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

ABSTRACT 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 disord...

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Published in:Addiction (Abingdon, England) England), 2009-01, Vol.104 (1), p.88-96
Main Authors: Han, Beth, Gfroerer, Joseph C., Colliver, James D., Penne, Michael A.
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Language:English
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creator Han, Beth
Gfroerer, Joseph C.
Colliver, James D.
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description ABSTRACT 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 in 2020. Setting  Non‐institutionalized US residences. Participants  Representative sample of the US civilian, non‐institutionalized population. Measurements  Substance use disorder is classified based on criteria in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition. Findings  Due to the large population size and high substance use rate of the baby‐boom cohort, the number of adults aged 50 or older with substance use disorder is projected to double from 2.8 million (annual average) in 2002–06 to 5.7 million in 2020. Increases are projected for all examined gender, race/ethnicity and age groups. Conclusions  Our estimates provide critical information for policymakers to allocate resources and develop prevention and treatment approaches to address future needs of the US older adult population with substance use disorder.
doi_str_mv 10.1111/j.1360-0443.2008.02411.x
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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 in 2020. Setting  Non‐institutionalized US residences. Participants  Representative sample of the US civilian, non‐institutionalized population. Measurements  Substance use disorder is classified based on criteria in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition. Findings  Due to the large population size and high substance use rate of the baby‐boom cohort, the number of adults aged 50 or older with substance use disorder is projected to double from 2.8 million (annual average) in 2002–06 to 5.7 million in 2020. Increases are projected for all examined gender, race/ethnicity and age groups. 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Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Race ; Regression Analysis ; Social problems ; Substance abuse ; Substance abuse disorders ; Substance Abuse Treatment Centers - economics ; Substance Abuse Treatment Centers - trends ; Substance use ; substance use disorder ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - therapy ; Surveys ; U.S.A ; United States ; United States - epidemiology ; USA</subject><ispartof>Addiction (Abingdon, England), 2009-01, Vol.104 (1), p.88-96</ispartof><rights>2009 The Authors. 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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 in 2020. Setting  Non‐institutionalized US residences. Participants  Representative sample of the US civilian, non‐institutionalized population. Measurements  Substance use disorder is classified based on criteria in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition. Findings  Due to the large population size and high substance use rate of the baby‐boom cohort, the number of adults aged 50 or older with substance use disorder is projected to double from 2.8 million (annual average) in 2002–06 to 5.7 million in 2020. Increases are projected for all examined gender, race/ethnicity and age groups. Conclusions  Our estimates provide critical information for policymakers to allocate resources and develop prevention and treatment approaches to address future needs of the US older adult population with substance use disorder.</description><subject>Addiction</subject><subject>Addictive behaviors</subject><subject>Adult and adolescent clinical studies</subject><subject>Age Factors</subject><subject>Alcohol</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Data Collection</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Drugs</subject><subject>Elderly people</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Forecasting</subject><subject>Forecasts</subject><subject>Future</subject><subject>Gender</subject><subject>Health Services Needs and Demand - economics</subject><subject>Health Services Needs and Demand - trends</subject><subject>Humans</subject><subject>illicit drugs</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Health Services - economics</subject><subject>Mental Health Services - trends</subject><subject>Middle Aged</subject><subject>Old age</subject><subject>older adults</subject><subject>Older people</subject><subject>Predictions</subject><subject>Prevalence</subject><subject>projection</subject><subject>Psychology. 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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 in 2020. Setting  Non‐institutionalized US residences. Participants  Representative sample of the US civilian, non‐institutionalized population. Measurements  Substance use disorder is classified based on criteria in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition. Findings  Due to the large population size and high substance use rate of the baby‐boom cohort, the number of adults aged 50 or older with substance use disorder is projected to double from 2.8 million (annual average) in 2002–06 to 5.7 million in 2020. Increases are projected for all examined gender, race/ethnicity and age groups. 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source Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); Wiley-Blackwell Read & Publish Collection; PAIS Index; SPORTDiscus with Full Text (EBSCO)
subjects Addiction
Addictive behaviors
Adult and adolescent clinical studies
Age Factors
Alcohol
Biological and medical sciences
Cross-Sectional Studies
Data Collection
Drug abuse
Drug addiction
Drugs
Elderly people
Ethnicity
Female
Forecasting
Forecasts
Future
Gender
Health Services Needs and Demand - economics
Health Services Needs and Demand - trends
Humans
illicit drugs
Male
Medical sciences
Mental Health Services - economics
Mental Health Services - trends
Middle Aged
Old age
older adults
Older people
Predictions
Prevalence
projection
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Race
Regression Analysis
Social problems
Substance abuse
Substance abuse disorders
Substance Abuse Treatment Centers - economics
Substance Abuse Treatment Centers - trends
Substance use
substance use disorder
Substance-Related Disorders - epidemiology
Substance-Related Disorders - therapy
Surveys
U.S.A
United States
United States - epidemiology
USA
title Substance use disorder among older adults in the United States in 2020
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