Psychiatric Correlates of Alcohol and Tobacco Use Disorders in US Adults Aged 65 Years and Older: Results from the 2001-2002 National Epidemiologic Survey of Alcohol and Related Conditions

被引:8
|
作者
Lin, James C. [1 ]
Karno, Mitchell P. [2 ]
Grella, Christine E. [2 ]
Ray, Lara A. [3 ]
Liao, Diana H. [4 ]
Moore, Alison A. [2 ,4 ]
机构
[1] Cheng Ching Hosp, Dept Med, Taichung, Taiwan
[2] Univ Calif Los Angeles, Integrated Subst Abuse Programs, Los Angeles, CA USA
[3] Univ Calif Los Angeles, Dept Psychol, Los Angeles, CA 90024 USA
[4] Univ Calif Los Angeles, David Geffen Sch Med, Div Geriatr Med, Los Angeles, CA 90095 USA
来源
关键词
Alcohol use disorders; tobacco use disorders; psychiatric correlates; older adults; NONMEDICAL DRUG-USE; UNITED-STATES; MAJOR DEPRESSION; DEPENDENCE; COMORBIDITY; RISK; IV; PREVALENCE; DRINKING; SMOKING;
D O I
10.1016/j.jagp.2013.07.005
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objective: To examine associations of alcohol and tobacco use disorders and psychiatric conditions among older U. S. adults. Methods: Sample was individuals aged at least 65 years (N = 8,205) who participated in the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions. Measurements included lifetime and past 12-month Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition alcohol use disorders (AUDs), tobacco use disorders (TUDs), and psychiatric conditions. Results: Among older adults, prevalence of lifetime and past 12-month AUDs were 16.1% and 1.5% and lifetime and past 12-month TUDs were 8.7% and 4.0%, respectively. Lifetime TUD was associated with increased odds of both lifetime (odds ratio [OR]: 4.17; 95% confidence interval [CI]: 3.30-5.26) and past 12-month (OR: 2.52; 95% CI: 1.50-4.24) AUDs, and lifetime AUD was associated with increased odds of both lifetime (OR: 4.13; 95% CI: 3.28-5.210 and past 12-month (OR: 3.51; 95% CI: 2.47-4.96) TUDs. Any lifetime mood, anxiety, or personality disorder among older adults was associated with increased odds of lifetime AUD and TUD, any lifetime mood disorder was associated with increased odds of past 12-month AUD and TUD, and any personality disorder was associated with past 12-month TUD. Conclusion: There is a strong association between AUD and TUD among older U. S. adults as well as associations between AUD and TUD with mood, anxiety, and personality disorders. Understanding the psychiatric conditions associated with AUDs and TUDs, especially past 12-month use disorders involving alcohol or tobacco, will enable healthcare providers to target screening and be more aware of symptoms and signs of potential AUDs and TUDs among those at higher risk.
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页码:1356 / 1363
页数:8
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