Older admissions to substance abuse treatment in 2001
Older admissions to substance abuse treatment in 2001
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DOI：
10.1176/appi.ajgp.13.5.385
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发表时间：
2005-05-01
影响因子：
7.2
通讯作者：
Acion, L
中科院分区：
文献类型：
--
作者：
Arndt, S;Gunter, TD;Acion, L
目标：未来十年，有药物滥用问题的老年人数量预计将增加。鉴于需要药物滥用治疗的老年客户数量的预期增长，作者提供了接受一些公共资金的机构收治 55 岁及以上患者的描述。方法：治疗事件数据集 (TEDS) 是一个公共使用的数据集，包含 58,073 名接受物质治疗的患者（年龄 55 岁以上）和 1,043,910 名年龄在 30 - 54 岁的患者的信息。结果：较早的入院记录中仅列出了每天使用的一种物质：酒精。入院记录注释表明，与年轻的入院者相比，这些入院者更频繁地与收入、保险、结婚或离婚相关。与年轻入院患者一样，刑事司法是转诊治疗的主要来源。老年患者的入院记录表明以前的治疗经历较少。老年男性和女性入院情况在许多方面相似，但治疗史不同。目前的治疗入院通常是女性入院的第一个治疗。入院的老年女性可能比男性同行受教育程度更高，发病年龄也较晚。结论：接受药物滥用治疗的老年入院者与年轻成人入院者存在重要差异。年龄较大的录取者往往来自更稳定的环境（收入、保险、婚姻）。尽管饮酒频率和饮酒量都非常高，但这些入院病例中很少有医护人员转介接受治疗。
Objective: The number of older people with substance abuse problems is expected to increase over the next decade. Given the expected growth in the number of elderly clients needing substance abuse treatment, the authors provide a description of admissions of patients age 55 years and over to facilities receiving some public funds. Methods: The Treatment Episode Data Set (TEDS), a public-use data-set, contained information on 58,073 admissions to substance treatment ( age 55 +) and 1,043,910 admissions age 30 - 54 years. Results: Older admissions listed only one substance daily use of alcohol. Admission record notations indicated that these admissions were more frequently associated with income, insurance, and marriage or divorce than younger admissions. As in younger admissions, criminal justice was a major source of referral to treatment. Older patients' admissions records indicated fewer previous treatment experiences. Older male and female admissions were similar in many regards, but differed in their treatment history. The current treatment admission was more often the first for female admissions. Older female admissions were likely to be more educated than their male counterparts, with a later age at onset. Conclusions: Older admissions to substance abuse treatment differed in important ways from younger adult admissions. The older admissions tended to come from a more stable environment ( income, insurance, marriage). Despite their very high frequency and amount of drinking, few of these admissions were referred to treatment by healthcare workers.