Contextualizing Psychosocial Determinants of Alcohol Use by Age Cohorts of Adults Living With HIV, Ages 50 and Older.
Zachary L Mannes, Larry E Burrell, Eugene M Dunne and 2 others
PMID 28003102WHAT IT FOUND
In older Black adults with HIV, anger and life stress were linked to more drinking among those aged 50-59; social support was linked to less drinking among those 60 and older.
Cross-sectional links, not cause.
Key findings
01In participants aged 50-59, trait anger and state anger were significantly associated with more drinking days per week.
02In participants aged 50-59, trait anger, state anger and life stress were significantly associated with the maximum number of drinks on one occasion.
03In participants aged 60 and older, social support was negatively associated with alcohol consumption measures, although the overall model for drinking days was not significant.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
All participants were Black adults living with HIV aged 50 and older, so the findings may not apply to other races, younger adults or people without HIV. The sample was small, especially the 60 and older group with 20 participants, so age-specific associations are uncertain. The design was cross-sectional, so it cannot show whether psychosocial factors led to drinking or drinking was linked to psychosocial states. Alcohol consumption was self-reported.
Declared interests
The authors report no real or perceived vested interests that could be construed as a conflict of interest.
The easy way to misread this
Do not conclude that reducing anger, stress or increasing social support will reduce alcohol use. The study was cross-sectional and could not determine causality.