Substance use disorder among older adults in the United States in 2020.

@article{Han2009SubstanceUD,
  title={Substance use disorder among older adults in the United States in 2020.},
  author={Beth Han and Joseph C. Gfroerer and James D. Colliver and Michael A. Penne},
  journal={Addiction},
  year={2009},
  volume={104 1},
  pages={
          88-96
        }
}
AIMS This study aimed to project the number of people aged 50 years or older with substance use disorder (alcohol/illicit drug dependence or abuse) in the United States in 2020. DESIGN Logistic regression models were applied to estimate parameters predicting past-year substance use disorder using the 2002-06 National Survey on Drug Use and Health data. We applied these parameters to the projected US 2020 population to estimate the number of adults aged 50 or older with substance use disorder… 

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References

SHOWING 1-10 OF 47 REFERENCES

Substance abuse treatment need among older adults in 2020: the impact of the aging baby-boom cohort.

Alcohol and other drug use disorders among older-aged people.

TLDR
Specific issues faced by older-aged individuals with alcohol and other drug use problems are discussed, including: interactions with prescribed medications, under-recognition and treatment of alcohol and drug problems, unintentional injury and social isolation.

The potential impact of the baby-boom generation on substance abuse among elderly persons.

TLDR
To identify the magnitude of the problem, diagnostic criteria should be modified and national survey data should be analyzed to provide more accurate estimates of substance abuse and dependence among baby boomers.

Projecting drug use among aging baby boomers in 2020.

National Survey on Drug Use and Health

TLDR
The National Survey on Drug Use and Health (NSDUH) (formerly, National Household Survey of Drug Abuse) is an annual national survey that provides information on prevalence and correlates of drug use within the United States.

Psychoactive drug abuse in older adults.

“Alcohol Dependence” and Death: Survival Analysis of the Baltimore ECA Sample from 1981 to 1995

TLDR
Findings indicate that the observed increased risk of death associated with “alcohol dependence” is not limited to cases severe enough to have been treated but is also present among cases in the household population.

Geriatric substance use disorders.

Discrepancies in estimates of prevalence and correlates of substance use and disorders between two national surveys.

TLDR
In the NSDUH, past-year substance use disorder (SUD) prevalence estimates were higher for cocaine and heroin, but were similar to NESARC estimates for alcohol, marijuana and hallucinogens, whereas in the NESARC, prevalence estimates for past-Year SUD conditional on past- year use were substantially lower.