{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:43:02Z","timestamp":1787013782696,"version":"build-2736575974"},"reference-count":66,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2019\u201001453"],"award-info":[{"award-number":["2019\u201001453"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100016033","name":"Waldemar von Frenckells Stiftelse","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016033","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcohol, Clinical and Experimental Research"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alcohol consumption is a leading modifiable risk factor for a range of diseases and social harms globally. Older adults are vulnerable to alcohol\u2010related harms due to physiological changes, multimorbidity, and medication use; however, many older adults continue to drink at high\u2010risk levels. This study examined the prevalence and gender\u2010specific correlates of hazardous and heavy episodic drinking (HED) among Swedish and Finnish community\u2010dwelling older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross\u2010sectional data from the 2021\/2022 Gerontological Regional Database (GERDA) survey included 11,747 participants aged 65, 70, 75, 80, 85 and 90\u2009years. Missing data were multiple imputed by chained equations. Hazardous drinking was defined as an AUDIT\u2010C score of four or more, and HED was defined as consuming six or more drinks on a single occasion at least monthly. Sociodemographic, psychosocial, functional status, and health\u2010related factors were analyzed using multinomial and logistic regression models, stratified by gender and accounting for regional differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 30.2% (95% CI, 29.0\u201331.4) of men and 9.8% (95% CI, 9.1\u201310.6) of women were classified as hazardous drinkers. HED prevalence was 13.0% (95% CI, 12.1\u201313.9) in men and 2.9% (95% CI, 2.5\u20133.3) in women. Hazardous drinking and HED in women were associated with higher socioeconomic status and psychosocial stressors, such as depression and bereavement, while functional and health\u2010related factors were significant predictors of problematic alcohol use in men. Across both genders, religious participation was a protective factor, while self\u2010reported cardiovascular disease was associated with increased risk of hazardous drinking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hazardous and are prevalent among older adults in Sweden and Finland with some regional differences, and notable gender differences in associated risk factors. There is a need for interventions that focus on strengthening resilience to psychosocial stressors and provide older adults with clear, consistent health communication about alcohol's harmful effects on cardiovascular and overall health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.70098","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T15:00:25Z","timestamp":1754060425000},"page":"1744-1758","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prevalence and gender\u2010specific correlates of hazardous and binge drinking among Swedish and Finnish older adults"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4378-6803","authenticated-orcid":false,"given":"Wossenseged Birhane","family":"Jemberie","sequence":"first","affiliation":[{"name":"Department of Social Work Ume\u00e5 University  Ume\u00e5 Sweden"},{"name":"Centre for Demography and Aging Research (CEDAR) Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5050-3720","authenticated-orcid":false,"given":"Johan","family":"Niklasson","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and Rehabilitation, Geriatric Medicine, Sunderby Research Unit Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5054-8240","authenticated-orcid":false,"given":"Knut","family":"L\u00f6nnroth","sequence":"additional","affiliation":[{"name":"Department of Global Public Health Karolinska Institutet  Stockholm Sweden"},{"name":"Government of \u00c5land  Mariehamn, \u00c5land Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3989-609X","authenticated-orcid":false,"given":"Erika","family":"Boman","sequence":"additional","affiliation":[{"name":"Department of Nursing Ume\u00e5 University  Ume\u00e5 Sweden"},{"name":"Department of Research and Development \u00c5land University of Applied Sciences  Mariehamn, \u00c5land Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,1]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2498"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19148248"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13893"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S104807"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.2340\/165019771989171177"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780192844484.001.0001"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afy069"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1300\/J374v02n03_03"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-2766-x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e318190b8ef"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2014.977775"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.2307\/2532457"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)00847-9"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.16.1789"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13217"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/11.3.260"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.12079"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198119826259"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/109019819802500603"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11121-007-0070-9"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cks044"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13859"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0205956"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afh046"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16071"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2015-206949"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2022.107345"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2657"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-011-0115-4"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.15907"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-023-04573-y"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/009145099902600102"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/145507250902600202"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-015-9725-8"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1159\/000504363"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.03.006"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13901"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-017-0621-2"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2022.808776"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2003.019471"},{"key":"e_1_2_11_42_1","unstructured":"NBHW. (2024)Interventions for risky alcohol use: recommendations for healthcare and dental care[Insatser vid riskbruk av alkohol: Rekommendationer till h\u00e4lso\u2010 och sjukv\u00e5rden och tandv\u00e5rden]."},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(20)30052-9"},{"key":"e_1_2_11_44_1","unstructured":"Ramstedt M.&Guttormsson U.(2024)At\u2010risk alcohol consumption in Sweden based on the new drinking guidelines[Kortfakta 04 \u2013 Riskbruk av alkohol i Sverige enligt nya riktlinjer] (short report no. 04). Stockholm: The Swedish Council for Information on Alcohol and Other Drugs."},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022146515628028"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.13757"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(17)30003-8"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/1455072520954335"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011827"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agn041"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.22439\/asca.v49i1.5460"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-022-02842-w"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0b013e3283193e6e"},{"key":"e_1_2_11_54_1","unstructured":"THL. (2022a)Persons who drink too much alcohol (AUDIT\u2010C) (%) age 65 and over. Results as graphs\u2010statistics and indicator bank. Available from:https:\/\/sotkanet.fi\/sotkanet\/en\/kaavio?indicator=szY0iQIA&region=szZ3tc7UMwQA&year=sy5zBgA=&gender=m;f;t&t=bar[Accessed 23rd January 2025]."},{"key":"e_1_2_11_55_1","unstructured":"THL. (2022b)Persons who engage in binge drinking (AUDIT\u2010C) (%) age 65 and over (ind. 4420). The Finnish Institute for Health and Welfare Sotkanet Metadata. Available from:https:\/\/sotkanet.fi\/sotkanet\/en\/metadata\/indicators\/4420[Accessed 23rd January 2025]."},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2011.02.008"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2020.1773597"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2022.2076208"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckae195"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10433-021-00642-6"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-18783-5"},{"key":"e_1_2_11_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.alcohol.2022.07.005"},{"key":"e_1_2_11_64_1","volume-title":"Global recommendations on physical activity for health","author":"WHO","year":"2010"},{"key":"e_1_2_11_65_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-3737.2006.00322.x"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.113.068122"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-023-02375-7"}],"container-title":["Alcohol, Clinical and Experimental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acer.70098","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/acer.70098","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acer.70098","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T02:32:59Z","timestamp":1777602779000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/acer.70098"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":66,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1111\/acer.70098"],"URL":"https:\/\/doi.org\/10.1111\/acer.70098","archive":["Portico"],"relation":{},"ISSN":["2993-7175","2993-7175"],"issn-type":[{"value":"2993-7175","type":"print"},{"value":"2993-7175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"2025-02-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}