Substance Abuse and Addiction in Older Adults

Similarly, Zamani et al. [36] and Irani et al. [37] found heavy smoking (over 20 cigarettes a day) to be a major risk factor for osteoporosis. A study of older adults by Marques et al. [38] showed that, after the confounding variables were moderated, current and previous smoking harmed the health of bones and current smoking in particular can aggravate loss of bone density in older ages. As for drug abuse, most studies have indicated a correlation between opioids and osteoporosis [21,22,23, 39]. In general, the discrepancy between the findings of the present study and the above studies can be explained, by smoking, some of the older adults might have refused to mention that they smoked. Moreover, more than half of the subjects in the present study were postmenopausal females and the confounding effect of menopause can explain the insignificance of the impact of smoking and drug abuse on osteoporosis in the subjects who were studied. This study has pinpointed several key factors that predict the risk of osteoporosis among older adults.

Initially, two series of Cox proportional hazard models were performed to explore the associations of GBN and all or specific psychiatric disorders, respectively. Model 1 was adjusted for age and sex, and model 2 was additionally adjusted for ethnicity, SES, BMI, household income before tax per year, education group, smoking status, alcohol drinker status, physical activity, hypertension, and T2D. To take into account the potential for collinearity, measures of GBN were included in separately adjusted models.

The Challenges of Treatment

The myth that older adults do not use substances and/or do not use substances problematically has been dispelled. Older-adult substance users may not present with the same symptoms as their younger counterparts and, therefore, may be more difficult to identify. Treatment options remain generally limited, as few programs or health care settings offer tailored interventions for older adults. Health care professionals need to continue to do as thorough of assessments as possible and enlist the help of formal measures, Web-based assessment, and build in the questions outlined earlier as routine.

First, we only captured the data of GBN at 300 m and 1000 m buffer; more detailed data at a buffer of 100 m were not available. Moreover, urbanicity, which is a potential confounder for the association between GBN and psychiatric disorders, was lacked update to the study period in UKB and hence could not be adjusted for in the analysis. Additionally, exposures were only collected at baseline (2010), which may have led to misclassification if an individual changed residential location or factors relating to socioeconomic status or lifestyle behaviors (e.g., changing physical activity levels). Although we included a wide range of potential confounders, residual confounding by unmeasured factors such as social support, job-related stress, or other neighborhood-level variables is likely to have remained. Finally, UKB had a low rate (5%) of recruitment and a limited age group from 37 to 73 years [22], which may have introduced some selection bias and therefore limits the generalizability of the conclusions to the general UK population.

Resources for Older Adults Struggling with Substance Use Disorders

American Addiction Centers (AAC) is committed to delivering original, truthful, accurate, unbiased, and medically current information. See our open data portal, or reach out to us at open- to connect with an expert on aging in America. We thank our Loma Linda University Health colleagues, who provided insight substance abuse in older adults and expertise that greatly assisted the manuscript. We would also like to show our gratitude to our institution for allowing and encouraging us to publish our academic activities. The Drug Abuse Screening Test (DAST) is a modified Michigan Alcohol Screening Test (MAST) that can be applied to all substances.

substance abuse in older adults

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