Evidence map›Paper›PMID 29370214›Full record

SynthesisPloS one2018

Alcohol and older people: A systematic review of barriers, facilitators and context of drinking in older people and implications for intervention design.

Sarah Kelly, Olawale Olanrewaju, Andy Cowan, Carol Brayne, Louise Lafortune

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
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  9. Bidirectional relationships between pain and alcohol use among older adults: a scoping review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
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  13. The epidemiology of alcohol involved facial injuries.Oral and maxillofacial surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Sarah KellyCambridge Institute of Public Health, Forvie Site, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.ORCID 0000-0002-1114-2456
Olawale OlanrewajuCambridge Institute of Public Health, Forvie Site, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.
Andy CowanCambridge Institute of Public Health, Forvie Site, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.
Carol BrayneCambridge Institute of Public Health, Forvie Site, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.
Louise LafortuneCambridge Institute of Public Health, Forvie Site, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.
University of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHarmful alcohol consumption in older people has increased and effective approaches to understanding and addressing this societal concern are needed.

methodsSystematic review of qualitative studies in older populations (55+ years) to identify barriers, facilitators or context of drinking in older people. Multiple databases (MEDLINE, EMBASE, PsycINFO, CINAHL, CENTRAL, Social Sciences Citation Index, York Centre for Reviews and Dissemination, Cochrane database and grey literature) were searched from 2000 to February 2017 for studies in English, from OECD countries using MeSH terms and text words relating to alcohol combined with older age terms. Study quality was assessed using NICE methodology. The review is reported according to PRISMA.

resultsDrinking in older people is strongly linked to social engagement and there is scepticism about the health risks of alcohol. Drinking was also linked to difficulties such as social isolation, illness or bereavement. Alcohol can be related to routines and identity. However, older people often regulate their own drinking and strategies that emphasise the life experience of older people to drink wisely could be helpful.

conclusionsTo be effective societal approaches need to take into account contexts of risks for harmful drinking. The evidence supports a strong social role for drinking alcohol which should be taken into account in any policy development with the potential benefits of social participation for cognitive health. Approaches to reducing alcohol use in older people need to avoid paradoxical harm, with a need for approaches that reduce harm from drinking alcohol but retain the benefit of socialising.

Indexed as

AgedAge FactorsAlcohol DrinkingCrisis InterventionFemaleHealth PromotionHumansMaleMiddle AgedRisk FactorsSocial Environment

Identifiers

PMID29370214
PMCPMC5784942
OpenAlexW2793412531

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.