Substance Abuse Among Older Adults

Kuerbis, Alexis; Sacco, Paul; Blazer, Dan G.; Moore, Alison

doi:10.1016/j.cger.2014.04.008

Cited by 333 publications

(250 citation statements)

References 123 publications

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“…While there is evidence that moderate alcohol use may be associated with decreases in morbidity and mortality among older adults (Kuerbis et al, 2014; Oslin, 2000; Thun et al, 1997), older adults with multiple chronic conditions are often particularly vulnerable to the negative effects of alcohol, especially when consuming alcohol in amounts exceeding NIAAA recommended drinking limits (Moore et al, 2006). In addition, there is a high prevalence among older adults who are prescribed medications that interact with alcohol (Breslow et al, 2015), which can lead to harmful effects (Moore et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

“…Given the aging Baby Boomer generation, which has higher reported rates of substance use compared to any generation preceding it (Johnson and Gerstein, 2000; Kuerbis et al, 2014), we hypothesize that there have been increases in alcohol use, including binge drinking and alcohol use disorders among older adults. One study noted increases in the rates of alcohol-related hospital admissions for older adults from 1993 to 2010 (Sacco et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Demographic trends of binge alcohol use and alcohol use disorders among older adults in the United States, 2005–2014

Han

Moore

Sherman

et al. 2017

Drug and Alcohol Dependence

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197

166

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Background Alcohol use is common among older adults, and this population has unique risks with alcohol consumption in even lower amounts than younger persons. No recent studies have estimated trends in alcohol use including binge alcohol and alcohol use disorders (AUD) among older adults. Methods We examined alcohol use among adults age ≥50 in the National Survey on Drug Use and Health (NSDUH) from 2005 to 2014. Trends of self-reported past-month binge alcohol use and AUD were estimated. Logistic regression models were used to examine correlates of binge alcohol use and AUD. Results The prevalence of both past-month binge alcohol use and AUD increased significantly among adults age ≥50 from 2005/2006 to 2013/2014, with a relative increase of 19.2% for binge drinking (linear trend p<0.001) and a 23.3% relative increase for AUD (linear trend p=0.035). While men had a higher prevalence of binge alcohol use and AUD compared to females, there were significant increases in both among females. In adjusted models of aggregated data, being Hispanic, male, and a smoker or illicit drug user were associated with binge alcohol use, while being male, a smoker, an illicit drug user, reporting past-year depression, or mental health treatment were associated with AUD. Conclusions Alcohol use among older adults is increasing in the US, including past-month binge alcohol use and AUD with increasing trends among females. Providers and policymakers need to be aware of these changes to address the increase of older adults with unhealthy drinking.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Demographic trends of binge alcohol use and alcohol use disorders among older adults in the United States, 2005–2014

Han

Moore

Sherman

et al. 2017

Drug and Alcohol Dependence

Self Cite

197

166

View full text Add to dashboard Cite

show abstract

“…Clinical treatment providers working with patients diagnosed with either FTD subtype may need to continue screening for and monitoring substance use patterns even after a FTD diagnosis is made – not assuming that substance use will remit with increased age and risk underdiagnosing a substance use disorder in an older adult 2, 44–48 . The one significant finding of a greater percentage of participants smoked in the last 30 days in the bvFTD subtype compared to the PPAPH subtype is consistent with the characteristic behavioral disinhibition of the bvFTD subtype.…”

Section: Discussionmentioning

confidence: 99%

Substance use history in behavioral-variant frontotemporal dementia versus primary progressive aphasia

Kalapatapu

Delucchi

Wang

et al. 2015

Journal of Addictive Diseases

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Background As older adults are prone to cognitive disorders, the interaction of the fields of substance use and misuse and cognitive neuroscience is an emerging area of research. Substance use has been reported in some subtypes of frontotemporal dementia (FTD), such as behavioral variant frontotemporal dementia (bvFTD). However, characterization of substance use in other subtypes of FTD, such as primary progressive aphasia (PPAPH), is unknown. Objective The objective of this baseline analysis was to explore whether any measures of substance use history differed significantly among bvFTD (n = 842) and PPAPH (n = 526) in a large national dataset. Design/Methods The National Alzheimer’s Coordinating Center’s (NACC) Uniform Data Set (UDS) study is a national dataset that collects data on patients with various cognitive disorders and includes some questions on substance use. We used each substance use variable as the outcome and the FTD subtype as the predictor. Results Total years smoked cigarettes, age when last smoked cigarettes, and average # of packs/day smoked when participants smoked, and any recent, remote, or combined recent/remote history of alcohol abuse or drug abuse did not significantly differ between the bvFTD and PPAPH subtypes (all p-values > 0.001). A significantly greater percentage of participants smoked in the last 30 days in the bvFTD subtype (10.4%, n = 834) compared to the PPAPH subtype (3.3%, n = 517) (p < 0.001). Discussion Clinical providers in both the dementia and substance use fields are encouraged to screen for and monitor substance use in all FTD subtypes.

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“…According to Kelfve, et al, [27] in Sweden, for example, alcohol consumption by people over the age of 90 has increased during the past 20 years of monitoring. Kuerbis, Sacco, Blazer and Moore [29] argue that insufficient attention has been paid to alcohol consumption in the elderly and that closer monitoring and active intervention should be undertaken in the future.…”

Section: Discussionmentioning

confidence: 99%

Finnish social and health care professionals’ perspective of the future

Hopia

Hakala

2015

IJH

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The aim of the study is to describe the perceptions on the future of professionals in the social services and healthcare sector in Finland. The study examines on what the sector will be like, what kind of competence will be required and how this will be obtained in 2025 and onwards. The sector will encounter major changes over the next decade and therefore more research is needed to identify how professionals view the future of their work. Eighty-three students (n = 83) studying for a master's degree in social services and healthcare participated in the study. The data was collected by means of the Futures Wheel method in 2014. The respondents generated a total of 424 statements that were analyzed with the thematic analysis method. The results showed that in the future the ageing population will form a new type of client group, and individual services will be offered equally to everyone. Technological solutions will be in active use within the social services and healthcare sector. A strong ability to change, adapt, and quickly reform the methods of working will be required in the future. Furthermore, professionals will increasingly be independently responsible for acquiring competence in the future. In result, the competence-related educational programmes will be more tailored to match the needs of working world. The results identified in the study should be taken into consideration when developing practices and reforming curriculums in healthcare and social services. Professionals should be able to predict the future of their sector, the choices and decisions affecting the future are being made now.

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Substance Abuse Among Older Adults

Cited by 333 publications

References 123 publications

Demographic trends of binge alcohol use and alcohol use disorders among older adults in the United States, 2005–2014

Demographic trends of binge alcohol use and alcohol use disorders among older adults in the United States, 2005–2014

Substance use history in behavioral-variant frontotemporal dementia versus primary progressive aphasia

Finnish social and health care professionals’ perspective of the future

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