Many public health campaigns on the misuse of alcohol are aimed at younger age groups. However, there is evidence that alcohol misuse is increasing in people over the age of 65. For a variety of reasons, alcohol misuse among these older people may go unnoticed (Department of Work and Pensions, 2013).
This edition of the CARDI “Focus on . . .” series looks at alcohol misuse among older people across the island of Ireland and asks if more could be done in policy and social work terms to address the associated health and welfare issues among older age groups.
Dr Amanda Fitzgerald, UCD School of Psychology and co-author of Headstrong’s My World Survey, a National Study of Youth Mental Health, at Alcohol Action Ireland's conference "Time Please... For Change"
Dr Amanda Fitzgerald, UCD School of Psychology and co-author of Headstrong’s My World Survey, a National Study of Youth Mental Health, at Alcohol Action Ireland's conference "Time Please... For Change"
Alcohol related deaths rising, especially among womenMrsunny4
A recent study has found that the rate of alcohol use-related deaths in the U.S. has increased by more than 50% in the past 20 years. According to R. Kathryn McHugh, PhD, a psychologist in McLean Hospital’s Center of Excellence in Alcohol, Drugs, and Addiction, this troubling trend has gone largely unnoticed by the general public.
Dr Jean Long of the Health Research Board speaks about alcohol trends and public attitudes at Alcohol Action Ireland's conference "Time Please... For Change".
More young people in Canada are visiting EDs because of drinking alcoholΔρ. Γιώργος K. Κασάπης
More people are visiting emergency departments after drinking alcohol, a new study finds. Researchers looked at more than 765,000 ED visits in Ontario, Canada’s largest province, and found a 175% increase in such visits between 2003 and 2016 among 25- to 29-year-olds. That spiked to a 240% increase in alcohol-related ED visits for young women, who were also more likely than men to be under Canada’s legal drinking age of 19. For both young men and women, visiting the ED for alcohol-related problems also led to more hospital admissions than other types of ED visits. Other countries, including the U.S., have experienced similar increases in alcohol-related visits to the ED, the authors behind the new study write, urging more research into the reasons behind the growing trend.
A study which chillingly lays bare the “public health crisis” that arose over a decade in the United States because of excessive alcohol consumption has received severe criticism for relying on comprised data to arrive at that conclusion. It has been criticized by some experts and the Distilled Spirits Council (DSC) for being less consistent, and for not including young adults aged below 18 years, who are increasingly taking to alcohol in America.
Nexus between Socio-demographic Characteristics and Risk of Hypertension amon...AJHSSR Journal
ABSTRACT: Non-communicable diseases (NCDs) such as hypertension, diabetes mellitus and cardiovascular
diseases among others remain the highest burden of mortality globally. The diseases are largely caused by four
modifiable risk factors such as tobacco consumption, alcohol intake, physical inactivity and poor dietary. This
study aimed to examine the relationship between socio-demographic characteristics and the risk of hypertension
among older adults in selected Southwest Nigeria. A total number of 1,296 respondents were selected across
three Southwest Nigeria such as Lagos, Ogun and Oyo States using a multi-stage sampling technique. Data was
analyzed using a Multinomial Logistic Regression (MLR). Socio-demographic characteristics such asage,
education and state of residence remain the factors significantly related to the risk of hypertension among older
adults in Southwest Nigeria. The study recommended that the government at both federal, state and local should
improve on the policy and program interventions that will increase awareness of risk factors for NCDs so as to
reduce the burden of NCDs in Nigeria.
KEY WORDS: Socio-demographic Characteristics, Hypertension, Older Adults
From the CDC why it is so important to wake up and be proactive before the reactive healthcare become a reality. Hospitalization, Doctors, Medicines are for the most part concerned with symptoms. We are excited to share a plan that works quickly, burns up belly fat and teaches new habits of eating moving forward that will lead you into a healthy, lean lifestyle so that you keep the fat off for the rest of your life!
