Volume 6, Issue 2 (Spring 2018)                   Iran J Health Sci 2018, 6(2): 31-40 | Back to browse issues page


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Mazandaran University of Medical Sciences, Sari, Iran , ZTaraghi@mazums.ac.ir
Abstract:   (3390 Views)
Background and Purpose: Addiction is regarded as a disorder of brain function. The current paper aimed at investigating the substance use disorders characteristics among elderly people.
Materials and Methods: In this descriptive-correlation study, 200 elderlies referred to Amol Addiction Treatment Clinics were selected by multi-stage cluster sampling. The data collection tool was the demographic questionnaire, and alcohol, smoking, and substance involvement screening test (ASSIST) developed by the WHO. The collected data were analyzed using descriptive and inferential tests, such as independent t-test and ANOVA using SPSS Software (V.21).
Results: All study sample elders (100%) consumed opioids, 65% tobacco products, 31% alcoholic beverages, and 26.5% sedatives or sleeping pills. There was a significant correlation between mean of tobacco products consumption and gender (P=0.001), income (P=0.030), and job (P<0.001). There was also a significant correlation between the mean of cannabis consumption and gender (P=0.013), and income (P=0.011). Also there was a significant correlation between mean of sedatives consumption and job (P=0.039); as well as a significant correlation between the mean of alcoholic beverages consumption and marriage (P=0.037). However, there were not documented any significant relationship between education, housing status, number of children, death of loved ones, and the severity of substance use disorders
Conclusion: Recognition of factors affecting substance use disorders among older people seems necessary.
 
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Type of Study: Original Article | Subject: Health

References
1. McDonough M. Addiction, Co-morbidity and Chronic Disease Management. Journal of Alcohol and Drug Dependency, 2013, 2(1):1-2. [DOI:10.4172/2329-6488.1000e108]
2. World Drug Report. United Nations Office on Drugs and Crime. (UNODC).Vienna.2016. ISBN: 978-92-1-148286-7
3. Sorrell JM. Substance use disorders in long term care settings: A crisis of care for older adults. Journal of psychosocial nursing and mental health services. 2017; 55(1): 24-27 [DOI:10.3928/02793695-20170119-08] [PMID]
4. Rothrauff TC, Abraham AJ, Bride BE, Roman PM. Substance abuse treatment for older adults in private centers. Substance Abuse 2011; 32(1):7-15. [DOI:10.1080/08897077.2011.540463] [PMID] [PMCID]
5. Specific Populations and Prescription Drug Misuse and Abuse. 2014 National Survey on Drug Use and Health (NSDUH)) available at: Substance Abuse and Mental Health Services Administration) SAMHSA) Feb 16 2016
6. Habbibi A, Nikpour S, Seyedoshohadaie M, Haghani H. Health promoting behaviors and Quality of life in elderly. Journal of Ardabil University Medical Sciences. 2008; 1: 29-36.[In Persian]
7. Sarkar S, Parmar A, Chatterjee B. Substance use disorders in the elderly: A review. Journal of Geriatric Mental Health | Published by Wolters Kluwer - Medknow, 2015; 2: 74-82. [DOI:10.4103/2348-9995.174271]
8. Gage S, Melillo KD. Substance abuse in older adults: Policy issues. Journal of Gerontological Nursing 2011; 37:8-11. [DOI:10.3928/00989134-20111104-01] [PMID]
9. Basca, B. The Elderly and Prescription Drug Misuse and Abuse. Prevention Tactics, 2008; 9(2):1-8 Center for Applied Research Solutions (CARS). Permit No: 2840 Available at: www.cars-rp.org
10. Mortazavi S, Shati M, Malakouti K, Mohammadi K. Psychiatric Comorbidities among Iranian Elderly Patients on Methadone Maintenance Treatment. Archives of Iranian Medicine, 2015;18(11):740-6 [PMID]
11. Bratvand M, Soodani M, Zarei E, Asadollahi A. Sexual abuse and drug abuse among homeless children in Ahzvaz, Iran. Child Abuse Review. 2013; 22(6):408-18 [DOI:10.1002/car.2263]
12. Jazayeri AR, Moshtagh N. Substance Abuse in the Elderly. Iranian Journal of Aging, 2006; 1(1): 56-51.[In Persian]
13. Humeniuk R. validation of Alcohol, smoking, and substance involvement screening test and pilot brief intervention[electronic resource]: a technical report of phase II findings of the WHO ASSIST project /prepared by Rachel Humeniuk & Robert Ali, on behalf of the WHO ASSIST phase II study group. 2006
14. Humeniuk R, Ali R, Babor TF, Farrell M, Formigoni ML, jittiwutikarn J, et al. Validation of Alcohol, smoking, and substance involvement screening test Addiction. 2008; 103(6):1039-47. [DOI:10.1111/j.1360-0443.2007.02114.x] [PMID]
15. Polith D, Beck F. Nursing research: Appraising evidence for nursing practice. Philadelphia: Lippincott Co. 2014 ISBN: 978-1 -4511- 7679-7.
16. Assadollahi A, Baratvand M, Valizadeh SH, Havasi A. Drug use disorder and chemical solutions in elderly of Ahvaz. Salmand. 2007; 2(5):346-351.[In Persian]
17. Wu LT, Blazer DG. Substance use disorders and psychiatric comorbidity in mid and later life: a review. International Journal of Epidemiology. 2014; 43:304-317 [DOI:10.1093/ije/dyt173] [PMID] [PMCID]
18. Reif S, Larson M, Cheng D.M, Allensworth D, Samet J, Saitz R. Chronic disease and recent addiction treatment utilization among alcohol and drug dependent adults. Substance Abuse Treatment, Prevention. 2011; 6 (28): 1-10 [DOI:10.1186/1747-597X-6-28]
19. National Survey on Drug Use and Health. (2011, September). Retrieved October, 2016.https://www.samhsa.gov/data/sites/default/files/2011MHFDT/.../NSDUHmhfr2011.ht
20. Iparraguirre, J. Socioeconomic determinants of risk of harmful alcohol drinking among people aged 50 or over in England. BMJ Open 2015; 5: e007684. http://dx.doi.org/10.1136 [DOI:10.1136/bmjopen-2015-007684] [PMID] [PMCID]
21. Grella CE, Lovinger K. Gender differences in physical and mental health outcomes among an aging cohort individuals with a history of heroin dependence. Addictive Behaviors. 2012; 37(3):306-312 Today's Heroin Epidemic | Vital Signs | CDC. (2015, July). Retrieved October, 2016 https://www.cdc.gov/vitalsigns/heroin/index.html.

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