Alcohol and tobacco consumption concordance and its correlates in older couples in Latin America

Alcohol and tobacco consumption concordance and its correlates in older couples in Latin America

Author Alves Machado, Mayra Pires Autor UNIFESP Google Scholar
Opaleye, Davi Camara Autor UNIFESP Google Scholar
Pereira, Tiago Veiga Google Scholar
Padilla, Ivan Autor UNIFESP Google Scholar
Noto, Ana Regina Autor UNIFESP Google Scholar
Prince, Martin Google Scholar
Ferri, Cleusa Pinheiro Autor UNIFESP Google Scholar
Abstract AimAs little is known about alcohol and tobacco consumption concordance between older spouses in low- and middle-income countries, the present study aimed to estimate this in older couples from five Latin American countries. MethodsThis study is a secondary analysis of data collected between 2003 and 2007 by the 10/66 Dementia Research Group, from 1451 couples aged over 65 years from Cuba, the Dominican Republic, Peru, Mexico and Puerto Rico. Kappa statistic was used to assess the agreement of the behavior beyond chance, and logistic regression models with meta-analyses were used to estimate the factors associated with concordance. ResultsThe mean age of the total sample was 74.8 years (SD 6.6). The results showed high levels of agreement rates in relation to drinking and smoking (75.9% and 85% of couples, respectively, did not drink or smoke), which were beyond the agreement expected by chance. Increased age was associated with concordance on both being non-drinkers (OR 1.03, 95% CI 1.01-1.05) and non-smokers (OR 1.05, 95% CI 1.02-1.07); and having a larger social network was associated with less likelihood of the couple being non-drinkers (OR 0.93, 95% CI 0.88-0.98). Attending religious meetings was associated with increased likelihood of the couple being non-smokers (OR 1.19, 95% CI 1.01-1.41). Socioeconomic circumstances were not associated with couples' concordance. ConclusionsOlder Latin American couples have high levels of concordance in drinking and smoking habits, which increases with age, and were not associated with socioeconomic circumstances, but were with social network. This knowledge can assist the development of policies and interventions to promote health among this growing population. Geriatr Gerontol Int 2017; 17: 1849-1857.
Keywords aging
concordance
elderly
health behavior
spouses
xmlui.dri2xhtml.METS-1.0.item-coverage Hoboken
Language English
Sponsor Wellcome Trust Health Consequences of Population Change Programme
World Health Organization
US Alzheimer's Association
FONACIT/CDCH/UCV (Venezuela)
FAPESP (Fundacao de Amparo a Pesquisa do Estado de Sao Paulo)
AFIP (Associacao Fundo de Incentivo a Pesquisa)
CAPES (Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior)
Grant number Wellcome Trust Health Consequences of Population Change Programme: GR066133
Wellcome Trust Health Consequences of Population Change Programme: GR08002
US Alzheimer's Association: IIRG - 04 - 1286
FAPESP: 2012/19988-3
Date 2017
Published in Geriatrics & Gerontology International. Hoboken, v. 17, n. 11, p. 1849-1857, 2017.
ISSN 1444-1586 (Sherpa/Romeo, impact factor)
Publisher Wiley
Extent 1849-1857
Origin http://dx.doi.org/10.1111/ggi.12974
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000416330000010
URI https://repositorio.unifesp.br/handle/11600/58248

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