Wi Wine ne-in ing Do Down n in in Reti tirem emen ent t Understanding the new ‘risky’ drinkers Dr Beth Bareham Institute of Health and Society E: beth.bareham@ncl.ac.uk @BKBareham From Newcastl astle. . For Hea ealt lthy y Ageing. CADR programme seminar Wednesday 30 th October 2019
‘Risky Drinkers’ ncl.ac.uk 2
‘Risky Drinkers’ ncl.ac.uk
ncl.ac.uk
ncl.ac.uk
ncl.ac.uk
ncl.ac.uk
ncl.ac.uk
Wh Why do y do you dri ou drink? nk? ? ncl.ac.uk
ncl.ac.uk
1 How w kn knowl wledge edge was s developed eloped How we can understand older people’s decisions (3 2 ideas) eas) Wh What t th this s me means ns for or ho how w we e su supp ppor ort t th the ol e older der age ge gr group up 3 Conclude nclude ncl.ac.uk
1 How w kn knowl wledge edge was s developed eloped How we can understand older people’s decisions (3 2 ideas) eas) Wh What t th this s me means ns for or ho how w we e su supp ppor ort t th the ol e older der age ge gr group up 3 Conclude nclude ncl.ac.uk
Heal Health & th & ps psychosocial chosocial fac actor ors
Non-dependent late-life drinking ncl.ac.uk
ncl.ac.uk
ncl.ac.uk
ncl.ac.uk
1 How w kn knowl wledge edge was s developed eloped How we can understand older people’s decisions (3 2 ideas) eas) Wh What t th this s me means ns for or ho how w we e su supp ppor ort t th the ol e older der age ge gr group up 3 Conclude nclude ncl.ac.uk
1 2 3 Social ial & Perce ceiving ving Risk sk Soci cialise ised d & & Emotional tional Rout utin inise ised Wellbe being ing ncl.ac.uk
1 2 3 Social ial & Per erce ceiving ving Risk sk Soci cialise ised d & & Emoti tional onal Routi tinise ised Wellbe being ing ncl.ac.uk
ncl.ac.uk
norms ncl.ac.uk
Photo: Drink Wise Age Well Responsible
Photo: Drink Wise Age Well “I think women my age, they don't want to let themselves down , but they enjoy a drink. So there's this cut-off point . […] I think somebody like [friend], I don't know his drinking habits. He enjoys a drink. Nobody enjoys a drink more. But he would be like me; he wouldn't drink a lot if he was driving. If he had children to look after, he wouldn't drink a lot. Responsible situations, you take total responsibility for your drink .”
Photo: Drink Wise Age Well Responsible
ncl.ac.uk
Loss of Retirement partner
“when the boys were younger, I probably almost didn’t drink. It would probably be maybes be Christmas and New Year because, you know, a) it was the expense of it; you couldn’t afford it when you had young children and b) it just didn’t come into the equation, at all. I mean if we maybe’s went to a do at Christmas or New Year, you would maybes have a drink but, really, I was almost, I suppose, nearly teetotal in a sense, because it was so infrequent. Now, and I think a lot of our age group probably started drinking more from about fifty onwards, when the children were away and you had a bit more cash, a bit more a relaxed time .”
