{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:40:33Z","timestamp":1785490833312,"version":"3.56.0"},"reference-count":40,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2011,8,5]],"date-time":"2011-08-05T00:00:00Z","timestamp":1312502400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Older women who routinely drink alcohol may experience health benefits, but they are also at risk for adverse effects. Despite the importance of their drinking patterns, few studies have analyzed longitudinal data on changes in drinking among community-based samples of women ages 50 and older. Reported here are findings from a semi-parametric group-based model that used data from 4,439 randomly sampled U.S. women who enrolled in the Health and Retirement Study (HRS) and completed \u22653 biannual alcohol assessments during 1998\u20132008. The best-fitting model based on the drinks per day data had four trajectories labeled as \u201cIncreasing Drinkers\u201d (5.3% of sample), \u201cDecreasing Drinkers\u201d (5.9%), \u201cStable Drinkers\u201d (24.2%), and \u201cNon\/Infrequent Drinkers\u201d (64.6%). Using group assignments generated by the trajectory model, one adjusted logistic regression analysis contrasted the groups with low alcohol intake in 1998 (Increasing Drinkers and Non\/Infrequent Drinkers). In this model, baseline education, physical activity, cigarette smoking, and binge drinking were significant factors. Another analysis compared the groups with higher intake in 1998 (Decreasing Drinkers versus Stable Drinkers). In this comparison, baseline depression, cigarette smoking, binge drinking, and retirement status were significant. Findings underscore the need to periodically counsel all older women on the risks and benefits of alcohol use.<\/jats:p>","DOI":"10.3390\/ijerph8083263","type":"journal-article","created":{"date-parts":[[2011,8,5]],"date-time":"2011-08-05T12:29:59Z","timestamp":1312547399000},"page":"3263-3276","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Increasing and Decreasing Alcohol Use Trajectories Among Older Women in the U.S. Across a 10-Year Interval"],"prefix":"10.3390","volume":"8","author":[{"given":"Janet Kay","family":"Bobo","sequence":"first","affiliation":[{"name":"Centers for Public Health Research and Evaluation, Battelle Memorial Institute, 1100 Dexter Ave, North, Suite 400, Seattle, WA 98109, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"April A.","family":"Greek","sequence":"additional","affiliation":[{"name":"Centers for Public Health Research and Evaluation, Battelle Memorial Institute, 1100 Dexter Ave, North, Suite 400, Seattle, WA 98109, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2011,8,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"US Department of Agriculture, US Department of Health & Human Services (2010). Dietary Guidelines for Americans 2010, US Government Printing Office. [7th Edition]. Available online: http:\/\/www.cnpp.usda.gov\/Publications\/DietaryGuidelines\/2010\/PolicyDoc\/PolicyDoc.pdf (accessed on 2 January 2011).","DOI":"10.3945\/an.111.000430"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1080\/09595239800187201","article-title":"The benefits of alcohol in moderation","volume":"17","author":"Doll","year":"1998","journal-title":"Drug Alcohol Rev"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1056\/NEJMoa041152","article-title":"Effects of moderate alcohol consumption on cognitive function in women","volume":"352","author":"Stampfer","year":"2005","journal-title":"NEJM"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1210","DOI":"10.1212\/01.wnl.0000180520.35181.24","article-title":"Alcohol consumption and cognitive function in late life\u2014A longitudinal community study","volume":"65","author":"Ganguli","year":"2005","journal-title":"Neurology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1111\/j.1532-5415.2007.01040.x","article-title":"Women who maintain optimal cognitive function into old age","volume":"55","author":"Barnes","year":"2007","journal-title":"J. Am. Geriatr. Soc"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1097\/01.ALC.0000128382.79375.B6","article-title":"National Institute on Alcohol Abuse and Alcoholism report on moderate drinking","volume":"28","author":"Gunzerath","year":"2004","journal-title":"Alcohol Clin. Exp. Res"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1530-0277.2010.01286.x","article-title":"Late-life alcohol consumption and 20-year mortality","volume":"34","author":"Holahan","year":"2010","journal-title":"Alcohol