The first part of the presentations from the ground-breaking Reducing Suicide Summit 2011, hosted by CALM and focusing on the Cheshire & Merseyside regions of the UK. More info at http://www.thecalmzone.net
Alcohol related deaths rising, especially among womenMrsunny4
A recent study has found that the rate of alcohol use-related deaths in the U.S. has increased by more than 50% in the past 20 years. According to R. Kathryn McHugh, PhD, a psychologist in McLean Hospital’s Center of Excellence in Alcohol, Drugs, and Addiction, this troubling trend has gone largely unnoticed by the general public.
Dr Jean Long of the Health Research Board speaks about alcohol trends and public attitudes at Alcohol Action Ireland's conference "Time Please... For Change".
More young people in Canada are visiting EDs because of drinking alcoholΔρ. Γιώργος K. Κασάπης
More people are visiting emergency departments after drinking alcohol, a new study finds. Researchers looked at more than 765,000 ED visits in Ontario, Canada’s largest province, and found a 175% increase in such visits between 2003 and 2016 among 25- to 29-year-olds. That spiked to a 240% increase in alcohol-related ED visits for young women, who were also more likely than men to be under Canada’s legal drinking age of 19. For both young men and women, visiting the ED for alcohol-related problems also led to more hospital admissions than other types of ED visits. Other countries, including the U.S., have experienced similar increases in alcohol-related visits to the ED, the authors behind the new study write, urging more research into the reasons behind the growing trend.
A study which chillingly lays bare the “public health crisis” that arose over a decade in the United States because of excessive alcohol consumption has received severe criticism for relying on comprised data to arrive at that conclusion. It has been criticized by some experts and the Distilled Spirits Council (DSC) for being less consistent, and for not including young adults aged below 18 years, who are increasingly taking to alcohol in America.
Nexus between Socio-demographic Characteristics and Risk of Hypertension amon...AJHSSR Journal
ABSTRACT: Non-communicable diseases (NCDs) such as hypertension, diabetes mellitus and cardiovascular
diseases among others remain the highest burden of mortality globally. The diseases are largely caused by four
modifiable risk factors such as tobacco consumption, alcohol intake, physical inactivity and poor dietary. This
study aimed to examine the relationship between socio-demographic characteristics and the risk of hypertension
among older adults in selected Southwest Nigeria. A total number of 1,296 respondents were selected across
three Southwest Nigeria such as Lagos, Ogun and Oyo States using a multi-stage sampling technique. Data was
analyzed using a Multinomial Logistic Regression (MLR). Socio-demographic characteristics such asage,
education and state of residence remain the factors significantly related to the risk of hypertension among older
adults in Southwest Nigeria. The study recommended that the government at both federal, state and local should
improve on the policy and program interventions that will increase awareness of risk factors for NCDs so as to
reduce the burden of NCDs in Nigeria.
KEY WORDS: Socio-demographic Characteristics, Hypertension, Older Adults
From the CDC why it is so important to wake up and be proactive before the reactive healthcare become a reality. Hospitalization, Doctors, Medicines are for the most part concerned with symptoms. We are excited to share a plan that works quickly, burns up belly fat and teaches new habits of eating moving forward that will lead you into a healthy, lean lifestyle so that you keep the fat off for the rest of your life!
The first part of the presentations from the ground-breaking Reducing Suicide Summit 2011, hosted by CALM and focusing on the Cheshire & Merseyside regions of the UK. More info at http://www.thecalmzone.net
Substance abuse and addiction during adulthoodLydia Betsy
Definition of substance abuse, addiction and adulthood. Various stages of addiction, how one can overcome addiction and substance abuse, substance abuse and addiction across adulthood years. Effect on the mental health of an individual support with research studies.
Drug and alcohol addiction develops over time, but it often comes with copious warning signs before casual use grows into full-blown addiction. Even before a person uses, there are many signs that could indicate a person is more likely to fall into abusive patterns of drug use. While risk factors don’t necessarily mean that addiction is inevitable, it’s important for individuals to be aware of their risk level so their behavior will be more informed if they choose to engage in drug use. Watch our slide show for information and statistics about drug and alcohol abuse risk factors. For more information about seeking help with addiction recovery for yourself or a loved one, contact Hillside.
