Substance Use among Older Adults (Age 50+): Current Prevalence and Future Expectations Presented by Joe Gfroerer U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Office of Applied Studies
Substance Use among Older Adults (Age 50+): Current Prevalence and Future Expectations
Feb 13, 2016
Substance Use among Older Adults (Age 50+): Current Prevalence and Future Expectations. Presented by Joe Gfroerer U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Office of Applied Studies. National Survey on Drug Use and Health (NSDUH). - PowerPoint PPT Presentation
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Substance Use among Older Adults (Age 50+): Current Prevalence and
Future Expectations
Presented by Joe Gfroerer
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESSubstance Abuse and Mental Health Services Administration
Office of Applied Studies
2
National Survey on Drug Use and Health (NSDUH)
• Representative of U.S. and each State• Civilian, noninstitutionalized population• Age 12 or older• Anonymous face-to-face interview• Computer-assisted self-interviewing• 67,500 respondents each year• 5,980 respondents age 50+ in 2003
(population 81 million)
3
Patterns of Substance Use
4
Past Month Substance Use: Age 50+, 2003
Alcohol Use 44% (36 million)
Binge Alcohol Use 12% (10 million)
Tobacco Use 21% (17 million)
Illicit Drug Use 2% (1.4 million)
(No statistically significant [.05 level] changes from 2002.)
5
3.8
10.9
19.2
23.3
18.3
13.4
8.8 8.4 8.16.8
3.92.0 1.1 0.6
0.0
5.0
10.0
15.0
20.0
25.0
Illicit Drug Use, by Age: 2003
Age in Years12-13 14-15 16-17 18-20 21-25 26-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+
Percent Using in Past Month
Age 50+
6
Use of Selected Illicit Drugs:Age 50+, 2002-2003 Annual Averages
Percent Using in Past Month
1.8
1.1
0.7
0.20.03
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
1.8
2.0
Any Drug
Prescription Drug Nonmedically
HallucinogenMarijuana Cocaine
7
Nonmedical Prescription Drug Use: NSDUH Definition
“Not prescribed for you”
OR
“You took the drug only for the experience or feeling it caused”
(Excludes OTC)
8
Types of Drugs Usedby Past Month Illicit Drug Users:
Age 50+, 2002-2003 Annual Averages
Other
Marijuana Only
Only Marijuana and Prescription Drugs
1.4 Million Illicit Drug Users (1.8%)
47%
14% 33%
6%
Prescription Drugs Only
9
Types of Drugs Used by Past Month Illicit Drug Users: Age 12 to 49 and 50+,
2002-2003 Annual Averages
Age 12 to 49
Age 50+
55 47
16 3310
619 14
0.0
20.0
40.0
60.0
80.0
100.0
Percent of Current Users
Marijuana & Prescription Drugs Only
Marijuana Only
Prescription Drugs Only
All Other
10
Marijuana and Prescription Drug (Nonmedical) Use, by Gender:
Age 50+, 2002-2003 Annual Averages
1.5
0.60.6
0.9
0.00.20.40.60.81.01.21.41.6
Percent Using in Past Month
MaleFemale
Marijuana Prescription Drug Nonmedically
Note: Difference between male and female rates is statistically significant (.05 level) for marijuana, not prescription drugs.
11
Marijuana and Prescription Drug (Nonmedical) Use, by Gender:
Age 12 to 17, 2003
8.6
3.7
7.2
4.2
0.0
2.0
4.0
6.0
8.0
10.0
Percent Using in Past Month
MaleFemale
Marijuana Prescription Drug Nonmedically
Note: Difference between male and female rates is statistically significant (.05 level) for marijuana, not prescription drugs.
12
Illicit Drug Use, by County Type: Age 50+, 2002-2003 Annual Averages
2.1
1.6 1.5
0.0
0.5
1.0
1.5
2.0
2.5
Large Metro NonmetroSmall Metro
Percent Using in Past Month
Note: No statistically significant differences (.05 level).
