RESUMEN
The ageing population is rapidly increasing worldwide, and the alcohol-related disease burden in most Western countries is on the rise. However, very few studies assess alcohol use in older people. Here, a self-reported questionnaire was administered to all individuals aged 70 years or more who visited a social centre for older people in western France. The average age of the 98 subjects included in the survey was 79 years (range, 70-97 years; SD=6), and 57.1% (n=56) reported weekly alcohol consumption. An average consumption of over two standard units each day during weekends was reported by 53% subjects (n=52), and the same on each weekday was reported by 34% (n=33). Thus, a significant proportion of subjects aged 70 years or over consumed more alcohol than is recommended in current guidelines. The participants also reported that they rarely discussed alcohol consumption with their general practitioners. Alcohol use should be assessed regularly. District nurses and members of the primary care team should recommend strategies to help older people reduce their alcohol consumption.
Asunto(s)
Consumo de Bebidas Alcohólicas/epidemiología , Anciano , Anciano de 80 o más Años , Enfermería en Salud Comunitaria , Femenino , Francia/epidemiología , Servicios de Salud para Ancianos , Humanos , Masculino , Estudios Prospectivos , Encuestas y CuestionariosRESUMEN
OBJECTIVE: The Loi Évin legislation restricts alcohol advertising in France and is more comprehensive than the self-regulation-based U.K. approach. Through contributions to news media and parliamentary processes, stakeholders can play an important role in framing the debate around public policy. This project therefore aimed to analyze how the Loi Évin has been represented since its inception in U.K. media and Parliament by the advertising and alcohol industries, politicians, and nongovernmental organizations. METHOD: Qualitative analysis of media and parliamentary documents using the hermeneutic method, analyzing contexts in which the Loi Évin was mentioned by stakeholders in the media and in Parliament. Print and trade media articles referencing the Loi Évin were retrieved from the ProQuest media archive [from 1985 to 2016]. U.K. parliamentary representations referencing the Loi Évin were obtained from the parliamentary database for publications and the Hansard parliamentary record. A total of 109 documents referencing the Loi Évin were identified, of which 71 met the inclusion criteria and were included for analysis. RESULTS: The alcohol and advertising industries have framed the Loi Évin as incompatible with European Union principles, irrational and ineffective, with arguments changing over time in response to landmark events and rulings. Supporters of Loi Évin-style legislation failed to counter industry framing of advertising as not contributing to increased consumption. CONCLUSIONS: The portrayal of the Loi Évin by industry in the United Kingdom is an important example of policy framing and provides evidence of the synergy between advertising and alcohol industry representatives in combatting legislation that could harm profits.
Asunto(s)
Publicidad/legislación & jurisprudencia , Consumo de Bebidas Alcohólicas/legislación & jurisprudencia , Bebidas Alcohólicas , Regulación Gubernamental , Medios de Comunicación de Masas/legislación & jurisprudencia , Participación de los Interesados , Publicidad/economía , Consumo de Bebidas Alcohólicas/economía , Consumo de Bebidas Alcohólicas/epidemiología , Bebidas Alcohólicas/economía , Francia/epidemiología , Humanos , Medios de Comunicación de Masas/economía , Reino Unido/epidemiologíaRESUMEN
INTRODUCTION: The elderly are the biggest consumers of Benzodiazepines (BZD) and/or BZD equivalents. However, the risks of developing addiction in this age group are often underestimated. METHOD: This study describes the nature and extent of addiction in the elderly using DSM IV items. RESULTS: We noted a high prevalence of addiction in our population and identified a two-factor profile in subjects of 65 years of age and older addicted to BZD/equivalents. CONCLUSION: This profile led us to reconsider anew the definition of addiction, the approach to addiction in this age group, and the way to prescribe treatment by BZD/equivalents in this population.