Slide Show: Risk Factors for Alcoholism & Drug AddictionHillside
Drug and alcohol addiction develops over time, but it often comes with copious warning signs before casual use grows into full-blown addiction. Even before a person uses, there are many signs that could indicate a person is more likely to fall into abusive patterns of drug use. While risk factors don’t necessarily mean that addiction is inevitable, it’s important for individuals to be aware of their risk level so their behavior will be more informed if they choose to engage in drug use. Watch our slide show for information and statistics about drug and alcohol abuse risk factors. For more information about seeking help with addiction recovery for yourself or a loved one, contact Hillside.
Whether someone has 1-3 alcoholic drinks a week versus 8-10 drinks a week, consumption of alcohol may have an effect on someone's long-term health. We found there are many different issues with being older and binge drinking alcohol including things like, mental health issues, high blood pressure, heart disease etc. As we finalized our data we found people anywhere between the age 41-60+ admitted to drinking 8-10 drinks a week average. As the younger ages had 1-3 drinks per week. We found this information to be important to this study because for our hypothesis we thought those who are older and drink 8-10 drinks a week will have greater long-term health effects than those who are younger and only consume 1-3 drinks a week.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Alcohol misuse and older people- Conor Breen, CARDI
1. 1
AUGUST 2013
Focus on alcohol misuse among older people
Introduction
Many public health campaigns on the misuse of alcohol are aimed at younger age groups. However, there is
evidence that alcohol misuse is increasing in people over the age of 65. For a variety of reasons, alcohol misuse
among these older people may go unnoticed (Department of Work and Pensions, 2013).
In the Republic of Ireland (ROI), alcohol consumption among the over 65s is lower than other age groups, and
23% of that age group have never drank. However, 10% of those over 65 are consuming alcohol on four or more
days per week, higher than any other age group (Health Research Board, 2012). While younger people in
Northern Ireland (NI) drink more than those in older age groups, 16% of people aged 60-74 exceed the weekly
guidelines for sensible drinking (Public Health Agency, 2011).
This edition of the CARDI “Focus on . . .” series looks at alcohol misuse among older people across the island of
Ireland and asks if more could be done in policy and social work terms to address the associated health and
welfare issues among older age groups.
2. 2
AUGUST 2013
Key findings
Alcohol misuse is an under reported problem among older people, men in particular:
10% of people aged 65 or over in ROI consumes alcohol on four or more days per week (Health
Research Board, 2012). 7% of men aged 50 and over and 2.7% of women aged 50 and over have
an alcohol problem (The Irish Longitudinal Study on Ageing, 2011).
In NI, 7% of the over 65s drink at a level that is above sensible and a further 1% drink at dangerous
levels. For men aged 65 and over, 13% drink above sensible levels and 2% drink at dangerous
levels (NISRA, 2009).
Alcohol misuse in older people can lead to increased physical and mental health problems, greater risk
of falls or dangerous interaction with prescription medications (Wright & Whyley, 1994) (Mukamal et al.,
2003) (Dar, 2006).
Older people may have developed an alcohol problem at an early age or emotional, social, medical and
practical problems can lead to late-onset alcoholism (Dar, 2006).
Several barriers to identifying alcohol misuse in older people exist, including similarities between
alcoholism symptoms and other conditions, awareness and attitudes of health practitioners, denial by
the older person and the unreliability of self-reports (Dar, 2006).
It is important that health professionals can identify and know how to best approach an alcohol problem
in an older person and that any policy or health promotion strategy on alcohol misuse is relevant for both
older and younger people.
Older people and alcohol use ROI
Figure 1 shows the frequency of alcohol consumption among the over 65 age group in ROI. As it shows, 10% of
the population over 65 consumes alcohol on four or more days per week, higher than any other age group.
Figure 1: Frequency of alcohol consumption among over 65s in ROI
Source: Health Research Board (2012)
3. 3
AUGUST 2013
The frequency of alcohol consumption among older people in ROI appears to have increased slightly since 2007.
