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Psychiatric correlates of alcohol and tobacco use disorders in U.S. adults aged 65 years and older: results from the 2001-2002 National Epidemiologic Survey of Alcohol and Related Conditions.
Am J Geriatr Psychiatry. 2014 Nov; 22(11):1356-63.AJ

Abstract

OBJECTIVE

To examine associations of alcohol and tobacco use disorders and psychiatric conditions among older U.S. adults.

METHODS

Sample was individuals aged at least 65 years (N = 8,205) who participated in the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions. Measurements included lifetime and past 12-month Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition alcohol use disorders (AUDs), tobacco use disorders (TUDs), and psychiatric conditions.

RESULTS

Among older adults, prevalence of lifetime and past 12-month AUDs were 16.1% and 1.5% and lifetime and past 12-month TUDs were 8.7% and 4.0%, respectively. Lifetime TUD was associated with increased odds of both lifetime (odds ratio [OR]: 4.17; 95% confidence interval [CI]: 3.30-5.26) and past 12-month (OR: 2.52; 95% CI: 1.50-4.24) AUDs, and lifetime AUD was associated with increased odds of both lifetime (OR: 4.13; 95% CI: 3.28-5.210 and past 12-month (OR: 3.51; 95% CI: 2.47-4.96) TUDs. Any lifetime mood, anxiety, or personality disorder among older adults was associated with increased odds of lifetime AUD and TUD, any lifetime mood disorder was associated with increased odds of past 12-month AUD and TUD, and any personality disorder was associated with past 12-month TUD.

CONCLUSION

There is a strong association between AUD and TUD among older U.S. adults as well as associations between AUD and TUD with mood, anxiety, and personality disorders. Understanding the psychiatric conditions associated with AUDs and TUDs, especially past 12-month use disorders involving alcohol or tobacco, will enable healthcare providers to target screening and be more aware of symptoms and signs of potential AUDs and TUDs among those at higher risk.

Authors+Show Affiliations

Department of Medicine, Cheng Ching Hospital, Taichung, Taiwan.Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA.Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA.Department of Psychology, University of California Los Angeles, Los Angeles, CA.Division of Geriatric Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA.Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA; Division of Geriatric Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA. Electronic address: aamoore@mednet.ucla.edu.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

24021218

Citation

Lin, James C., et al. "Psychiatric Correlates of Alcohol and Tobacco Use Disorders in U.S. Adults Aged 65 Years and Older: Results From the 2001-2002 National Epidemiologic Survey of Alcohol and Related Conditions." The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry, vol. 22, no. 11, 2014, pp. 1356-63.
Lin JC, Karno MP, Grella CE, et al. Psychiatric correlates of alcohol and tobacco use disorders in U.S. adults aged 65 years and older: results from the 2001-2002 National Epidemiologic Survey of Alcohol and Related Conditions. Am J Geriatr Psychiatry. 2014;22(11):1356-63.
Lin, J. C., Karno, M. P., Grella, C. E., Ray, L. A., Liao, D. H., & Moore, A. A. (2014). Psychiatric correlates of alcohol and tobacco use disorders in U.S. adults aged 65 years and older: results from the 2001-2002 National Epidemiologic Survey of Alcohol and Related Conditions. The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry, 22(11), 1356-63. https://doi.org/10.1016/j.jagp.2013.07.005
Lin JC, et al. Psychiatric Correlates of Alcohol and Tobacco Use Disorders in U.S. Adults Aged 65 Years and Older: Results From the 2001-2002 National Epidemiologic Survey of Alcohol and Related Conditions. Am J Geriatr Psychiatry. 2014;22(11):1356-63. PubMed PMID: 24021218.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychiatric correlates of alcohol and tobacco use disorders in U.S. adults aged 65 years and older: results from the 2001-2002 National Epidemiologic Survey of Alcohol and Related Conditions. AU - Lin,James C, AU - Karno,Mitchell P, AU - Grella,Christine E, AU - Ray,Lara A, AU - Liao,Diana H, AU - Moore,Alison A, Y1 - 2013/09/08/ PY - 2012/08/25/received PY - 2013/07/19/revised PY - 2013/07/24/accepted PY - 2013/9/12/entrez PY - 2013/9/12/pubmed PY - 2015/6/24/medline KW - Alcohol use disorders KW - older adults KW - psychiatric correlates KW - tobacco use disorders SP - 1356 EP - 63 JF - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry JO - Am J Geriatr Psychiatry VL - 22 IS - 11 N2 - OBJECTIVE: To examine associations of alcohol and tobacco use disorders and psychiatric conditions among older U.S. adults. METHODS: Sample was individuals aged at least 65 years (N = 8,205) who participated in the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions. Measurements included lifetime and past 12-month Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition alcohol use disorders (AUDs), tobacco use disorders (TUDs), and psychiatric conditions. RESULTS: Among older adults, prevalence of lifetime and past 12-month AUDs were 16.1% and 1.5% and lifetime and past 12-month TUDs were 8.7% and 4.0%, respectively. Lifetime TUD was associated with increased odds of both lifetime (odds ratio [OR]: 4.17; 95% confidence interval [CI]: 3.30-5.26) and past 12-month (OR: 2.52; 95% CI: 1.50-4.24) AUDs, and lifetime AUD was associated with increased odds of both lifetime (OR: 4.13; 95% CI: 3.28-5.210 and past 12-month (OR: 3.51; 95% CI: 2.47-4.96) TUDs. Any lifetime mood, anxiety, or personality disorder among older adults was associated with increased odds of lifetime AUD and TUD, any lifetime mood disorder was associated with increased odds of past 12-month AUD and TUD, and any personality disorder was associated with past 12-month TUD. CONCLUSION: There is a strong association between AUD and TUD among older U.S. adults as well as associations between AUD and TUD with mood, anxiety, and personality disorders. Understanding the psychiatric conditions associated with AUDs and TUDs, especially past 12-month use disorders involving alcohol or tobacco, will enable healthcare providers to target screening and be more aware of symptoms and signs of potential AUDs and TUDs among those at higher risk. SN - 1545-7214 UR - https://www.unboundmedicine.com/medline/citation/24021218/Psychiatric_correlates_of_alcohol_and_tobacco_use_disorders_in_U_S__adults_aged_65_years_and_older:_results_from_the_2001_2002_National_Epidemiologic_Survey_of_Alcohol_and_Related_Conditions_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1064-7481(13)00308-4 DB - PRIME DP - Unbound Medicine ER -