Alcohol and Other Substance Use, Mental Health Treatment Use, and Perceived Unmet Treatment Need: Comparison Between Baby Boomers and Older Adults
Alcohol and Other Substance Use, Mental Health Treatment Use, and Perceived Unmet Treatment Need: Comparison Between Baby Boomers and Older Adults
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DOI：
10.1111/ajad.12225
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发表时间：
2015-06-01
影响因子：
3.7
通讯作者：
Marti, C. Nathan
中科院分区：
文献类型：
--
作者：
Choi, Namkee G.;DiNitto, Diana M.;Marti, C. Nathan
背景和目的随着婴儿潮一代的年龄增长，患有药物使用和精神障碍的老年人的数量预计会增加。很少有研究研究物质使用对老年人心理健康治疗使用和未得到满足的治疗需求的潜在影响。这项研究考察了快速增长的婴儿潮一代和他们的老年人口之间的关系。方法数据来自2008年至2012年全国药物使用与健康调查(N=18,443名年龄在50岁-之间的受访者和11,191名年龄在65岁以上的受访者)。使用年龄组合和年龄分层的Logistic回归分析来检验酒精、非法药物和烟草使用与心理健康问题、治疗使用和感知的未得到满足的治疗需求之间的关系，并将社会人口学特征和健康状况作为协变量。与前一年中在1-99天饮酒的人相比，终生戒酒者在两个年龄段接受心理健康治疗的几率都明显较低。在两个年龄组中，较差的自我健康状况和过去一年的心理健康治疗使用增加了感知到的未得到满足的治疗需求的几率，而婴儿潮一代的终生戒酒减少了这些需求。结论和科学意义本研究的关键发现是两个年龄组的终生戒毒者使用心理健康治疗的可能性较低。进一步的研究可能会确定治疗使用的障碍和在两个年龄组中促进使用的方法。(Am J Addit 2015；XX：1-9)
Background and ObjectiveAs the baby boomers age, the number of older adults with comorbid substance use and mental disorders is projected to grow. Little research has examined the potential impact of substance use on older adults' mental health treatment use and unmet treatment need. This study examined these associations among the rapidly growing population of baby boomers and their older counterparts.MethodsData are from the 2008 to 2012 National Survey on Drug Use and Health (NSDUH) (N=18,443 respondents aged 50-64 and 11,191 aged 65+). Age-combined and age-stratified logistic regression analyses were used to examine relationships between alcohol, illicit drug, and tobacco use and mental health problems, treatment use, and perceived unmet treatment need, with sociodemographic characteristics and health status as covariates.ResultsHeavy alcohol, illicit drug, and tobacco use increased the odds of having a mental health problem in both age groups. Compared to those who used alcohol on 1-99 days during the preceding year, lifetime abstainers had significantly lower odds of having received mental health treatment in both age groups. Poorer self-rated health and past-year mental health treatment use increased the odds of perceived unmet treatment need in both age groups, while lifetime abstention in the boomers decreased the odds.Conclusions and Scientific SignificanceThis study's key finding is the lower likelihood of mental health treatment use among lifetime abstainers in both age groups. Further research may identify barriers to treatment use and ways to promote use among both age groups. (Am J Addict 2015;XX:1-9)