The Survey of Lifestyle, Attitudes and Nutrition in Ireland in 2007 showed that among the over 65s, 41% never
drank, 16% drank monthly or less, 15% drank 2-4 times per month, 18% drank 2-3 days per week and 10% on
four or more days per week (Brugha et al., 2009).
In responding to the Irish Longitudinal Study on Ageing (TILDA), 1.8% of adults over the age of 50 in ROI
reported a diagnosed history of alcohol or substance abuse, with the highest rate amongst men aged 65-74 years
(3.9%). However, when assessed using a questionnaire, problem drinking was higher, being seen in 4.8% of the
same age group, 50+ (The Irish Longitudinal Study on Ageing, 2011). Overall using the objective measure, 7% of
men aged 50 and over and 2.7% of women aged 50 and over were seen to have an alcohol problem.
Figure 2: Problematic alcohol use by age and sex in ROI
Source: The Irish Longitudinal Study on Ageing (2011)
A study by Lyons et al. (2011) revealed that 25 people aged 65-69 and 15 people aged 70 and over died directly
from alcohol poisoning between 2004-2008. During the same time period, there were 62 deaths from poisoning in
the 45-49 age group. There were a further 14 deaths of people aged 65 and over from poisoning by alcohol plus
other substance(s), the most common of which were benzodiazepines.
The same study reveals that just over 1,000 deaths of people aged 65 and over who were alcohol dependent
occurred, and alcoholic liver disease was the most common cause of death in these cases. Finally, 51 people
aged over 65 who were alcohol dependent died from traumatic causes, with falls accounting for 40% of these
deaths (Lyons et al., 2011).
Older people and alcohol use NI
The Continuous Household Survey in NI includes a question on levels of alcohol consumption and the findings
from 2008-09 are shown in Figure 3. As can be seen, 7% of the over 65s drink at a level that is above sensible
levels and a further 1% drink at dangerous levels. For men aged 65 and over, 13% drink above sensible levels
and 2% drink at dangerous levels (NISRA, 2009).
4. 4
AUGUST 2013
Figure 3: Level of alcohol consumption in NI among 65 and over age group
Source: NISRA (2009)
In 2009 in NI, there were 36 alcohol related deaths among people in the 65-74 age group and 16 among people
aged 75 or over. The median age for an alcohol related death was 54 (Public Health Agency, 2011).
The Troubles in NI have impacted on mental health with cases of undiagnosed post-traumatic stress disorder and
self-medication, including through alcohol abuse (Gallagher, Hamber, & Joy, 2012). In NI, 17.1% of the over 45
population who had experienced a conflict-related trauma abused alcohol, compared to 4.8% who did not
experience any traumatic event (Ferry, Bolton, Bunting, Murphy, O'Neill, & Devine, 2012).
The Bamford Report (2005) noted an increase in the rate of alcohol misuse among the over 65s in NI and
suggested that the issue was not as visible as with other age groups (The Review of Mental Health and Learning
Disability, 2005). The Report quotes Atkinson and Kofoed (1982) in listing three reasons that the issue of alcohol
abuse may not be as visible among older people:
Underreporting by older people due to embarrassment or stigma
Less contact with the criminal justice system
The lower likelihood of encountering employment problems (Atkinson & Kofoed, 1982).
Alcohol abuse among older people
There is evidence to suggest that while older people do not consume as much alcohol as younger age groups,
they may experience problems at relatively low levels of alcohol use due to physiological changes. These
changes, such as decreased lean body mass and lower body water content, may result in a lowered tolerance to
alcohol (The Review of Mental Health and Learning Disability, 2005).
A 2011 report published in the UK by the Royal College of Psychiatrists in June 2011, suggested reducing the
daily recommended alcohol limit for older people to an upper limit of an average of 1.5 units a day (averaged over
a week). It also suggested reclassifying binge drinking for older people as the consumption in a single session of
more than 4.5 units for men and more than 3 units for women. As noted in Age and Ageing in 2013, this would
mean three million older people in England would be at risk of alcohol-related harm (British Geriatrics Society,
2013).
