differ significantly in terms of alcohol consumption. Results from this research will be relevant to decision makers involved in program planning, health education, and policy development as it pertains to the prevention and management of age-related disability.

【 授权许可】

   
2013 Liu et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Statistics Canada: Population Projections for Canada, Provinces and Territories 2005–2031. Ottawa, Ontario: Statistics Canada; 2005. (Catalogue no. 91-520-XIE)
• [2]United Nations: World Population Ageing 2009. New York, N.Y: UN Department of Economic and Social Affairs, Population Division; 2010. Sales No. E.10.XIII.5
• [3]World Health Organization: International Classification of Functioning, Disability and Health: ICF. Geneva: WHO; 2001. [http://www.who.int/classifications/icf/en/index.html webcite]
• [4]Melzer D, Parahyba MI: Socio-demographic correlates of mobility disability in older Brazilians: results of the first national survey. Age Ageing 2004, 33(3):253-259.
• [5]Human Resources and Skills Development Canada: Disability Facts about Seniors. Ottawa, Ontario: Human Resources and Skills Development Canada; 2011. [http://publications.gc.ca/site/eng/398897/publication.html webcite]
• [6]Human Resources and Skills Development Canada: 2011 Federal Disability Report, Seniors with Disabilities in Canada. Ottawa, Ontario: Human Resources and Skills Development Canada; 2011. [http://www.hrsdc.gc.ca/eng/disability/arc/federal_report2011/index.shtml webcite]
• [7]Katz PP, Yelin EH: Activity loss and the onset of depressive symptoms: do some activities matter more than others? Arthritis Rheum 2001, 44(5):1194-1202.
• [8]Sivan M, Bhakta B: Restoring mobility: theories, technologies and effective treatments. Clin Med 2008, 8(6):596-600.
• [9]Strine TW, Chapman DP, Balluz L: Health-related quality of life and health behaviors by social and emotional support. Their relevance to psychiatry and medicine. Soc Psychiatry Psychiatr Epidemiol 2008, 43(2):151-159.
• [10]Koster A, Penninx BW, Newman AB: Lifestyle factors and incident mobility limitation in obese and non-obese older adults. Obesity (Silver Spring) 2007, 15(12):3122-3132.
• [11]Bernard AL, Prince A, Edsall P: Quality of life issues for fibromyalgia patients. Arthritis Care Res 2000, 13(1):42-50.
• [12]Johnson V, Pandina RJ: Alcohol problems among a community sample: longitudinal influences of stress, coping, and gender. Subst Use Misuse 2000, 35(5):669-686.
• [13]Lindstrom M, Hanson BS, Ostergren PO: Socioeconomic differences in leisure-time physical activity: the role of social participation and social capital in shaping health related behaviour. Soc Sci Med 2001, 52(3):441-451.
• [14]Adamson J, Hunt K, Ebrahim S: Association between measures of morbidity and locomotor disability: diagnosis alone is not enough. Soc Sci Med 2003, 57(8):1355-1360.
• [15]Avlund K: Disability in old age. Longitudinal population-based studies of the disablement process. Dan Med Bull 2004, 51(4):315-349.
• [16]Public Health Agency of Canada: The Chief Public Health Officer’s Report on The State of Public Health in Canada 2010. Ottawa, Ontario: Public Health Agency of Canada; 2010. [http://www.phac-aspc.gc.ca/cphorsphc-respcacsp/2010/fr-rc/pdf/cpho_report_2010_e.pdf webcite]
• [17]Schoenborn CA, Adams PF, National Center for Health Statistics: Health behaviors of adults: United States, 2005–2007. Vital Health Stat 2010, 10(245):132.
• [18]Yeom HA, Fleury J, Keller C: Risk factors for mobility limitation in community-dwelling older adults: a social ecological perspective. Geriatr Nurs 2008, 29(2):133-140.
• [19]Chan AM, von Mühlen D, Kritz-Silverstein D, Barrett-Connor E: Regular alcohol consumption is associated with increasing quality of life and mood in older men and women: the Rancho Bernardo Study. Maturitas 2009, 20;62(3):294-300.
