SUBSTANCE USE IN GERIATRIC PATIENTS ADMITTED FOR MEDICAL ILLNESS: A CROSS-SECTIONAL STUDY

Dr. Abhijeet Bansod, Dr. Niranjana Sakhare, Dr. Yogendra Bansod, Dr. Vivek Kirpekar

Abstract


BACKGROUND: Limited attention is given on illicit substance use among the elderly & pattern of substance use in elderly is different from younger age group. AIM: To study substance use in geriatric patients admitted for medical illness. METHODS: 150 elderly patients admitted in general medicine ward were interviewed using a specially designed proforma, DSM-IV TR criteria & URICA Scale. RESULTS: Substance use was found in majority of the participants. Nicotine & alcohol dependence were predominant substance use disorders. Major depressive disorder & somatoform disorder was also found. Statistically significant associations were noted between gender, presence of icterus and peri knuckle pigmentation with presence of substance use.  CONCLUSION: It is important to prevent substance use disorders in elderly. Psychiatric interventions should be practised in other wards of hospitals and primary health care centres for improving awareness of patients as well as their caregivers.


Keywords


Substance Use, Geriatric, Alcohol, Nicotine, Motivation

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References


Dey A.B. Geriatric Medicine. In: Shah N.S, Anand Paul M, editors (2008). API Textbook of Medicine. The Association of Physicians of India, 1578 – 1579.

Moore, A. A., Whiteman, E. J., & Ward, K. T. (2007). Risks of combined alcohol/medication use in older adults. The American journal of geriatric pharmacotherapy, 5(1), 64-74.

World Health Organization. (2019). Global status report on alcohol and health 2018. World Health Organization.

Blow, F. C., Brockmann, L. M., & Barry, K. L. (2004). Role of alcohol in late‐life suicide. Alcoholism: Clinical and Experimental Research, 28, 48S-56S.

IIPS, I. (2017). National Family Health Survey (NFHS-4), 2015–16: India. Mumbai: International Institute for Population Sciences.

Arranz, B., Safont, G., Corripio, I., Ramirez, N., Dueñas, R. M., Perez, V., ... & San, L. (2015). Substance use in patients with first-episode psychosis: is gender relevant?. Journal of dual diagnosis, 11(3-4), 153-160.

Kraus, L., Bloomfield, K., Augustin, R., & Reese, A. (2000). Prevalence of alcohol use and the association between onset of use and alcohol‐related problems in a general population sample in Germany. Addiction, 95(9), 1389-1401.

Blazer, D. G., & Wu, L. T. (2009). The epidemiology of substance use and disorders among middle aged and elderly community adults: national survey on drug use and health. The American Journal of Geriatric Psychiatry, 17(3), 237-245.

Nafiu, I., Blow, F., & Bohnert, A. S. (2014). Older adult substance abuse: Prevalence and risk factors for treatment failure. The American Journal of Geriatric Psychiatry, 22(3), S104.

Latvala, A., Tuulio-Henriksson, A., Perälä, J., Saarni, S. I., Aalto-Setälä, T., Aro, H., ... & Suvisaari, J. (2009). Prevalence and correlates of alcohol and other substance use disorders in young adulthood: a population-based study. BMC psychiatry, 9(1), 73.

Leach, L. S., & Butterworth, P. (2012). The effect of early onset common mental disorders on educational attainment in Australia. Psychiatry research, 199(1), 51-57.

Helakorpi, S., Holstila, AL, Virtanen, S., & Uutela, A. (2012). Health Behavior and Health of the Finnish Adult Population, Spring 2011-Health Behavior and Health among the Finnish Adult Population, Spring 2011.

Patrick, M. E., Wightman, P., Schoeni, R. F., & Schulenberg, J. E. (2012). Socioeconomic status and substance use among young adults: a comparison across constructs and drugs. Journal of studies on alcohol and drugs, 73(5), 772-782.

Assari, S., Smith, J., Mistry, R., Farokhnia, M., & Bazargan, M. (2019). Substance use among economically disadvantaged African American older adults; objective and subjective socioeconomic status. International journal of environmental research and public health, 16(10), 1826.

Ravi, S., Kishore, S., Pasi, R., & Verma, N. (2019). Prevalence of Alcohol Consumption among Adults & Elderly-a Community based Study in Uttarakhand. Indian Journal of Community Health, 31(1), 118-122.

Martin, C. C. (2019). High Socioeconomic Status Predicts Substance Use and Alcohol Consumption in US Undergraduates. Substance use & misuse, 54(6), 1035-1043.

Booth, B. M., Kirchner, J., Fortney, J., Ross, R., & Rost, K. (2000). Rural at-risk drinkers: correlates and one-year use of alcoholism treatment services. Journal of Studies on Alcohol, 61(2), 267-277.

Grant, B. F. (1997). Barriers to alcoholism treatment: reasons for not seeking treatment in a general population sample. Journal of studies on alcohol, 58(4), 365-371.

