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Treatment use, perceived need, and barriers to seeking treatment for substance abuse and mental health problems among older adults compared to younger adults.
Drug Alcohol Depend. 2014 Dec 01; 145:113-20.DA

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.

Authors+Show Affiliations

The University of Texas at Austin School of Social Work, 1925 San Jacinto Blvd, D3500, Austin, TX 78712, United States. Electronic address: nchoi@austin.utexas.edu.The University of Texas at Austin School of Social Work, 1925 San Jacinto Blvd, D3500, Austin, TX 78712, United States.The University of Texas at Austin School of Social Work, 1925 San Jacinto Blvd, D3500, Austin, TX 78712, United States.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25456572

Citation

Choi, Namkee G., et al. "Treatment Use, Perceived Need, and Barriers to Seeking Treatment for Substance Abuse and Mental Health Problems Among Older Adults Compared to Younger Adults." Drug and Alcohol Dependence, vol. 145, 2014, pp. 113-20.
Choi NG, DiNitto DM, Marti CN. Treatment use, perceived need, and barriers to seeking treatment for substance abuse and mental health problems among older adults compared to younger adults. Drug Alcohol Depend. 2014;145:113-20.
Choi, N. G., DiNitto, D. M., & Marti, C. N. (2014). Treatment use, perceived need, and barriers to seeking treatment for substance abuse and mental health problems among older adults compared to younger adults. Drug and Alcohol Dependence, 145, 113-20. https://doi.org/10.1016/j.drugalcdep.2014.10.004
Choi NG, DiNitto DM, Marti CN. Treatment Use, Perceived Need, and Barriers to Seeking Treatment for Substance Abuse and Mental Health Problems Among Older Adults Compared to Younger Adults. Drug Alcohol Depend. 2014 Dec 1;145:113-20. PubMed PMID: 25456572.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment use, perceived need, and barriers to seeking treatment for substance abuse and mental health problems among older adults compared to younger adults. AU - Choi,Namkee G, AU - DiNitto,Diana M, AU - Marti,C Nathan, Y1 - 2014/10/16/ PY - 2014/07/11/received PY - 2014/10/01/revised PY - 2014/10/01/accepted PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2015/10/31/medline KW - Barriers to treatment KW - Mental disorders KW - Substance use disorders KW - Treatment SP - 113 EP - 20 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 145 N2 - 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. SN - 1879-0046 UR - https://www.unboundmedicine.com/medline/citation/25456572/Treatment_use_perceived_need_and_barriers_to_seeking_treatment_for_substance_abuse_and_mental_health_problems_among_older_adults_compared_to_younger_adults_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(14)01849-3 DB - PRIME DP - Unbound Medicine ER -