Trends in binge drinking prevalence among older U.S. men and women, 2015 to 2019

Al‐Rousan, Tala; Moore, Alison; Han, Benjamin H.; Ko, Roxanne; Palamar, Joseph J.

doi:10.1111/jgs.17573

Cited by 9 publications

(7 citation statements)

References 39 publications

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“…The overall number of older adults reporting binge and heavy drinking was likely grossly underestimated when considering that the binge threshold for older adults is typically considered to be 3 drinks per day for men and 2 drinks per day for women. A study utilizing data from the 2014–2019 National Health Interview Surveys reported that the estimated prevalence of past-month binge drinking among men 65 years or older significantly increased from 12.8% in 2015 to 15.7% [ 15 ]. The estimated prevalence of lifetime, past year, and past month substance use in adults aged 65 and older is described in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

Substance Use Disorders in the Geriatric Population: a Review and Synthesis of the Literature of a Growing Problem in a Growing Population

Lin

Arnovitz

Kotbi

et al. 2023

Curr Treat Options Psych

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Purpose of review Substance use disorders are becoming increasingly prevalent in the geriatric population, necessitating an updated understanding of the existing literature. This review aims to describe the epidemiology, special considerations, and management of substance use disorders in older adults. Recent findings PubMed, Ovid MEDLINE, and PsychINFO databases were searched from their inception through June 2022 using the following keywords: “substance use disorder,” “substance abuse,” “abuse,” “illicit substances,” “illicit drugs,” “addiction,” “geriatric,” “elderly,” “older adults,” “alcohol,” “marijuana,” “cannabis,” “cocaine,” “heroin,” “opioid,” and “benzodiazepine.” Our findings suggest an increasing trend in substance use in older adults despite medical and psychiatric consequences when using such substances. The majority of older patients admitted to substance abuse treatment programs were not referred by healthcare providers, suggesting room for improvement in the screening and discussion of substance use disorders. Our review also suggests that there should be careful consideration of COVID-19 and racial disparities when screening, diagnosing, and treating substance use disorders in the older population. Summary This review provides updated information on epidemiology, special considerations, and management of substance use disorders in older adults. As substance use disorders become more prevalent in older adults, primary care physicians must be prepared to recognize and diagnose substance use disorders as well as collaborate with and refer patients to geriatric medicine, geriatric psychiatry, and addiction medicine.

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Section: Resultsmentioning

confidence: 99%

Substance Use Disorders in the Geriatric Population: a Review and Synthesis of the Literature of a Growing Problem in a Growing Population

Lin

Arnovitz

Kotbi

et al. 2023

Curr Treat Options Psych

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“…Men still generally consume more alcohol than women, but nowadays, the gaps are narrowing [ 32 ]. Previous studies report higher rates of alcohol use in men, including binge drinking [ 33 , 34 ] and alcohol dependence [ 35 ]. Biological factors, such as differences in body composition [ 36 ] and metabolism [ 37 ], may partially explain these discrepancies.…”

Section: Introductionmentioning

confidence: 99%

Moderate Alcohol Consumption Increases the Risk of Clinical Relapse in Male Depressed Patients Treated with Serotonin-Norepinephrine Reuptake Inhibitors

Mușat,

Militaru,

Gheorman

et al. 2024

Diagnostics

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Background: While depression can be associated with multiple comorbidities, the association between depression and liver injury significantly increases the mortality risk. The aim of this study was to evaluate if moderate alcohol intake affects the rate of clinical relapses in patients treated with antidepressants as monotherapy. Methods: We assessed, over a period of 30 months, the clinical records of 254 patients with depressive disorder, of either gender, without additional pathologies, receiving monotherapy treatment with antidepressants. Thirty-three patients with alcohol abuse, alcoholism or significant cognitive impairment were excluded. The medical and psychiatric history, medication and liver enzyme values were collected and analyzed. Results: Out of the 221 patients who met the inclusion criteria, 78 experienced relapses of depression. The rate of relapse did not correlate with the levels of liver enzymes. Alcohol consumption, as objectified based on GGT levels and the AST/ALT ratio, suggested that men had higher alcohol intake compared to women. Patients treated with serotonin-norepinephrine reuptake inhibitors (SNRIs) with elevated AST levels were approximately 9 times more likely to relapse, while the ones with elevated GGT had a 5.34 times higher risk. While GGT levels remained a marker for relapse in men with elevated GGT, ALT and not AST proved to be a better risk indicator for relapses in male patients. Conclusion: The use of SNRIs in depressed male patients with moderate alcohol intake should be carefully considered, as they might be susceptible to higher risks of relapse compared to alternative antidepressant therapies.

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“…Over the past decade, the proportion of older adults who use cannabis or alcohol has risen sharply ( Grant et al, 2017 ; Han, Moore, Sherman, Keyes, & Palamar, 2017 ; Han, Sherman, et al, 2017 ). Past-year cannabis use among adults aged ≥65 in the United States (US) rose from 0.4% in 2006 to 4.2% in 2018 ( Han, Moore, et al, 2017 ; Han & Palamar, 2020 ), and past-month binge drinking increased from 8.1% in 2005/2006 to 11.1% in 2019 ( Al-Rousan, Moore, Han, & Palamar, 2022 ; Han, Moore, et al, 2017 ). With the increase in both cannabis and alcohol use, associations have been established between cannabis use and binge drinking among older adults ( Al-Rousan, Moore, Han, Ko, & Palamar, 2022 ; Han, Moore, et al, 2017 ; Han, Moore, Ferris, & Palamar, 2019 ; Han, Sherman, et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

“…Past-year cannabis use among adults aged ≥65 in the United States (US) rose from 0.4% in 2006 to 4.2% in 2018 ( Han, Moore, et al, 2017 ; Han & Palamar, 2020 ), and past-month binge drinking increased from 8.1% in 2005/2006 to 11.1% in 2019 ( Al-Rousan, Moore, Han, & Palamar, 2022 ; Han, Moore, et al, 2017 ). With the increase in both cannabis and alcohol use, associations have been established between cannabis use and binge drinking among older adults ( Al-Rousan, Moore, Han, Ko, & Palamar, 2022 ; Han, Moore, et al, 2017 ; Han, Moore, Ferris, & Palamar, 2019 ; Han, Sherman, et al, 2017 ). However, a more comprehensive examination of the current use of both substances by older adults is needed.…”

Section: Introductionmentioning

confidence: 99%

Past-month binge drinking and cannabis use among middle-aged and older adults in the United States, 2015–2019

Kepner¹,

Han²,

Nguyen³

et al. 2023

Alcohol

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Trends in binge drinking prevalence among older U.S. men and women, 2015 to 2019

Cited by 9 publications

References 39 publications

Substance Use Disorders in the Geriatric Population: a Review and Synthesis of the Literature of a Growing Problem in a Growing Population

Substance Use Disorders in the Geriatric Population: a Review and Synthesis of the Literature of a Growing Problem in a Growing Population

Moderate Alcohol Consumption Increases the Risk of Clinical Relapse in Male Depressed Patients Treated with Serotonin-Norepinephrine Reuptake Inhibitors

Past-month binge drinking and cannabis use among middle-aged and older adults in the United States, 2015–2019

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