The epidemiology of substance use and disorders among middle aged and elderly community adults: national survey on drug use and health.
The epidemiology of substance use and disorders among middle aged and elderly community adults: national survey on drug use and health.
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DOI：
10.1097/jgp.0b013e318190b8ef
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发表时间：
2009-03
期刊：
影响因子：
--
通讯作者：
Wu LT
中科院分区：
文献类型：
--
作者：
Blazer DG;Wu LT
评估美国中老年人药物使用的流行率、分布及其相关因素，并与该年龄组的酒精使用情况进行比较。
2005年和2006年全国药物使用与健康调查（NSDUH）。
10953名50岁及以上的受试者（6717名50 - 64岁的受试者和4236名65岁及以上的受试者）。
社会和人口统计学变量，酒精和药物使用及障碍（大麻、可卡因、吸入剂、致幻剂、甲基苯丙胺和海洛因）的详细评估，重度抑郁症和自评健康状况。
近60%的受试者在过去一年中使用过酒精，2.6%使用过大麻，0.41%使用过可卡因。在50 - 64岁的受试者以及男性中，酒精和药物使用都更为频繁。与酒精使用不同，药物使用与教育程度无关，但在未婚者和患有重度抑郁症的人群中更为常见。50岁及以上年龄组中药物滥用或依赖的流行率非常低（任何滥用或依赖仅为0.33%，大麻滥用或依赖为0.12%，可卡因滥用或依赖为0.18%）。然而，50 - 64岁年龄组中大麻的使用率接近4%，而65岁及以上年龄组中为0.7%。
药物使用并不普遍，尽管在中年人中使用更为常见，这表明随着年轻群体年龄增长，65岁及以上年龄组的流行率可能会大幅上升。
To estimate the prevalence, distribution, and correlates of drug use among middle aged and elderly persons in the United States and to compare with alcohol use in this age group. The 2005 and 2006 National Surveys on Drug Use and Health (NSDUH). 10,953 subjects 50 years of age and older (6,717 subjects 50–64 years of age and 4,236 subjects 65+ years of age). Social and demographic variables, detailed assessment of alcohol and drug use and disorders (marijuana, cocaine, inhalants, hallucinogens, methamphetamine, and heroin), major depression and self-rated health. Nearly 60% of subjects used alcohol during the past year, 2.6% marijuana, and 0.41% cocaine. Both alcohol and drug use were far more frequent in subjects 50–64 and among males. Drug use, in contrast to alcohol use, was not associated with education, but was more common among those not married and those with major depression. The prevalence of drug abuse or dependence in the 50+ age group was very low (only 0.33% for any abuse or dependence, 0.12% for marijuana abuse or dependence and 0.18% for cocaine abuse or dependence). Nevertheless, the use of marijuana approached 4% in the 50–64 age group in comparison to 0.7% in the 65+ age group. Drug use is not prevalent, though use is much more common in the middle aged, suggesting that prevalence may rise substantially in the 65+ age group as the younger cohort ages.