1 2 3 Social ial & & Perce ceiving ving Risk sk Soci cial alise ised d & & Emoti tional onal Routi tinise ised Wellbe being ing • Influenc fluence of social ial envi vironme onment nt • ‘Responsible drinkers’ • Responsible ≠ low risk ncl.ac.uk • Life e change nges affect ect intake
1 2 3 Social ial & Perce ceiving ving Risk sk Soci cialise ised d & & Emotional tional Rout utin inise ised Wellbe being ing ncl.ac.uk
Social Connection ncl.ac.uk
“[Drinking makes conversation] easier for me. Because as I said, I’m not a good mixer with people I don’t know. As I say, we sit in company and we’ve got the same friends for years and years. So, it’s easy to get on with everybody . On the Sunday night there’s a live band on at the club and I get up and dance , which I really look forward to. Yes, that’s part of my ncl.ac.uk social life as well. I love it. But then I’ve had a few drinks by then . I’ve had two ciders by then. Gives me a bit of confidence . ”
Emotional Wellbeing From Newcastle. For the world. http://www.justmuddlingthroughlife.com/2015/05/642-things-park-bench.html
“[When my wife died] she was 56 and I was 53. Then, I started going out more. Then, I just started… well, I was not getting drunk, but I was drinking a lot more every day to get out of the house . I was also meeting people in the bar to play dominoes . I was playing dominoes all the time.” From Newcastle. For the world. http://www.justmuddlingthroughlife.com/2015/05/642-things-park-bench.html
Emotional Wellbeing From Newcastle. For the world. http://www.justmuddlingthroughlife.com/2015/05/642-things-park-bench.html
From Newcastle. For the world.
“I go beyond them [alcohol use guidelines]. As I say, I’m never a great drinker, but I do go beyond them. So I think that they don’t apply to everyone . I know it has the same effect on everyone, the amount of alcohol you drink. I know that, but I’m not prepared to just sit in the house all night on my own . I believe that alcohol is bad for you . I do believe that, and I do believe that these units you’re allowed in a week is a true figure. But people tend , well, not to ignore them, but to try to put them to the back of their minds, because their social life and getting out and meeting people is more important to them ” From Newcastle. For the world.
1 2 3 Social ial & Perce ceiving ving Risk sk Soci cialise ised d & & Emotional tional Rout utin inise ised Wellbe being ing Valued ued roles es for: r: • Conn nnecti cting ng with h others others • Lookin ooking g after er emo moti tion onal l ncl.ac.uk well llbeing being
1 2 3 Social ial & Perce ceiving ving Risk sk Soci cialise ised d & & Emotional tional Rout utin inise ised Wellbe being ing ncl.ac.uk
Health messages Previously Suggested Health Current Benefits Guidelines Former Harms of Guidelines Drinking
“ I do pay a certain amount of attention to the government’s rules, but if they keep changing them. We’ve been told – I view the alcohol rules very much like all the other ones about food intake. It is, after all, food. We’ve been told not to eat butter, not to eat eggs. “Eat eggs. Eat butter. It’s good for you. It’s got a good mix of fatty acids. White meat’s good for you, but red meat isn’t.” You’re just told a load of rubbish, basically. You don’t believe a word of it. So, you reach the point where you look at what you think is sensible rather than believing the letter of the law, because it keeps changing .”
Signs & Symptoms
“I don’t [know that alcohol is not affecting my health]. I’m not a doctor. But, there is no – when I get my bloods checked every six months, the practice nurse will say, “Your bloods are spot on. There’s nothing in your internal organs ringing bells.” So because I’ve been following this drinking habit for quite some time, 30 years now, it obviously isn’t having a det- I don’t think it’s having a detrimental effect on my body.”
Increased Apathy Wariness 47 47 From Newcastle. For the world.
From Newcastle. For the world.
1 2 3 Social ial & Perce ceiving ving Risk sk Soci cialise ised d & & Emotional tional Rout utin inise ised Wellbe being ing • Public ic health th messages sages disrega egarde ded Sympt mptoms oms + screening eening make e risks s • ncl.ac.uk relevan ant • No contr trol ol = no percei eived ed bene nefit it
1 How w kn knowl wledge edge was s developed eloped How we can understand older people’s decisions (3 2 ideas) eas) Wh What t th this s me means ns for or ho how w we e su supp ppor ort t th the ol e older der age ge gr group up 3 Conclude nclude ncl.ac.uk
Dr Bet eth h Bareham ham Insti stitu tute e of Health h and Society ty, Newcastl astle e Un Univer ersity sity National ional Institut stitute e for Health h Resea earch ch School ol for Primar ary Care Resea earch ch funded ded project ct ncl.ac.uk E: bet eth. h.bareham areham@ncl.ac. @ncl.ac.uk uk @BKBar Bareh eham am
Recommend
More recommend