13
Illicit Drug Use, by Race/Ethnicity: Age 50+, 2002-2003 Annual Averages
1.9 2.0
1.5
0.0
0.5
1.0
1.5
2.0
2.5
White
Percent Using in Past Month
Black or African American
Hispanic or Latino
Note: No statistically significant differences (.05 level).
14
Past Year Illicit Drug Use, by Serious Mental Illness: Age 50+,
2002-2003 Annual Averages
8.0
3.1
0.01.02.03.04.05.06.07.08.09.0
Percent Using in Past Year
No Serious Mental Illness
Serious Mental Illness
Note: Difference is statistically significant (.05 level).
15
Substance Dependence, Abuse, and Treatment Need(DSM-IV, Past Year)
16
2.2
8.4
16.1
21.1 21.0
15.8
11.19.6 8.5 8.1
6.03.7
1.2 1.6
0.0
5.0
10.0
15.0
20.0
25.0
Illicit Drug or AlcoholDependence or Abuse, by Age: 2003
Percent Dependent or Abusing in Past Year
Age in Years12-13 14-15 16-17 18-20 21-25 26-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+
Age 50+
17
Substance Dependence or Abuse: Age 50+, 2003
Total 2.5 million (3.0%)
Alcohol Only 2.2 million (90%)
Illicit Drug Only 169,000 (7%)
Both Drugs and Alcohol 73,000 (3%)
(No statistically significant [.05 level] changes from 2002.)
18
4228
5872
90
100.0
20.0
40.0
60.0
80.0
100.0
Alcohol and Illicit Drug Dependence or Abuse, as a Percentage of Total Substance
Dependence or Abuse, by Age: 2003
Age12 to 25
Age26 to 49
Age 50+
Percent of Substance Dependence/Abuse
Alcohol Only
Illicit Drug
19
Dependence or Abuse of Illicit Drugs:Age 50+, 2002-2003 Annual Averages
5
20
31
38
81
85
108
151
0 20 40 60 80 100 120 140 160
Hallucinogens
Heroin
Stimulants
Sedatives
Tranquilizers
Marijuana
Cocaine
Pain Relievers
Number (in Thousands)
20
Substance Dependence or Abuse, by Gender: Age 50+, 2002-2003 Annual Averages
5.2
1.4
0.0
1.0
2.0
3.0
4.0
5.0
6.0
Male Female
Percent Dependent or Abusing in Past Year
Note: Difference is statistically significant (.05 level).
21
Substance Dependence or Abuse, by County Type: Age 50+,
2002-2003 Annual Averages
3.5
2.8 2.7
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
Large Metro NonmetroSmall Metro
Percent Dependent or Abusing in Past Year
Note: No statistically significant differences (.05 level).
22
Substance Dependence or Abuse, by Race/Ethnicity: Age 50+,
2002-2003 Annual Averages
3.23.6
3.2
0.0
1.0
2.0
3.0
4.0
White
Percent Dependent or Abusing in Past Year
Black or African American
Hispanic or Latino
Note: No statistically significant differences (.05 level).
23
Treatment Need and Specialty Treatment for Alcohol or Drug Abuse: Age 50+,
2002-2003 Annual Averages
Did Not Receive Treatment and Felt Need for Treatment
Did Not Receive Treatment and
Felt No Need for Treatment
85.0%
2.6 Million with Treatment Need(Based on DSM-IV)
Received Treatment
6.5%
8.6%
(44% Made Effort)
24
Expected Future Trends in Substance Use among
Older Adults
25
Alcohol or Illicit Drug Dependence or Abuse, by Lifetime Use of Illicit Drugs:
Age 50+, 20037.4
1.4
0.01.02.03.04.05.06.07.08.0
Percent Dependent or Abusing in Past Year
Never Used Illicit Drugs
Used Illicit Drugs in Lifetime
Note: Difference is statistically significant (.05 level).
