ArticleAlpha psychiatry2026
Prevalence and Correlates of Problematic Alcohol Use Among Older Chinese Adults: A Study Combining Logistic Regression and Psychological Network Analysis.
Article in Alpha psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Alcohol use inflicts substantial harm on older adults; however, research in China remains limited. The association between alcohol use and depression at the symptom level is particularly unclear. This study examined the prevalence and correlates of problematic alcohol use (PAU) and the network structure of comorbid PAU and depressive symptoms among older Chinese adults. Methods: A cross-sectional survey was conducted with 2643 adults aged ≥60 years in Wuhan, China. PAU was assessed using the Alcohol Use Disorders Identification Test (AUDIT), and depressive symptoms were measured with the 9-item Patient Health Questionnaire (PHQ-9). Multivariate logistic regression identified correlates of PAU. A regularized partial correlation network was constructed to examine the comorbid structure of AUDIT and PHQ-9 symptoms. Results: The prevalence of any alcohol use was 21.0%, and that of PAU was 8.4%. Significant correlates of PAU included depressive symptoms (OR = 1.68, Conclusions: Depressive symptoms were strongly associated with PAU among older Chinese adults. Male sex, employment, rural residence, and low income increased the risk. Anhedonia and sleep disturbance emerged as pivotal depressive symptoms bridging PAU. Interventions targeting reward processing and sleep regulation may mitigate this comorbidity.
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