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Women over 50 who use alcohol and their engagement with primary and preventative health services: a narrative review using a systematic approach

Women over 50 who use alcohol and their engagement with primary and preventative health services:... Abstract Background Women who are over 50 years are drinking alcohol in higher quantities and more frequently than in previous decades. Good engagement with primary care is crucial for women’s physical and psychological health, particularly if they use alcohol. However, there is little known about the alcohol use of women over 50 and their use of primary care. Methods A systematic search was conducted on six databases; CINAHL, Medline, PsycINFO, Academic Search Complete, EMBASE and Web of Science to identify literature on primary health care engagement of women 50 years and older (50+) who use alcohol. Titles and abstracts were reviewed and full texts were independently reviewed by two researchers. A narrative review, critical appraisal and synthesis of the eligible studies produced common themes and key findings. Results After excluding 3822 articles, 13 articles were deemed eligible for the review. For this age group (50+), findings were: 1) women who drink heavily were less likely than men to attend General Practitioners (GPs), moderate drinkers were more likely than abstainers to attend mammogram screening, 2) GPs were less likely to ask questions or discuss alcohol with women than with men, 3) GPs offered less advice on alcohol to women than to men, and 4) less women than men received alcohol screening from their GP. Discussion While women 50+ are drinking more, their alcohol use is underreported and insufficiently provided for in primary health. As women’s life expectancy increases, improved GP engagement will benefit women’s health and reduce future healthcare costs. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Addictive Diseases Taylor & Francis

Women over 50 who use alcohol and their engagement with primary and preventative health services: a narrative review using a systematic approach

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References (30)

Publisher
Taylor & Francis
Copyright
© 2023 Taylor & Francis Group, LLC
ISSN
1545-0848
eISSN
1055-0887
DOI
10.1080/10550887.2023.2190869
Publisher site
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Abstract

Abstract Background Women who are over 50 years are drinking alcohol in higher quantities and more frequently than in previous decades. Good engagement with primary care is crucial for women’s physical and psychological health, particularly if they use alcohol. However, there is little known about the alcohol use of women over 50 and their use of primary care. Methods A systematic search was conducted on six databases; CINAHL, Medline, PsycINFO, Academic Search Complete, EMBASE and Web of Science to identify literature on primary health care engagement of women 50 years and older (50+) who use alcohol. Titles and abstracts were reviewed and full texts were independently reviewed by two researchers. A narrative review, critical appraisal and synthesis of the eligible studies produced common themes and key findings. Results After excluding 3822 articles, 13 articles were deemed eligible for the review. For this age group (50+), findings were: 1) women who drink heavily were less likely than men to attend General Practitioners (GPs), moderate drinkers were more likely than abstainers to attend mammogram screening, 2) GPs were less likely to ask questions or discuss alcohol with women than with men, 3) GPs offered less advice on alcohol to women than to men, and 4) less women than men received alcohol screening from their GP. Discussion While women 50+ are drinking more, their alcohol use is underreported and insufficiently provided for in primary health. As women’s life expectancy increases, improved GP engagement will benefit women’s health and reduce future healthcare costs.

Journal

Journal of Addictive Diseases – Taylor & Francis

Published: Mar 13, 2023

Keywords: Women’s health; aging; women over 50; alcohol; primary health care; preventative health

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