Association of Alcohol and Tobacco Consumption with Depression Severity in the Oldest Old. Results from the Age Different Old Age Cohort Platform

Janine Quittschalle, Alexander Pabst, Margrit Löbner, Melanie Luppa, Kathrin Heser, Michael Wagner, Hendrik van den Bussche, André Hajek, Hans-Helmut König, Birgitt Wiese, Matthias C. Angermeyer, Wolfgang Maier, Martin Scherer and Steffi G. Riedel-Heller
Additional contact information
Janine Quittschalle: Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, 04103 Leipzig, Germany
Alexander Pabst: Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, 04103 Leipzig, Germany
Margrit Löbner: Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, 04103 Leipzig, Germany
Melanie Luppa: Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, 04103 Leipzig, Germany
Kathrin Heser: Department of Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn, 53127 Bonn, Germany
Michael Wagner: Department of Neurodegenerative Diseases and Geriatric Psychiatry, University Hospital Bonn, 53127 Bonn, Germany
Hendrik van den Bussche: Department of Primary Medical Care, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany
André Hajek: Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany
Hans-Helmut König: Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany
Birgitt Wiese: Institute for General Practice, Hannover Medical School, 30625 Hannover, Germany
Matthias C. Angermeyer: Center for Public Mental Health, 3482 Gösing am Wagram, Austria
Wolfgang Maier: German Center for Neurodegenerative Diseases (DZNE), 53127 Bonn, Germany
Martin Scherer: Department of Primary Medical Care, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany
Steffi G. Riedel-Heller: Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, 04103 Leipzig, Germany

IJERPH, 2021, vol. 18, issue 15, 1-14

Abstract: This study aimed to examine the association of alcohol and tobacco use with severity of depression in older age. Analyses were performed on a pooled data set (n = 3724) from two German old-age cohort studies (LEILA 75+, 6 follow-ups and AgeCoDe/AgeQualiDe, 9 follow-ups). Depressive symptoms were assessed via two screening scales for depression (CES-D and GDS-15) which were harmonized for pooled analysis. A mixed-effects linear regression model for the total sample and additional stratified models for men and women were used. Smoking at baseline was significantly associated with a higher level of depression severity (? = 0.142, 95% CI: 0.051–0.233, p = 0.002), whereas drinking was significantly associated with a decreased level of depression (? = ?0.069, 95% CI: ?0.119–?0.021, p = 0.005). Concurrent substance use at baseline increased longitudinal depression severity (? = 0.193, 95% CI: 0.011–0.375, p = 0.037). Analyses stratified by gender showed a significant inverse association between drinking and depressive symptoms in men (? = ?0.138, 95% CI: ?0.231–?0.045, p = 0.004), but not in women (? = ?0.060, 95% CI: ?0.120–0.001, p = 0.052). Given the burden of major depression, it is important that health care providers, especially primary care physicians, assess and monitor lifestyle factors, even at older ages.

Keywords: depression; lifestyle factors; old age; gender differences (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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