Alcohol use by older adults is common, yet the risks and/or benefits of dri
nking, especially moderate drinking, are not well understood. Heavy drinkin
g is a well-established factor in causing disability and excessive mortalit
y among all age groups, including the elderly. However, literature is emerg
ing that suggests that among elders with chronic medical and emotional heal
th disorders, even modest alcohol consumption can lead to excessive disabil
ity and poorer perceived health. This article reviews the current literatur
e on alcohol use and the relationship to common health problems in late lif
e and suggests a model for examining the interaction of alcohol use and dis
ability. Implications for intervention development are also discussed.