1. OLD PATTERNS, NEW PERILS: SNAPSHOTS
M.A. NAEGLE PH.D, CNS-PMH, BC, FAAN

2. AIMS
Describe characteristics and prevalence of (selected) SUDS in older adults
Evaluate approaches to assessment of SUDS in older adults
Compare and contrast evidence-based interventions with populations at risk and persons with SUDS

3. Aging and Health- a Global focus
5.1% of the Global Burden of Disease can be attributed to alcohol use ( WHO, 2014)
Approximately 67% of the world population does not consume alcohol
The 2016 WHO study Public Health: Successes and Missed Opportunities cites declines in European alcohol use but increasing levels of alcohol related CVD, cancer, cirrhosis, intentional and unintentional injury

4. The population
Approximately 44.7 million Americans were over 65 in 2013
They are approximately 1 in 7 or 14.1% of the population (Administration on Aging, 2014)
Of non-institutionalized adults aged 65 and older, 21.7% were in poor or fair health (CDC, 2015)

5. Patterns
Approximately 40% of persons 65 and older consume alcohol ( NIAAA, 2016)
While binge drinking is more common among young adults aged 18–34, binge drinkers aged 65 years and older report binge drinking more often—an average of five to six times a month ( CDC, 2016)
8.4% of persons over 65 smoke tobacco cigarettes
Between , opiate use by older adults in clinic populations more than doubled (Steinman, Komalko, Fung, Ritchie, 2015)
The prevalence of past month marijuana use increased among persons aged ≥18 years; the increase was greatest among adults aged ≥55 years (NSDUH, 2014 Source: MMWR, 9/2/16:65(11):1-25.