Alcohol, Tobacco, and Nonmedical Drug Use Disorders in US Adults Aged 65 Years and Older: Data From the 2001-2002 National Epidemiologic Survey of Alcohol and Related Conditions
Alcohol, Tobacco, and Nonmedical Drug Use Disorders in US Adults Aged 65 Years and Older: Data From the 2001-2002 National Epidemiologic Survey of Alcohol and Related Conditions
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DOI：
10.1097/jgp.0b013e3181e898b4
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发表时间：
2011-03-01
影响因子：
7.2
通讯作者：
Moore, Alison A.
中科院分区：
文献类型：
--
作者：
Lin, James C.;Karno, Mitchell P.;Moore, Alison A.
目的：研究65岁及以上成年人物质使用障碍（包括酒精、烟草和非医疗药物使用）的患病率、社会人口学和健康相关因素。设计：2001-2002年全国酒精及相关疾病流行病学调查，一项基于人群样本的横断面调查。背景：美国。参与者：8205名65岁及以上的成年人。测量值：精神障碍诊断和统计手册，第四版，确定酒精，烟草和非医疗药物使用障碍的终身和过去12个月的患病率。结果：任何物质使用障碍的患病率为21.1%，在过去的12个月内的生活和5.4%。终生和过去12个月的酒精使用障碍分别为16.1%和1.5%;烟草使用障碍分别为8.7%和4.0%;非医疗药物使用障碍分别为0.6%和0.2%。年龄越小，一生中或过去12个月内发生任何物质使用障碍的几率越大。男性和那些离婚或分居的人一生中酒精和烟草使用障碍的几率更大。非常好或极好的自我评价健康与一生和过去12个月烟草使用障碍的几率较低相关。年轻、离婚或分居与终生非医疗药物使用障碍的几率更大相关。结论：超过五分之一的老年人曾经有过物质使用障碍，超过二十分之一的人在过去的12个月里有过一种障碍，主要涉及酒精或烟草。老年人的合并症和药物使用增加，这可能会增加与药物使用相关的风险。(Am J Geriatr Psychiatry 2011; 19：292-299）
Objectives: To examine the prevalence, sociodemographic, and health-related correlates of substance use disorders, including alcohol, tobacco, and nonmedical drug use among adults aged 65 years and older. Design: The 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions, a cross-sectional survey of a population-based sample. Setting: The United States. Participants: Eight thousand two hundred five adults aged 65 years and older. Measurements: Prevalence of lifetime and past 12-month Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, determined alcohol, tobacco, and nonmedical drug use disorders. Results: Prevalence of any substance use disorder was 21.1% during the lifetime and 5.4% in the past 12 months. Lifetime and past 12-month alcohol use disorders were 16.1% and 1.5%; tobacco use disorders were 8.7% and 4.0%; and nonmedical drug use disorders were 0.6% and 0.2%, respectively. Younger age was associated with greater odds of any lifetime or past 12-month substance use disorders. Men and those who were divorced or separated had greater odds of both lifetime alcohol and tobacco use disorders. Very good or excellent self-rated health was associated with lower odds of lifetime and past 12-month tobacco use disorders. Younger age and being divorced or separated were associated with greater odds of lifetime nonmedical drug use disorder. Conclusions: More than one in five older adults ever had a substance use disorder, and more than 1 in 20 had a disorder in the past 12 months, primarily involving alcohol or tobacco. Older adults have increased comorbidities and use of medications, which can increase risks associated with substance use. (Am J Geriatr Psychiatry 2011; 19:292-299)