Benshoff, J. J., Harrawood, L. K., & Koch, D. S. (2003). Substance abuse and the elderly: Unique issues and concerns. Journal of rehabilitation, 69(2), 43-48.

Beck, A. T., Wright, F. D., Newman, C. F., & Liese, B. S. (2011). Cognitive Therapy of Substance Abuse. Guilford Press.

Satre, D. D., Mertens, J. R., Arean, P. A., & Weisner, C. (2004). Five‐year alcohol and drug treatment outcomes of older adults versus middle‐aged and younger adults in a managed care program. Addiction, 99(10), 1286-1297.

Hingson, R. W., Heeren, T., & Winter, M. R. (2006). Age at drinking onset and alcohol dependence: age at onset, duration, and severity. Archives of pediatrics & adolescent medicine, 160(7), 739-746.

Cerbone, F. G., & Larison, C. L. (2000). A bibliographic essay: The relationship between stress and substance use. Substance Use & Misuse, 35(5), 757-786.

Askgaard, G., Grønbæk, M., Kjær, M. S., Tjønneland, A., & Tolstrup, J. S. (2015). Alcohol drinking pattern and risk of alcoholic liver cirrhosis: a prospective cohort study. Journal of hepatology, 62(5), 1061-1067.

Nand, N., Malhotra, P., & Dhoot, D. K. (2015). Clinical profile of alcoholic liver disease in a tertiary care centre and its correlation with type, amount and duration of alcohol consumption. The Journal of the Association of Physicians of India, 63(6), 14-20.

Meena, P. K., Vohra, A. K., & Rajput, R. (2002). Prevalence and pattern of alcohol and substance abuse in urban areas of Rohtak city. Indian journal of psychiatry, 44(4), 348.

Bode, C., & Bode, J. C. (1997). Alcohol's role in gastrointestinal tract disorders. Alcohol health and research world, 21, 76-83.

Schuckit, M. A., Irwin, M., & Brown, S. A. (1990). The history of anxiety symptoms among 171 primary alcoholics. Journal of Studies on Alcohol, 51(1), 34-41.

Stanley, P. C., Nwaneri, D. U., & Bob-Yellowe, E. (2005). Prevalence of alcohol withdrawal syndrome in Port Harcourt, Niger Delta region of Nigeria. January 1999-December 2003. Neurol Asia, 10, 53-9.

Johnson, P. R., Banu, S., & Ashok, M. V. (2010). Severity of alcoholism in Indian males: Correlation with age of onset and family history of alcoholism. Indian journal of psychiatry, 52(3), 243.

Penick, E. C., Powell, B. J., Bingham, S. F., Liskow, B. I., Miller, N. S., & Read, M. R. (1987). A comparative study of familial alcoholism. Journal of Studies on Alcohol, 48(2), 136-146.

Worobec, T. G., Turner, W. M., O'Farrell, T. J., Cutter, H. S., Bayog, R. D., & Tsuang, M. T. (1990). Alcohol use by alcoholics with and without a history of parental alcoholism. Alcoholism: Clinical and Experimental Research, 14(6), 887-892.

World Health Organization. Global adult tobacco survey GATS India 2016– 2017.

Bell, R. A., Arcury, T. A., Chen, H., Anderson, A. M., Savoca, M. R., Kohrman, T., & Quandt, S. A. (2009). Use of tobacco products among rural older adults: Prevalence of ever use and cumulative lifetime use. Addictive behaviors, 34(8), 662-667.

Dube, S. R., Caraballo, R. S., Dhingra, S. S., Pearson, W. S., McClave, A. K., Strine, T. W., & Mokdad, A. H. (2009). The relationship between smoking status and serious psychological distress: findings from the 2007 Behavioral Risk Factor Surveillance System. International journal of public health, 54(1), 68-74.

Moylan, S., Jacka, F. N., Pasco, J. A., & Berk, M. (2012). Cigarette smoking, nicotine dependence and anxiety disorders: a systematic review of population-based, epidemiological studies. BMC medicine, 10(1), 123.

Morissette, S. B., Tull, M. T., Gulliver, S. B., Kamholz, B. W., & Zimering, R. T. (2007). Anxiety, anxiety disorders, tobacco use, and nicotine: a critical review of interrelationships. Psychological bulletin, 133(2), 245.

Kopczyńska, E., Ziółkowski, M., Jendryczka-Maćkiewicz, E., Odrowaz-Sypniewska, G., Opozda, K., & Tyrakowski, T. (2004). The concentrations of homocysteine, folic acid and vitamin B12 in alcohol dependent male patients. Psychiatria polska, 38(5), 947-956.

Mori, K., Ando, I., & Kukita, A. (2001). Generalized hyperpigmentation of the skin due to vitamin B12 deficiency. The Journal of dermatology, 28(5), 282-285.

Smith, K. E., & Fenske, N. A. (2000). Cutaneous manifestations of alcohol abuse. Journal of the American Academy of Dermatology, 43(1), 1-18.


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