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Alcohol Use and Abuse on Rise in Older Adults

Alcohol Use and Abuse on Rise in Older Adults

New research finds that alcohol use is on the rise in adults age 50 and over, a factor that may led to dangerous behavior and deleterious physical health issues among both women and men.

Experts explain that alcohol is the most commonly used psychoactive substance among older adults. In this cohort, alcohol consumption is linked to unique risks — in even lower amounts — compared to younger persons.

“Older adults have particular vulnerabilities to alcohol due to physiological changes during aging, including increasing chronic disease burden and medication use,” said Benjamin Han, M.D., MPH, a health service researcher at NYU Langone Medical Center (NYU Langone).

“However, no recent studies have estimated trends in alcohol use, including binge alcohol use and alcohol use disorders among older adults.”

To address the lack of research, Han and his team examined data from the National Survey on Drug Use and Health (years 2005 to 2014). In the review, trends of self-reported past-month binge alcohol use, and alcohol use disorder, were examined among adults age 50 and older.

The researchers found significant increases in past-year alcohol use, past-month alcohol use, past-month binge drinking, and alcohol use disorders.

The paper appears online in the journal Drug and Alcohol Dependence.

Results also suggest that while men had a higher prevalence of binge alcohol use and alcohol use disorders than women, binge alcohol use and alcohol use disorder increased among women in this nationally representative sample.

“As females age, they tend to experience a larger impact of physiological changes in lean body mass compared to men,” Han said.

“Thus, they may experience the adverse effects associated with consuming alcohol even in lower amounts.”

“The increase in binge drinking among older women is particularly alarming” said Dr. Joseph Palamar, Ph.D., M.P.H., an assistant professor of Population Health at NYU Langone.

“Both men and women are at risk for getting themselves into risky sexual situations while drinking, but women are at particularly high risk.”

Palamar also stated that “heavy drinking can not only have unintended health consequences, but it can also lead to socially embarrassing or regretful behavior.”

For the researchers, the results also raise public health concerns, given the significant increases in binge alcohol use among older adults who reported “fair/poor” health and/or multiple chronic conditions.

This population is particularly vulnerable to the negative effects of alcohol as it can impact chronic disease management or increase the risk of injury.

“Health care providers need to be made aware of this increasing trend of unhealthy alcohol use, particularly among older females, and ensure that screening for unhealthy alcohol use is part of regular medical care for this population,” said Han.

Source: New York University/EurekAlert

Alcohol Use and Abuse on Rise in Older Adults

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2018). Alcohol Use and Abuse on Rise in Older Adults. Psych Central. Retrieved on September 30, 2020, from
Scientifically Reviewed
Last updated: 8 Aug 2018 (Originally: 13 Dec 2016)
Last reviewed: By a member of our scientific advisory board on 8 Aug 2018
Published on Psych All rights reserved.