• [20]Tolstrup J, Jensen MK, Tjønneland A, Overvad K, Mukamal KJ, Grønbaek M: Prospective study of alcohol drinking patterns and coronary heart disease in women and men. BMJ 2006, 332(7552):1244-1248.
• [21]Gadalla TM: Unhealthy behaviours among Canadian adolescents: prevalence, trends and correlates. Chronic Dis Inj Can 2012, 32(3):156-163.
• [22]Canadian Public Health Association: Fact Sheet Drinking and Alcohol. Ottawa, Ontario: Canadian Public Health Association; 2006.
• [23]Canada S: Participation and Activity Limitation Survey 2006: Technical and Methodological Report. Ottawa, Ontario: Statistics Canada; 2007. (Catalogue no. 89-628-XIE)
• [24]Melzer D, Gardener E, Guralnik JM: Mobility disability in the middle-aged: cross-sectional associations in the English Longitudinal Study of Ageing. Age Ageing 2005, 34(6):594-602.
• [25]CAMH Healthy Aging Project: Responding to Older Adults with Substance Use, Mental Health and Gambling Challenges. Toronto, Ontario: Centre for Addiction and Mental Health; 2006.
• [26]Alberta Health Services: ABCs – Alcohol and Seniors. Alberta, Canada: Alberta Health Services; 2010. [http://www.albertahealthservices.ca/AddictionsSubstanceAbuse/hi-asa-abcs-alcohol-and-seniors.pdf webcite]
• [27]University of Ottawa: How Much Do We Drink? Alcohol Consumption in Canada. Ottawa, Ontario: University of Ottawa; 2012. [http://www.med.uottawa.ca/sim/data/Alcohol_e.htm webcite]
• [28]Grittner U, Kuntsche S, Gmel G: Alcohol consumption and social inequality at the individual and country levels--results from an international study. Eur J Public Health 2013, 23(2):332-339.
• [29]Lan TY, Melzer D, Tom BD: Performance tests and disability: developing an objective index of mobility-related limitation in older populations. J Gerontol A Biol Sci Med Sci 2002, 57(5):M294-M301.
• [30]Badley EM: The effect of osteoarthritis on disability and health care use in Canada. J Rheumatol 1995, 22(suppl 43):19-22.
• [31]Lee HY, Jang SN, Lee S: The relationship between social participation and self-rated health by sex and age: a cross-sectional survey. Int J Nurs Stud 2008, 45(7):1042-1054.
• [32]Lindstrom M, Moghaddassi M, Merlo J: Individual self-reported health, social participation and neighbourhood: a multilevel analysis in Malmo. Sweden. Prev Med 2004, 39(1):135-141.
• [33]Heim D, Hunter SC, Ross AJ: Alcohol consumption, perceptions of community responses and attitudes to service provision: results from a survey of Indian, Chinese and Pakistani young people in Greater Glasgow, Scotland, UK. Alcohol Alcohol 2004, 39(3):220-226.
• [34]Asbridge M: Public place restrictions on smoking in Canada: assessing the role of the state, media, science and public health advocacy. Soc Sci Med 2004, 58(1):13-24.
• [35]Carlson LE, Goodey E, Bennett MH: The addition of social support to a community-based large-group behavioral smoking cessation intervention: improved cessation rates and gender differences. Addict Behav 2002, 27(4):547-559.
• [36]Mottram S, Peat G, Thomas E: Patterns of pain and mobility limitation in older people: cross-sectional findings from a population survey of 18,497 adults aged 50 years and over. Qual Life Res 2008, 17(4):529-539.
• [37]Odding E, Valkenburg HA, Stam HJ: Determinants of locomotor disability in people aged 55 years and over: the Rotterdam Study. Eur J Epidemiol 2001, 17(11):1033-1041.
• [38]Mocellin J, Foggin P: Health status and geographic mobility among semi-nomadic pastoralists in Mongolia. Health Place 2008, 14(2):228-242.