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Cited by 140Substance Abuse Treatment and OutcomesMental Health Treatment and AccessOpioid Use Disorder Treatment

Treatment use, perceived need, and barriers to seeking treatment for substance abuse and mental health problems among older adults compared to younger adults

Choi, Namkee G., DiNitto, Diana M., Marti, C. Nathan·2014·Drug and Alcohol Dependence
DOI 10.1016/j.drugalcdep.2014.10.004
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Abstract

Background This study examined age group differences in and correlates of treatment use and perceived treatment need for substance use disorders (SUD) and mental health (MH) problems as well as self-reported barriers to treatment among people 65+ years old vs. 26-34, 35-49, and 50-64 years old.Methods Data are from the 2008 to 2012 National Survey on Drug Use and Health (NSDUH) (N = 96,966). Age group differences were examined using descriptive bivariate analyses and binary logistic regression analyses.Results The 65+ age group was least likely to use treatment and perceive treatment need, but the 50-64 age group was more similar to the younger age groups than the 65+ age group. Controlling for age, other predisposing, and enabling factors, alcohol and illicit drug dependence and comorbid SUD and MH problems increased the odds of SUD treatment use. Of MH problems, anxiety disorder had the largest odds for MH treatment use. Bivariate analyses showed that lack of readiness to stop using and cost/limited insurance were the most frequent barriers to SUD and MH treatment, respectively, among older adults, and they were less likely than younger age groups to report stigma/confidentiality concerns for MH treatment.Conclusions Older adults will become a larger portion of the total U.S. population with SUD and/or MH problems. Healthcare providers should be alert to the need to help older adults with SUD and/or MH problems obtain treatment.

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Authors
Choi, N. G., DiNitto, D. M., & Marti, C. N.
Affiliations
The University of Texas at Austin (US)
Corresponding author
Choi, Namkee G.
ORCID
Venue
Drug and Alcohol Dependence
Publisher
Elsevier BV
Published
2014-12
Volume
145
Pages
113-120
ISSN
0376-8716 (ISSN-L)
DOI
10.1016/j.drugalcdep.2014.10.004
OpenAlex
W1995755686
Cited by
140
References
33
Citations by year
2026: 6 · 2025: 25 · 2024: 13 · 2023: 11 · 2022: 9 · 2021: 13 · 2020: 16 · 2019: 12 · 2018: 12 · 2017: 10 · 2016: 8 · 2015: 5
FWCI
5.79
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Drug and Alcohol Dependence (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
older adults, substance use disorders, mental illness, treatment utilization, perceived need for treatment, barriers to treatment, age differences, alcoholism, illicit drug dependence, comorbidities, anxiety disorders, treatment costs, insurance coverage, stigma, confidentiality, readiness to change
MeSH terms
Adult, Aged, Mental Disorders, Female, Health Services Accessibility, Health Services Needs and Demand, Health Surveys, Humans, Male, Mental Health, Mental Health Services, Middle Aged, Perception, United States, Treatment Outcome, Substance-Related Disorders

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