5. 5
AUGUST 2013
A study of alcohol use disorders in older people in England in 2006 noted that “current diagnostic criteria and
common screening instruments for alcohol use disorders may not be appropriate for elderly people”. The same
research showed that older people are just as likely to benefit from treatment as younger people and that the
principles of treatment are much the same (Dar, 2006).
There are two recognisable patterns in terms of alcohol abuse among the older population.
The first pattern is early onset, whereby people develop problems at younger ages and have likely been
alcoholics throughout their lives. Older people in this group are more likely to have psychiatric illness, cirrhosis
and organic brain syndromes (Menninger, 2002). Two-thirds of older alcohol abusers fall into this category.
The second pattern is late onset, accounting for one third of older people who abuse alcohol, and who first
develop problems at 40-50 years of age. This group tends to be highly educated and a stressful life event
frequently precipitates or exacerbates their drinking. Late onset alcoholics tend to have fewer mental and
physical health problems and are more likely to be able to recover. A longitudinal study found an overall stable
remission rate of 21% in late onset alcoholics after four years, with late onset alcoholics almost twice as likely as
those with early-onset alcoholism to have stable remission with treatment (Schutte, Brennan, & Moos, 1994).
Figure 4 below shows the key factors associated with heavy drinking among older people. In older age groups
there are particular categories of people who are at risk of having alcohol problems, notably men living alone,
people who are socially excluded and those in higher socio-economic groups.
Figure 4: Key factors associated with heavy drinking among older people
Source: adapted from Dar (2006)
6. 6
AUGUST 2013
In addition to the key factors outlined in Figure 4, a life-changing event at any stage of the life cycle can be
associated with alcohol misuse in older age groups. These can be emotional or social problems such as a
bereavement or loss of occupation; medical problems such as chronic pain or a physical disability; or practical
problems such as reduced coping skills or being unable to take care of oneself as well as previously.
Figure 5: Life changes associated with alcohol misuse among older people
Source: Dar (2006)
Dar (2006) identifies several barriers to identifying alcohol misuse among older people:
Societal myths
Health practitioners’ awareness and attitudes
Denial by the person
Similarities between the symptoms of alcoholism and those of other conditions
Unreliability of self-reports
Screening instruments that are not designed to be used with older people (Dar, 2006).
It is important that social services and community groups that have contact with at-risk older people are aware of
these barriers and policymakers should take them into account when approaching policy for alcohol misuse
among older people.
Health issues
As with all other age groups, alcohol use can lead to a wide range of physical, mental and social problems. The
direct effect of excessive alcohol use in older people can lead to an increased risk or likelihood of exacerbating
health problems such as:
Coronary heart disease
Hypertension
Stroke
Insomnia
Gastrointestinal problems
Incontinence
Osteoporosis
Parkinson’s Disease
Self-neglect, including poor nutrition, poor hygiene and hypothermia
Increased incidence of cancer of the liver, oesophagus, nasopharynx and colon
Cirrhosis of the liver
7. 7
AUGUST 2013
In addition, alcohol has been identified as one of the three main contributing factors to falls, which are a major
source of mortality and ill health in older people (Wright & Whyley, 1994). There is also the risk that older people
will be mixing alcohol with one or more prescription drugs.
The relationship between alcohol and dementia is not fully understood. However, a 2003 study indicated that the
risk of dementia was lower in people who had 1 to 6 drinks per week compared to those who abstained from
alcohol completely. It was also lower in those who had 7 to 13 drinks per week but for people who drank 14 or
more drinks per week, the risk of dementia was higher (Mukamal et al., 2003).
Policy in ROI
Healthy Ireland, the framework for improved health and wellbeing in ROI, has a key performance indicator of
decreasing alcohol consumption across the population. The target is to reduce the amount of alcohol consumed
by people over the age of 15 years to an annual per capita consumption of 9.2 litres of pure alcohol. In 2010 this
consumption was 11.9 litres per capita (Department of Health, 2013).
The 2012 Steering Group Report on a National Substance Misuse Strategy envisages an integrated approach to
tackling the problem of substance misuse among the ROI population. It notes the potential for researching certain
groups in society, including older people, to better understand attitudes and behaviours when it comes to alcohol.