Clin. Exp. Res"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1111\/j.1532-5415.2009.02184.x","article-title":"Functional limitations, socioeconomic status, and all-cause mortality in moderate alcohol drinkers","volume":"57","author":"Lee","year":"2009","journal-title":"J. Am. Geriatr. Soc"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1007\/s11606-010-1341-x","article-title":"Prevalence and correlates of at-risk drinking among older adults: The Project SHARE study","volume":"25","author":"Barnes","year":"2010","journal-title":"J. Gen. Intern. Med"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"646","DOI":"10.7326\/0003-4819-117-8-646","article-title":"Alcohol and mortality","volume":"117","author":"Klatsky","year":"1992","journal-title":"Ann. Intern. Med"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1111\/j.1360-0443.1995.tb02177.x","article-title":"Alcohol consumption and all-cause mortality","volume":"90","author":"Rehm","year":"1995","journal-title":"Addiction"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2375","DOI":"10.1111\/j.1532-5415.2010.03180.x","article-title":"Alcohol use trajectories in two cohorts of U.S. women ages 50\u201365 at baseline","volume":"58","author":"Bobo","year":"2010","journal-title":"J. Am. Geriatr. Soc"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1001\/archpsyc.1991.01810250054007","article-title":"Symptoms of tobacco withdrawal: A replication and extension","volume":"48","author":"Hughes","year":"1991","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"232","DOI":"10.15288\/jsa.2004.65.232","article-title":"Drinking patterns of older Americans: National Health Interview Surveys, 1997\u20132001","volume":"65","author":"Breslow","year":"2004","journal-title":"J. Stud. Alcohol"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"884","DOI":"10.15288\/jsa.2003.64.884","article-title":"Alcohol consumption by elderly Americans","volume":"64","author":"Breslow","year":"2003","journal-title":"J. Stud. Alcohol"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Bobo, JK, Greek, A, Klepinger, D, and Herting, JR (2011). Predicting 10-year alcohol use trajectories among men ages 50 and older, (Unpublished work).","DOI":"10.1097\/JGP.0b013e3182423b4b"},{"key":"ref_17","first-page":"878","article-title":"Integrating person-centered and variable-centered approaches in the study of developmental courses and transitions in alcohol use: Introduction to the special section","volume":"24","author":"Bates","year":"2000","journal-title":"Alcohol Clin. Exp. Res"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1111\/j.1360-0443.2008.02247.x","article-title":"Alcohol use trajectories among adults in an urban area after a disaster: Evidence from a population-based cohort study","volume":"103","author":"Cerda","year":"2008","journal-title":"Addiction"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"289","DOI":"10.15288\/jsa.1996.57.289","article-title":"Getting drunk and growing up: Trajectories of frequent binge drinking during the transition to young adulthood","volume":"57","author":"Schulenberg","year":"1996","journal-title":"J. Stud. Alcohol"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.3390\/ijerph7041432","article-title":"Alcohol trajectories over three years in a Swedish residence hall student population","volume":"7","author":"Stahbrandt","year":"2010","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1177\/0193841X07307317","article-title":"Nine-year psychiatric trajectories and substance use outcomes: An application of the group-based modeling approach","volume":"32","author":"Chi","year":"2008","journal-title":"Eval. Rev"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1037\/0278-6133.27.6.811","article-title":"Trajectories of smoking from adolescence to early adulthood and their psychosocial risk factors","volume":"27","author":"Costello","year":"2008","journal-title":"Health Psychol"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1177\/0049124106292364","article-title":"Advances in group-based trajectory modeling and a SAS procedure for estimating them","volume":"35","author":"Jones","year":"2007","journal-title":"Socio. Meth. Res"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1037\/1082-989X.4.2.139","article-title":"Analyzing developmental trajectories: A semiparametric, group-based approach","volume":"4","author":"Nagin","year":"1999","journal-title":"Psychol. Meth"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1177\/0049124101029003005","article-title":"A SAS procedure based on mixture models for estimating developmental