Stability in the drinking habits of older problem-drinkers recruited from nontreatment settings

Few prospective studies have examined older problem-drinkers not currently in treatment to determine the stability in alcohol problems over time. Seve nty-eight currently drinking, older adults meeting a diagnosis of alcohol a buse or dependence were recruited via advertising to complete a health inte rview; 48 were reinterviewed approximately 3 years later. Participants were categorized based on alcohol consumption (risk) and alcohol-related diagno stic symptoms (problem) at baseline and follow-up. At follow-up, few older adults (11.4%) were resolved using both risk and problem criteria. Alcohol risk/problem groups were not significantly stable between baseline and foll ow-up. Health problems was the most common reason for changing drinking hab its. Average and maximum consumption at baseline and follow-up were signifi cant markers of follow-up risk group and follow-up alcohol-related conseque nces, respectively, with maximum consumption being more robust. The course of alcohol problems among older adults fluctuates over time, and heavy drin king appears to be the best indicator of problem continuation. (C) 2000 Els evier Science Inc. All rights reserved.