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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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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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“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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If you drink alcohol, drink sensibly: a food-based dietary guideline for the elderly in South Africa
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Sacco, P., & Kuerbis, A. (2012) · Springer eBooks · doi:10.1007/978-1-4614-5357-4_13 · Cited by 1
Metadata
- 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)
- 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
- 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
- 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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