title: 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.
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.
  
  
  CONCLUSIONS
  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.affiliation: Department of Medicine, Cheng Ching Hospital, Taichung, Taiwan.
authors.forename: James C
authors.initials: JC
authors.lastname: Lin
authors.affiliation: Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA.
authors.forename: Mitchell P
authors.initials: MP
authors.lastname: Karno
authors.affiliation: Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA.
authors.forename: Christine E
authors.initials: CE
authors.lastname: Grella
authors.affiliation: Department of Psychology, University of California Los Angeles, Los Angeles, CA.
authors.forename: Lara A
authors.initials: LA
authors.lastname: Ray
authors.affiliation: Division of Geriatric Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA.
authors.forename: Diana H
authors.initials: DH
authors.lastname: Liao
authors.affiliation: 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.
authors.forename: Alison A
authors.initials: AA
authors.lastname: Moore
mesh_terms: D000368:Aged; D000437:Alcoholism / Q000453:epidemiology* / Q000523:psychology; D001008:Anxiety Disorders / Q000453:epidemiology; D015897:Comorbidity; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D019964:Mood Disorders / Q000453:epidemiology; D010554:Personality Disorders / Q000453:epidemiology; D014029:Tobacco Use Disorder / Q000453:epidemiology* / Q000523:psychology; D014481:United States / Q000453:epidemiology
keywords: Alcohol use disorders; older adults; psychiatric correlates; tobacco use disorders
references.citation: Am J Geriatr Psychiatry. 2009 Sep;17(9):769-81
references.pmid: 19700949
references.citation: J Gen Intern Med. 1998 Nov;13(11):729-34
references.pmid: 9824517
references.citation: Drug Alcohol Depend. 2000 Jun 1;59(3):235-49
references.pmid: 10812284
references.citation: Am J Geriatr Psychiatry. 2011 Mar;19(3):292-9
references.pmid: 20808122
references.citation: Drug Alcohol Depend. 2003 Jul 20;71(1):7-16
references.pmid: 12821201
references.citation: Drug Alcohol Depend. 1995 Jul;39(1):37-44
references.pmid: 7587973
references.citation: J Stud Alcohol. 1997 Sep;58(5):464-73
references.pmid: 9273910
references.citation: J Am Geriatr Soc. 2009 Dec;57(12):2275-81
references.pmid: 19874409
references.citation: Am J Geriatr Psychiatry. 2011 Aug;19(8):685-94
references.pmid: 21785289
references.citation: Drug Alcohol Depend. 2003 Mar 1;69(2):127-35
references.pmid: 12609694
references.citation: J Clin Psychiatry. 2004 Jul;65(7):948-58
references.pmid: 15291684
references.citation: Arch Gen Psychiatry. 2004 Nov;61(11):1107-15
references.pmid: 15520358
references.citation: Med Care. 1999 Feb;37(2):165-79
references.pmid: 10024121
references.citation: Addict Behav. 1998 Nov-Dec;23(6):893-907
references.pmid: 9801724
references.citation: JAMA. 2004 Mar 10;291(10):1238-45
references.pmid: 15010446
references.citation: Ann Epidemiol. 2006 Apr;16(4):257-65
references.pmid: 16275134
references.citation: Alcohol Res Health. 2006;29(3):162-71
references.pmid: 17373404
references.citation: Int J Addict. 1990 Dec;25(12):1429-54
references.pmid: 2094682
references.citation: Alcohol Res Health. 2006;29(3):199-202
references.pmid: 17373409
references.citation: Arch Gen Psychiatry. 2002 Sep;59(9):794-800
references.pmid: 12215078
references.citation: Alcohol Clin Exp Res. 2006 Dec;30(12):2046-54
references.pmid: 17117970
references.citation: Can J Psychiatry. 2005 Sep;50(10):660-6
references.pmid: 16276858
references.citation: Am J Geriatr Pharmacother. 2007 Mar;5(1):64-74
references.pmid: 17608249
references.citation: J Am Geriatr Soc. 2006 May;54(5):757-62
references.pmid: 16696740
references.citation: Alcohol Alcohol. 2007 May-Jun;42(3):247-51
references.pmid: 17526635
references.citation: Drug Alcohol Rev. 2003 Jun;22(2):125-33
references.pmid: 12850898
references.citation: Arch Gen Psychiatry. 2007 Jul;64(7):830-42
references.pmid: 17606817
references.citation: Addiction. 2009 Jan;104(1):88-96
references.pmid: 19133892
references.citation: Clin Geriatr Med. 2003 Nov;19(4):743-61
references.pmid: 15024810
references.citation: Alcohol Res Health. 2006;29(3):193-8
references.pmid: 17373408