A Multidimensional Latent Class Analysis of Harmful Alcohol Use Among Older Adults: Subtypes Within the Swedish Addiction Severity Index Registry

Jemberie, Wossenseged Birhane; Padyab, Mojgan; Snellman, Fredrik; Lundgren, Lena

doi:10.1097/adm.0000000000000636

Cited by 11 publications

(21 citation statements)

References 42 publications

(60 reference statements)

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“…The associations of involuntary or unexpected unemployment with SUD and mental health, and the positive effect of reemployment are well established. When individuals with SUD lose the structure of employment and sense of purpose, substance use and SUD symptom severity may increase (9,17,(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). Home foreclosure in the United States (US) was associated with a delayed onset of depression and anxiety after controlling for pre-existing depression and anxiety (31).…”

Section: Covid-19 Induced Economic Public Health and Social Challenmentioning

confidence: 99%

“…Shrinking social networks and deaths from COVID-19 leaves many without coping resources (65). Social isolation, loneliness, death of loved ones, complicated grief, and prolonged bereavement are associated with problematic substance use and relapse both in younger and older adults, and can adversely affect mental health (17,(66)(67)(68)(69)(70)(71)(72)(73)(74)(75).…”

Section: Bereavement and Loneliness: Lasting Effects Of The Covid-19 mentioning

confidence: 99%

“…It is important that addiction care and social service providers are made aware regarding the vulnerability of the different sub-populations to COVID-19. This will enable providers to treat people with SUD in a non-stigmatizing and nondiscriminatory manner and provide appropriate services ( 15 – 17 ).…”

Section: The Intersection Of Substance Use Disorder and Covid-19mentioning

confidence: 99%

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Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions

et al. 2020

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COVID-19 shocked health and economic systems leaving millions of people without employment and safety nets. The pandemic disproportionately affects people with substance use disorders (SUDs) due to the collision between SUDs and COVID-19. Comorbidities and risk environments for SUDs are likely risk factors for COVID-19. The pandemic, in turn, diminishes resources that people with SUD need for their recovery and wellbeing. This article presents an interdisciplinary and international perspective on how COVID-19 and the related systemic shock impact on individuals with SUDs directly and indirectly. We highlight a need to understand SUDs as biopsychosocial disorders and use evidence-based policies to destigmatize SUDs. We recommend a suite of multi-sectorial actions and strategies to strengthen, modernize and complement addiction care systems which will become resilient and responsive to future systemic shocks similar to the COVID-19 pandemic.

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Section: Covid-19 Induced Economic Public Health and Social Challenmentioning

confidence: 99%

Section: Bereavement and Loneliness: Lasting Effects Of The Covid-19 mentioning

confidence: 99%

Section: The Intersection Of Substance Use Disorder and Covid-19mentioning

confidence: 99%

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Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions

et al. 2020

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“…One approach that could further our understanding of patterns of substance use in adults 50 and older is latent class analysis (LCA). This type of mixture modeling takes a person‐centered approach to uncovering underlying (or latent) subgroups based on observed variables, 24 and it has been used to identify substance use patterns across the population 25 and alcohol use patterns 26,27 in adults 50 and older. With different patterns of substance use endorsement or SUD diagnoses, LCA can classify multiple subgroups of respondents and allow for a personalized characterization of substance use.…”

Section: Introductionmentioning

confidence: 99%

“…[20][21][22][23] One approach that could further our understanding of patterns of substance use in adults 50 and older is latent class analysis (LCA). This type of mixture modeling takes a person-centered approach to uncovering underlying (or latent) subgroups based on observed variables, 24 and it has been used to identify substance use patterns across the population 25 and alcohol use patterns 26,27…”

Section: Introductionmentioning

confidence: 99%

The latent class structure of substance use in US adults 50 years and older

Schepis

McCabe

2021

Int J Geriat Psychiatry

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Objective Substance use rates have increased in adults 50 years and older, and substance use in this population is associated with significant consequences. Given that little is known about their underlying substance use patterns, the objective was to identify latent classes of adults 50 years and older by past‐year substance use, past‐month substance use, and past‐year substance use disorder (SUD) diagnosis. Methods The National Survey on Drug Use and Health is an annual nationwide cross‐sectional U.S. survey. Participants were 35,229 civilian, non‐institutionalized U.S. residents, 50 years and older. Past‐year and past‐month alcohol, tobacco, marijuana, heroin, cocaine, methamphetamine use, and opioid, stimulant, and tranquilizer/sedative prescription drug misuse (PDM) were captured, as was past‐year DSM‐IV SUD from these substances. Correlates included mental health, physical health, and healthcare utilization variables. Results Latent class analysis indicated four past‐year or past‐month substance use subgroups (Alcohol‐Only, Alcohol‐Tobacco‐Marijuana, Cocaine‐Polydrug, PDM‐Polydrug), with SUD prevalence rising from 3.2% to 17.3%, 68.8%, and 78.5% by past‐year subgroup; similarly, rates of past‐year suicidal ideation increased from 2.1%, to 4.8%, 12.0%, and 20.4% by past‐year subgroup. For SUD, there were three subgroups (Low Nicotine Dependence [ND], High Alcohol Use Disorder, Multiple SUDs). Over 90% of adults were in a low‐risk subgroup (i.e., Alcohol‐Only and Low ND), but members of Cocaine‐Polydrug, PDM‐Polydrug, or Multiple SUDs latent classes had high rates of mental and physical health concerns. Conclusions Most adults 50 and older have lower risk profiles, but those engaged in PDM or cocaine use are heavily substance‐involved and need screening and likely multi‐disciplinary intervention.

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Geriatric Psychiatry

Price

2022

Malpractice and Liability in Psychiatry

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A Multidimensional Latent Class Analysis of Harmful Alcohol Use Among Older Adults: Subtypes Within the Swedish Addiction Severity Index Registry

Abstract: Supplemental Digital Content is available in the text

Cited by 11 publications

References 42 publications

Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions

Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions

The latent class structure of substance use in US adults 50 years and older

Geriatric Psychiatry

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