trajectories","volume":"29","author":"Jones","year":"2001","journal-title":"Socio. Meth. Res"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Nagin, D (2005). Group-Based Modeling of Development, Harvard University Press.","DOI":"10.4159\/9780674041318"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1177\/0002716205280565","article-title":"What has been learned from group-based trajectory modeling? Examples from physical aggression and other problem behaviors","volume":"602","author":"Nagin","year":"2005","journal-title":"Ann. Am. Acad. Polit.Soc. Sci"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Heeringa, S, and Connor, J (1995). Technical Description of the Health and Retirement Survey Sample Design: Public Use Version, Health and Retirement Study. Available online: http:\/\/hrsonline.isr.umich.edu\/sitedocs\/userg\/HRSSAMP.pdf (accessed on 7 April 2010).","DOI":"10.7826\/ISR-UM.06.585031.001.05.0001.1995"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1977","DOI":"10.1001\/archinte.160.13.1977","article-title":"Screening for alcohol problems in primary care: A systematic review","volume":"160","author":"Fiellin","year":"2000","journal-title":"Arch. Int. Med"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1093\/geronb\/56.1.S3","article-title":"The impact of involuntary job loss on subsequent alcohol consumption by older workers: Findings from the Health and Retirement Survey","volume":"56B","author":"Gallo","year":"2001","journal-title":"J. Gerontol"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"501","DOI":"10.15288\/jsa.2001.62.501","article-title":"Life events and alcohol consumption among mature adults: A longitudinal analysis","volume":"62","author":"Perreira","year":"2001","journal-title":"J. Stud. Alcohol"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1046\/j.1360-0443.2002.00067.x","article-title":"Excess alcohol consumption and health outcomes: A 6-year follow-up of men over age 50 from the Health and Retirement Study","volume":"97","author":"Perreira","year":"2002","journal-title":"Addiction"},{"key":"ref_33","unstructured":"St Clair, P, Blake, D, Bugliari, D, Chien, S, Hayden, O, Hurd, M, Ilchuk, S, Kung, F-Y, Miu, A, and Panis, C (2010). RAND HRS Data Documentation, Center for the Study of Aging. Available online: http:\/\/www.rand.org\/labor\/aging\/dataprod.html (accessed on 2 January 2011)."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1016\/j.addbeh.2006.03.016","article-title":"Substance use disorder trajectory classes: Diachronic integration of onset age, severity, and course","volume":"31","author":"Clark","year":"2006","journal-title":"Addict. Behav"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1111\/j.1530-0277.2010.01195.x","article-title":"Age-related changes in drinking patterns from mid- to older age: Results from the Wisconsin Longitudinal Study","volume":"34","author":"Molander","year":"2010","journal-title":"Alcohol Clin. Exp. Res"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1111\/j.1360-0443.2004.00760.x","article-title":"Ten-year patterns of alcohol consumption and drinking problems among older women and men","volume":"99","author":"Moos","year":"2004","journal-title":"Addiction"},{"key":"ref_37","unstructured":"Lowinson, JH, Ruiz, P, Millman, RB, and Langrod, JG (1992). Substance Abuse: A Comprehensive Textbook, Williams & Wilkins."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"2","DOI":"10.4278\/ajhp.0801104","article-title":"Do alcohol consumers exercise more? Findings from a national survey","volume":"24","author":"French","year":"2009","journal-title":"Sci. Health Prom"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1159\/000073722","article-title":"Alcohol consumption among middle-aged women: A population-based study of Swedish women","volume":"10","author":"Cedarfjall","year":"2004","journal-title":"Eur. Addict. Res"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"458","DOI":"10.2105\/AJPH.2003.019471","article-title":"Longitudinal patterns and predictors of alcohol consumption in the United States","volume":"95","author":"Moore","year":"2005","journal-title":"Am. J. Public Health"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/8\/8\/3263\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T21:56:58Z","timestamp":1760219818000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/8\/8\/3263"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8,5]]},"references-count":40,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2011,8]]}},"alternative-id":["ijerph8083263"],"URL":"https:\/\/doi.org\/10.3390\/ijerph8083263","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8,5]]}}}