{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:20:31Z","timestamp":1777944031175,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Aging Health"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Alcohol use in later life may pose health risks that are hidden by contemporaneous measures or slowly accumulating outcomes. We examined whether alcohol use predicts subsequent healthcare utilization among midlife and older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using 2012\u20132022 Health and Retirement Study data, we estimated fixed-effects negative binomial models of within-person associations between alcohol use and hospitalizations and doctor visits. Contemporaneous and 2-year lagged alcohol measures were evaluated, and interactions with chronic disease burden were tested.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Contemporaneous models consistently showed fewer hospitalizations among drinkers. Lagged models showed a less protective and, for hospitalizations, more adverse pattern two years later. For doctor visits, lagged main effects were less consistent. Prior drinking predicted greater subsequent utilization as chronic conditions increased.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings suggest that recent drinking history may reveal risks not apparent from current drinking alone and may be especially important among older adults with multimorbidity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08982643261447935","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:07:12Z","timestamp":1777421232000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Alcohol Use and Healthcare Utilization Among Midlife and Older Adults"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5321-3363","authenticated-orcid":false,"given":"Jennifer","family":"Caputo","sequence":"first","affiliation":[{"name":"Public Health, Westat"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7644-1035","authenticated-orcid":false,"given":"Tabitha","family":"Murdoch","sequence":"additional","affiliation":[{"name":"Public Health, Westat"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0439-5407","authenticated-orcid":false,"given":"Sushmita Shoma","family":"Ghose","sequence":"additional","affiliation":[{"name":"Public Health, Westat"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1200-3359","authenticated-orcid":false,"given":"Mustafa","family":"Karakus","sequence":"additional","affiliation":[{"name":"Public Health, Westat"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(22)00317-6"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2020.1793903"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v38.1.14"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-1297"},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781139013567"},{"key":"e_1_3_8_7_1","volume-title":"Alcohol related disease impact (ARDI) application","author":"Centers for Disease Control and Prevention","year":"2024","unstructured":"Centers for Disease Control and Prevention. (2024). Alcohol related disease impact (ARDI) application. 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Alcohol drinking patterns. https:\/\/www.niaaa.nih.gov\/alcohols-effects-health\/alcohol-drinking-patterns. Accessed December 2025."},{"key":"e_1_3_8_21_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.1371"},{"key":"e_1_3_8_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-08326-2"},{"key":"e_1_3_8_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.24495"},{"key":"e_1_3_8_24_1","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.1995.1038"},{"key":"e_1_3_8_25_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2016.77.185"},{"key":"e_1_3_8_26_1","volume-title":"National survey on drug use and health (NSDUH) 2024","author":"Substance Abuse and Mental Health Services Administration","year":"2025","unstructured":"Substance Abuse and Mental Health Services Administration. (2025). National survey on drug use and health (NSDUH) 2024. 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