PMID- 33353852
OWN - NLM
STAT- MEDLINE
DCOM- 20210818
LR  - 20210818
IS  - 1545-7214 (Electronic)
IS  - 1064-7481 (Linking)
VI  - 29
IP  - 5
DP  - 2021 May
TI  - Late- and Typical-Onset Heroin Use Among Older Adults Seeking Treatment for 
      Opioid Use Disorder.
PG  - 417-425
LID - S1064-7481(20)30572-8 [pii]
LID - 10.1016/j.jagp.2020.12.005 [doi]
AB  - OBJECTIVE: Analyze 10-year trends in opioid use disorder with heroin (OUD-H) 
      among older persons and to compare those with typical-onset (age <30 years) to 
      those with late (age 30+) onset. DESIGN: Naturalistic observation using the most 
      recent (2008-2017) Treatment Episode Data Set-Admissions (TEDS-A). SETTING: 
      Admission records in TEDS-A come from all public and private U.S. programs for 
      substance use disorder treatment receiving public funding. PARTICIPANTS: U.S. 
      adults aged 55 years and older entering treatment for the first time between 2008 
      and 2017 to treat OUD-H. MEASUREMENTS: Admission trends, demographics, substance 
      use history. RESULTS: The number of older adults who entered treatment for OUD-H 
      nearly tripled between 2007 and 2017. Compared to those with typical-onset 
      (before age 30), those with late-onset heroin use were more likely to be white, 
      female, more highly educated, and rural. Older adults with late-onset were more 
      likely to be referred to treatment by an employer and less likely to be referred 
      by the criminal justice system. Those with late-onset were more likely to use 
      heroin more frequently but less likely to inject heroin than those with 
      typical-onset. Those with typical onset were more likely to receive medication 
      for addiction treatment than those with late-onset. CONCLUSION: Late-onset heroin 
      use is increasing among older U.S. adults. Research is needed to understand the 
      unique needs of this population better. As this population grows, geriatric 
      psychiatrists may be increasingly called upon to provide specialized care to 
      people with late-onset OUD-H.
CI  - Copyright (c) 2020 American Association for Geriatric Psychiatry. Published by 
      Elsevier Inc. All rights reserved.
FAU - Lynch, Alison
AU  - Lynch A
AD  - Department of Psychiatry (AL, SA), University of Iowa, Iowa City, IA.
FAU - Arndt, Stephan
AU  - Arndt S
AD  - Department of Psychiatry (AL, SA), University of Iowa, Iowa City, IA. Electronic 
      address: stephan-arndt@uiowa.edu.
FAU - Acion, Laura
AU  - Acion L
AD  - Instituto de Calculo, Universidad de Buenos Aires - CONICET (LA), Argentina.
LA  - eng
PT  - Journal Article
DEP - 20201215
PL  - England
TA  - Am J Geriatr Psychiatry
JT  - The American journal of geriatric psychiatry : official journal of the American 
      Association for Geriatric Psychiatry
JID - 9309609
RN  - 70D95007SX (Heroin)
SB  - IM
CIN - Am J Geriatr Psychiatry. 2021 May;29(5):432-433. PMID: 33451877
CIN - Am J Geriatr Psychiatry. 2021 May;29(5):429-431. PMID: 33485776
CIN - Am J Geriatr Psychiatry. 2021 May;29(5):426-428. PMID: 33640267
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - *Heroin
MH  - Hospitalization
MH  - Humans
MH  - Middle Aged
MH  - *Opioid-Related Disorders/epidemiology/therapy
MH  - Referral and Consultation
OTO - NOTNLM
OT  - Opioid use disorder
OT  - aging
OT  - heroin
OT  - substance use disorders
EDAT- 2020/12/24 06:00
MHDA- 2021/08/19 06:00
CRDT- 2020/12/23 05:37
PHST- 2020/10/16 00:00 [received]
PHST- 2020/12/03 00:00 [revised]
PHST- 2020/12/04 00:00 [accepted]
PHST- 2020/12/24 06:00 [pubmed]
PHST- 2021/08/19 06:00 [medline]
PHST- 2020/12/23 05:37 [entrez]
AID - S1064-7481(20)30572-8 [pii]
AID - 10.1016/j.jagp.2020.12.005 [doi]
PST - ppublish
SO  - Am J Geriatr Psychiatry. 2021 May;29(5):417-425. doi: 10.1016/j.jagp.2020.12.005. 
      Epub 2020 Dec 15.