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

Author

Listed:
  • Janine Quittschalle

    (Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, 04103 Leipzig, Germany
    Shared first authorship.)

  • Alexander Pabst

    (Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, 04103 Leipzig, Germany
    Shared first authorship.)

  • 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
    German Center for Neurodegenerative Diseases (DZNE), 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
    Dipartimento di Sanità Pubblica, Università degli Studi di Cagliari, 09124 Cagliari, Italy)

  • Wolfgang Maier

    (German Center for Neurodegenerative Diseases (DZNE), 53127 Bonn, Germany
    Department of Psychiatry and Psychotherapy, University Hospital Bonn, 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)

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 (β = 0.142, 95% CI: 0.051–0.233, p = 0.002), whereas drinking was significantly associated with a decreased level of depression (β = −0.069, 95% CI: −0.119–−0.021, p = 0.005). Concurrent substance use at baseline increased longitudinal depression severity (β = 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 (β = −0.138, 95% CI: −0.231–−0.045, p = 0.004), but not in women (β = −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.

Suggested Citation

  • 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. Angerm, 2021. "Association of Alcohol and Tobacco Consumption with Depression Severity in the Oldest Old. Results from the Age Different Old Age Cohort Platform," IJERPH, MDPI, vol. 18(15), pages 1-14, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:7959-:d:602952
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    References listed on IDEAS

    as
    1. Shervin Assari & James L. Smith & Marc A. Zimmerman & Mohsen Bazargan, 2019. "Cigarette Smoking among Economically Disadvantaged African-American Older Adults in South Los Angeles: Gender Differences," IJERPH, MDPI, vol. 16(7), pages 1-16, April.
    2. Alexander Maier & Steffi G Riedel-Heller & Alexander Pabst & Melanie Luppa, 2021. "Risk factors and protective factors of depression in older people 65+. A systematic review," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-38, May.
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    Cited by:

    1. Dawid Majcherek & Arkadiusz Michał Kowalski & Małgorzata Stefania Lewandowska, 2022. "Lifestyle, Demographic and Socio-Economic Determinants of Mental Health Disorders of Employees in the European Countries," IJERPH, MDPI, vol. 19(19), pages 1-22, September.
    2. Felicia Ahlner & Hanna Falk Erhag & Lena Johansson & Madeleine Mellqvist Fässberg & Therese Rydberg Sterner & Jessica Samuelsson & Anna Zettergren & Margda Waern & Ingmar Skoog, 2022. "Patterns of Alcohol Consumption and Associated Factors in a Population-Based Sample of 70-Year-Olds: Data from the Gothenburg H70 Birth Cohort Study 2014–16," IJERPH, MDPI, vol. 19(14), pages 1-16, July.

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