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 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.
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Only about 10% of people who meet criteria for a substance use disorder receive treatment.
“However, only about 10% fitting an SUD criteria actually receive treatment. 3,4”
From Efficacy of Brief Intervention for Unhealthy Drug Use in Outpatient Medical Care: a Systematic Review and Meta-analysis (2022) · cites this paper as [3]
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- Authors
- Han, B., Gfroerer, J. C., Colliver, J. D., & Penne, M. A.
- Affiliations
- Substance Abuse and Mental Health Services Administration (US)
- RTI International (US)
- Corresponding author
- Han, Beth
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2008-12-12
- Volume
- 104
- Issue
- 1
- Pages
- 88-96
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W2023502391
- Cited by
- 337
- References
- 48
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 8 · 2023: 3 · 2022: 22 · 2021: 15 · 2020: 21 · 2019: 15 · 2018: 53 · 2017: 25 · 2016: 24 · 2015: 26 · 2014: 36 · 2013: 23 · 2012: 14
- FWCI
- 9.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (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
- substance use disorders, older adults, population projections, alcoholism, illicit drug dependence, drug abuse, baby boom cohort, racial and ethnic disparities, gender differences, substance use prevalence, United States
- MeSH terms
- Age Factors, Cross-Sectional Studies, Data Collection, Female, Forecasting, Health Services Needs and Demand, Humans, Male, Mental Health Services, Middle Aged, Regression Analysis, United States, Prevalence, Substance Abuse Treatment Centers, Substance-Related Disorders
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