Alcohol, Tobacco, and Nonmedical Drug Use in Older U.S. Adults: Data from the 2001/02 National Epidemiologic Survey of Alcohol and Related Conditions

Moore, Alison A.; Karno, Mitchell P.; Grella, Christine E.; Lin, James C.; Warda, Umme; Liao, Diana H.; Hu, Peifeng

doi:10.1111/j.1532-5415.2009.02554.x

Cited by 149Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsPharmaceutical Practices and Patient Outcomes

Alcohol, Tobacco, and Nonmedical Drug Use in Older U.S. Adults: Data from the 2001/02 National Epidemiologic Survey of Alcohol and Related Conditions

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Moore, Alison A., Karno, Mitchell P., Grella, Christine E., Lin, James C., Warda, Umme, Liao, Diana H., Hu, Peifeng·2009·Journal of the American Geriatrics Society

DOI 10.1111/j.1532-5415.2009.02554.xPMC PMC3646625

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Abstract

OBJECTIVES: To examine the prevalence and sociodemographic and health‐related correlates of substance use, including alcohol, tobacco, and nonmedical drug use, in adults aged 65 and older. DESIGN: Cross‐sectional, retrospective survey of a population‐based sample, the 2001/02 National Epidemiologic Survey on Alcohol and Related Conditions. SETTING: United States. PARTICIPANTS: Eight thousand two hundred five U.S. adults aged 65 and older. MEASUREMENTS: Prevalence of lifetime and previous‐12‐month alcohol, tobacco, and nonmedical drug use and associations between substance use and sociodemographic and health‐related factors. RESULTS: Almost 80% of older adults had used any of the three substances over their lifetimes, and more than 50% reported such use over the previous 12 months. Alcohol was the most commonly used substance over the lifetime (74%) and in the previous 12 months (45%), followed by tobacco (52% lifetime; 14% previous 12 months); far fewer reported nonmedical use of drugs (5% lifetime; 1% previous 12 months). In general, being younger, male, and divorced or separated were factors consistently associated with use of any of the three substances. CONCLUSION: Most older adults had used substances over their lifetimes and in the previous 12 months. Alcohol is the substance of choice for this age group, followed by tobacco; few report nonmedical drug use.

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Being divorced, separated, or single is associated with increased or unhealthy drinking in late life in the US, though this may differ across genders.
“For example, being divorced, separated or single is associated with increased or unhealthy drinking in late life in the US, though this may differ across genders300, 301.”
From Mental health care for older adults: recent advances and new directions in clinical practice and research (2022) · cites this paper as [301]

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Alcohol, Tobacco, and Nonmedical Drug Use Disorders in U.S. Adults Aged 65 Years and Older: Data From the 2001–2002 National Epidemiologic Survey of Alcohol and Related Conditions
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Authors: Moore, A. A., Karno, M. P., Grella, C. E., Lin, J. C., Warda, U., Liao, D. H., & Hu, P.
Affiliations: University of California, Los Angeles (US)
ORCID: Moore, Alison A.
Karno, Mitchell P.
Grella, Christine E.
Lin, James C.
Warda, Umme
Hu, Peifeng
Venue: Journal of the American Geriatrics Society
Publisher: Wiley
Published: 2009-12
Volume: 57
Issue: 12
Pages: 2275-2281
ISSN: 0002-8614 (ISSN-L)
1532-5415
DOI: 10.1111/j.1532-5415.2009.02554.x
PMC: PMC3646625
OpenAlex: W1879524055
Cited by: 149
References: 22
Citations by year: 2026: 4 · 2025: 2 · 2024: 5 · 2023: 4 · 2022: 8 · 2021: 6 · 2020: 40 · 2019: 5 · 2018: 3 · 2017: 10 · 2016: 11 · 2015: 5 · 2014: 17 · 2013: 11 · 2012: 10
FWCI: 3.78
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of the American Geriatrics Society (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: U.S. Department of Veterans Affairs
National Institute on Alcohol Abuse and Alcoholism (K24AA015957)
National Institute on Aging (P30AG028748)
National Institute on Drug Abuse (R01DA020944)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords: alcohol consumption, tobacco use, non-medical drug use, older adults, substance use prevalence, sociodemographic correlates, lifetime substance use, NESARC
MeSH terms: Aged, Aged, 80 and over, Alcohol Drinking, Cross-Sectional Studies, Drug Utilization, Nonprescription Drugs, Female, Humans, Male, Retrospective Studies, Smoking, Prevalence

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Alcohol, Tobacco, and Nonmedical Drug Use in Older U.S. Adults: Data from the 2001/02 National Epidemiologic Survey of Alcohol and Related Conditions

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