Illicit and nonmedical drug use among older adults: a review.
Illicit and nonmedical drug use among older adults: a review.
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DOI：
10.1177/0898264310386224
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发表时间：
2011-04
影响因子：
2.8
通讯作者：
Blazer DG
中科院分区：
文献类型：
--
作者：
Wu LT;Blazer DG
老年人中的药物滥用是一个迫在眉睫的公共卫生问题。美国50岁以上患有药物使用障碍的人数预计将翻一番，从2002-2006年的280万人增加到2020年的570万人。作者通过对50岁以上成年人的非法药物使用障碍和非医疗使用处方药的研究，提供了对这一未被研究的研究领域的流行病学结果的回顾。用关键字药物使用、药物滥用、药物滥用、物质使用障碍和处方药滥用来搜索Medline和mental Info。使用相关文章链接，筛选了其他文章以供纳入。这篇综述包括1990年至2010年间发表的文章。来自多个来源的结果显示，50岁至年龄段的非法药物使用和非医疗使用处方药以及与药物相关的治疗入院率远高于65岁以上的成年人。初次使用非法和滥用处方药的入院率有所上升，而仅涉及初次使用酒精的比率有所下降。酒精、阿片类药物/海洛因和可卡因比其他物质更有可能与治疗使用有关。有限的研究数据表明了治疗的有效性，特别是对女性。此外，老年人似乎比年轻人不太可能认为物质使用有问题或使用治疗服务。有强有力的证据表明，在未来几十年里，越来越多的老年人将需要药物滥用护理。对药物滥用治疗系统日益增长的需求将需要扩大治疗设施和开发有效的服务方案，以满足老龄化吸毒人口的新需求。
Substance abuse among older adults is a looming public health concern. The number of Americans aged 50+ years with a substance use disorder is projected to double from 2.8 million in 2002–2006 to 5.7 million in 2020. The authors provide a review of epidemiological findings for this understudied area of research by focusing on illicit drug use disorders and nonmedical use of prescription drugs among adults aged 50+ years. MEDLINE and PsychInfo were searched using keywords drug use, drug abuse, drug misuse, substance use disorder, and prescription drug abuse. Using the relatedarticles link, additional articles were screened for inclusion. This review included articles published between 1990 and 2010. Results from multiple sources indicated a much higher rate of illicit drug use and nonmedical use of prescription drugs and drug-related treatment admissions for persons 50 to 64 years of age compared with adults 65+ years of age. Rates of treatment admissions involving primary use of illicit and misuse of prescription drugs have increased, while rates involving primary use of alcohol only have decreased. Alcohol, opioids/heroin, and cocaine were more likely than other substances to be associated with treatment use. Limited research data suggested the effectiveness of treatments, especially for women. Furthermore, older adults appeared to be less likely than younger adults to perceive substance use as problematic or to use treatment services. There is robust evidence showing that an increased number of older adults will need substance abuse care in the coming decades. Increasing demands on the substance abuse treatment system will require expansion of treatment facilities and development of effective service programs to address emerging needs of the aging drug-using population.
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影响因子：
7.3
作者：
Kan, CC;Hilberink, SR;Breteler, MHM
通讯作者：
Breteler, MHM
影响因子：
7
作者：
Atkinson, R M
通讯作者：
Atkinson, R M
影响因子：
7.2
作者：
Arndt, S;Gunter, TD;Acion, L
通讯作者：
Acion, L
DOI：
10.1097/jgp.0b013e318190b8ef
发表时间：
2009-03
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
--
作者：
Blazer DG;Wu LT
通讯作者：
Wu LT
影响因子：
7.2
作者：
Firoz, S;Carlson, G
通讯作者：
Carlson, G