26
0
10
20
30
40
50
60
70
80
1930 1940 1950 1960 1970Age 50 to 69 in 2000 Age 50 to 69 in 2020
Lifetime Use of Illicit Drugs, by Year of Birth: 2002-2003 Annual Averages
Percent Ever UsedBaby Boom Cohort
(Born 1946-64)
27
Illicit Drug Dependence or Abuse, by Age of First Marijuana Use: Lifetime Marijuana Users Age 50+, 2002-2003 Annual Averages
5.3
1.0
0.0
1.0
2.0
3.0
4.0
5.0
6.0Percent Dependent or Abusing in Past Year
First Use at Age 18 or Older
First Use Before Age 18
Note: Difference is statistically significant (.05 level).
28
15
20
25
30
35
40
1930 1940 1950 1960 1970
Age 50 to 69 in 2000 Age 50 to 69 in 2020
Average Age of First Use of Marijuana among Lifetime Marijuana Users, by Year
of Birth: 2002-2003 Annual AveragesAvg. Age of First Use
Baby Boom Cohort (Born 1946-64)
29
Substance Dependence or Abuse: Age 50+, 2000/2001 and 2020
2000/2001 2020 % IncreasePopulation 75m 112m 50%
% Dep/Ab 2.3% 3.9% 70%
# Dep/Ab 1.7m 4.4m 150%
Note: 2000/2001 estimates are not comparable with 2002 and 2003 estimates.
30
Past Year Marijuana Use: Age 50+, 1999-2001 and 2020
1999-2001 2020 % IncreasePopulation 74m 112m 50%
% Use 1.0% 2.9% 190%
# Use 0.7m 3.3m 370%
Note: 1999-2001 estimates are not comparable with 2002 and 2003 estimates.
31
Recent Trends in Substance Abuse Treatment among
Older Adults
(Treatment Episode Data Set)
32
Proportion of Substance Abuse Treatment Admissions Involving an Illicit Drug,
by Age: 2001
71 64 5542 33 26
36 4558 67 74
29
0102030405060708090
100
40-44 45-49 50-54 55-59 60-64 65+
Percent
Alcohol Only
Illicit Drug
Age Group
33
Treatment Admissions for Primary Illicit Drug Problems: Age 50+, 2002
0.4
0.9
2.6
3.1
3.8
12.7
26.6
0 5 10 15 20 25 30
SedativesTranquilizers
StimulantsMarijuana
Other OpiatesCocaineHeroin
Number (in Thousands)
34
Alcohol and Drug Treatment Admissions: Age 50+, 1992-2002
75 75 71 68 68 69 73 74 76 7580
20 2328 29 31
3642
4957
6374
0102030405060708090
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
Admissions in Thousands
Alcohol Only
Drugs
35
7.39.1
11.1 11.5 11.513.6 15.2
18.121.6 23
26.6
2.8 3.3 4.2 4.4 5 5.5 6.9 7.69.2 10.3
12.7
0
5
10
15
20
25
30
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
Major Drugs of Abuse in Treatment Admissions with Illicit Drug as Primary
Substance: Age 50+, 1992-2002Admissions in Thousands
Heroin
Cocaine
36
Older Adult Substance Use: Conclusions
• Currently, abuse problem is mainly alcohol
• Treatment need will increase due to baby boom cohort
– Population increase
– Higher abuse rate
• Illicit drug problems will become more prominent as cohorts
with drug experience reach age 50
– Evident in treatment admission data since early 1990s
Related Documents
![OPEN ACCESS Abuse Disorders Keywords · disorders [1]. Despite the high prevalence rates of “co-occurring” mental health and substance disorders (COD), the administration, funding](https://static.cupdf.com/doc/110x72/5edc6e63ad6a402d666715a9/open-access-abuse-disorders-keywords-disorders-1-despite-the-high-prevalence.jpg)
