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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

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From Newcastl astle. . For Hea ealt lthy y Ageing.

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

CADR programme seminar Wednesday 30th October 2019

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2

‘Risky Drinkers’

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‘Risky Drinkers’

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Wh Why do y do you dri

  • u drink?

nk?

?

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How w kn knowl wledge edge was s developed eloped How we can understand older people’s decisions (3 ideas) eas) Wh What t th this s me means ns for

  • r ho

how w we e su supp ppor

  • rt

t th the ol e older der age ge gr group up Conclude nclude

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How w kn knowl wledge edge was s developed eloped How we can understand older people’s decisions (3 ideas) eas) Wh What t th this s me means ns for

  • r ho

how w we e su supp ppor

  • rt

t th the ol e older der age ge gr group up Conclude nclude

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Heal Health & th & ps psychosocial chosocial fac actor

  • rs
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Non-dependent late-life drinking

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How w kn knowl wledge edge was s developed eloped How we can understand older people’s decisions (3 ideas) eas) Wh What t th this s me means ns for

  • r ho

how w we e su supp ppor

  • rt

t th the ol e older der age ge gr group up Conclude nclude

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Soci cialise ised d & & Rout utin inise ised

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Social ial & Emotional tional Wellbe being ing

Perce ceiving ving Risk sk

2 3

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Per erce ceiving ving Risk sk

Social ial & Emoti tional

  • nal

Wellbe being ing

Soci cialise ised d & & Routi tinise ised

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norms

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Responsible

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“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
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SLIDE 25 Photo: Drink Wise Age Well

Responsible

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Retirement

Loss of partner

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“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.”

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Perce ceiving ving Risk sk

Social ial & & Emoti tional

  • nal

Wellbe being ing

Soci cial alise ised d & & Routi tinise ised

  • Influenc

fluence of social ial envi vironme

  • nment

nt

  • ‘Responsible drinkers’
  • Responsible ≠ low risk
  • Life

e change nges affect ect intake

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Perce ceiving ving Risk sk

Social ial & Emotional tional Wellbe being ing

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Social Connection

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“[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 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.”

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From Newcastle. For the world.

http://www.justmuddlingthroughlife.com/2015/05/642-things-park-bench.html

Emotional Wellbeing

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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.”

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From Newcastle. For the world.

http://www.justmuddlingthroughlife.com/2015/05/642-things-park-bench.html

Emotional Wellbeing

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From Newcastle. For the world.

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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

  • wn. 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”

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Soci cialise ised d & & Rout utin inise ised

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Social ial & Emotional tional Wellbe being ing

Perce ceiving ving Risk sk

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Valued ued roles es for: r:

  • Conn

nnecti cting ng with h others

  • thers
  • Lookin
  • oking

g after er emo moti tion

  • nal

l well llbeing being

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Perce ceiving ving Risk sk

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Health messages

Current Guidelines Harms of Drinking Previously Suggested Health Benefits Former Guidelines

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“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

  • nes 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.”

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Signs & Symptoms

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“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

  • n. There’s nothing in your internal
  • rgans ringing bells.” So because I’ve

been following this drinking habit for quite some time, 30 years now, it

  • bviously isn’t having a det- I don’t

think it’s having a detrimental effect

  • n my body.”
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From Newcastle. For the world.

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Increased Wariness Apathy

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From Newcastle. For the world.

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Soci cialise ised d & & Rout utin inise ised

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Social ial & Emotional tional Wellbe being ing

Perce ceiving ving Risk sk

2 3

  • Public

ic health th messages sages disrega egarde ded

  • Sympt

mptoms

  • ms + screening

eening make e risks s relevan ant

  • No contr

trol

  • l = no percei

eived ed bene nefit it

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How w kn knowl wledge edge was s developed eloped How we can understand older people’s decisions (3 ideas) eas) Wh What t th this s me means ns for

  • r ho

how w we e su supp ppor

  • rt

t th the ol e older der age ge gr group up Conclude nclude

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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

  • l for Primar

ary Care Resea earch ch funded ded project ct E: bet eth. h.bareham areham@ncl.ac. @ncl.ac.uk uk @BKBar Bareh eham am