However, the focus of the report is younger age groups, with no specific actions listed to confront the challenges
associated with alcohol misuse among people aged 65 and over (Department of Health, 2012).
The Health Promotion Agency of the Health Services Executive (HSE) has a website (www.yourdrinking.ie) which
aims to raise awareness of alcohol misuse in ROI. There is a dedicated section for “Young people and alcohol”
but not for older age groups. The national charity Alcohol Action Ireland does has a specific section entitled
“Older People and Alcohol” on its website which notes that older people are more susceptible to the effects of
alcohol due to their body’s decreasing ability to break it down (Alcohol Action Ireland, 2013).
The results of a survey of ROI healthcare professionals published in 2012 show that while knowledge of the topic
of alcohol misuse among older people was high, the majority of respondents had not undertaken specialist
training in alcohol disorders among older people. The research concluded that healthcare professionals in ROI
“would benefit from further education which focuses on intervention strategies in order to ensure that the needs of
older people with alcohol disorders are appropriately addressed” (Waldron & McGrath, 2012).
Policy in NI
The second phase of the New Strategic Direction for Alcohol and Drugs 2011-2016 was published in by the
Department of Health, Social Services and Public Safety (DHSSPS) in NI in 2011 (DHSSPS, 2011). It seeks a
much greater focus on reducing the health and community harms, including anti-social behaviour and serious
violent crime, arising from alcohol misuse. There is also a Young People’s Drinking Action Plan but no specific
plan of action for the assessment or treatment of alcohol misuse among the older population in NI. One of the
categories of people at risk or vulnerable in the document is “Older people drinking hazardously, dangerously or
[who are] dependant on alcohol and/or addicted to/misusing drugs”. In addition, a short-term outcome from the
strategy is to support education and training for professionals, carers and families in relation to substance misuse
problems in older people.
Alcohol, drugs and older people was published by the NI Public Health Agency in 2013. It is aimed at older
people in NI who may be concerned about their alcohol intake. The rationale was that alcohol misuse among
older age groups is often hidden, or the signs and symptoms are mistaken for other physical or mental health
problems. The booklet also notes that older people are often not asked questions about alcohol or drug
use as they are assumed not to be a problem. Older people can seek assistance from Addiction NI, a charity for
alcohol and drug misuse which has a focus on older members of the population (Public Health Agency, 2013).
The British Association of Social Workers produced an information guide in 2012 entitled Alcohol & Older People.
It notes that “social workers should be able to utilise their role and generic skills to intervene confidently and
effectively when they encounter alcohol use in their work with older people”. The guide suggests the use of
screening tools such as the Alcohol Use Disorders Identification Test or the Michigan Alcoholism Screening Test
to identify problems with alcohol use in older people (British Association of Social Workers, 2012).
8. 8
AUGUST 2013
In June 2013, it was announced that the Big Lottery Fund would contribute £25 million to a UK-wide programme,
Rethink Good Health, to tackle late onset of alcohol misuse amongst older people. It was noted that an estimated
1.4 million older men and women across the UK drink more than the safety limits. In England in 2012/13 there
were more admissions to hospital of pensioners for alcohol-related injuries and illness than of 16 to 24 year olds
(Big Lottery Fund, 2013).
Conclusion
Alcohol misuse is a very real part of life for some older people yet the policy and media focus on the issue tends
to be concentrated on younger age groups.
If they are exceeding recommended weekly limits for consumption, older drinkers can be susceptible to a variety
of physical and mental health issues, as well as an increased risk of falls and dangerous interactions with
prescription medications.
It is important that social workers and those caring for older people can identify and know how to best approach
an alcohol problem in an older person and that any strategy on alcohol misuse be relevant for older as well as
younger age groups.
BIBLIOGRAPHY
Alcohol Action Ireland. (2013). Older People and Alcohol. Retrieved July 23, 2013, from www.alcoholireland.ie.
Atkinson, R., & Kofoed, L. (1982). Alcohol and Drug Abuse In Old Age: A Clinical Perspective. Substance And
Alcohol Actions/Misuse, 3: 353 – 368.
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