Association between chronic disease and substance use among older adults in Tennessee.

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Manik Ahuja, Jessica Stamey, Johanna Cimilluca, Kawther Al Skir, Mary K Herndon, Kathleen Baggett, Thiveya Sathiyasaleen, Praveen Fernandopulle
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Abstract

Background: Substance use and misuse have a negative impact on health care outcomes, specifically in the older adult population. Older adults are at risk due to several factors occurring toward the end of life such as changing family dynamics, loss of friends and loved ones, and chronic diseases. Substance use in older adults with chronic diseases in rural areas remains poorly studied. This study examines older adults greater than 55 of age in the state of Tennessee, U.S.A.

Design and methods: Data was extracted from the 2019 National Behavioral Risk Factor Surveillance System (BRFSS) with a subsample for the State of Tennessee (N = 6242) and individuals over age 55 (N = 3389).

Results: At least 33.7% (N = 1143) of older adults have a chronic disease, and 24.4% (N = 828) have at least two or more chronic diseases. Alcohol use in the past month was reported in 29.4% of older adults; however, chronic disease status was not associated with alcohol use. Marijuana use and smoking in the past month were significant for older adults with two or more chronic diseases. Low income and less high school education were associated with chronic disease and smoking.

Conclusions: Marijuana use and smoking were found to be significant in older adults with chronic disease, but not with alcohol use. Preventative measures such as screening tools, education, and providing resources to patients should be targeted to populations at risk to promote overall health outcomes.

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田纳西州老年人慢性疾病与物质使用之间的关系
背景:物质使用和滥用对卫生保健结果有负面影响,特别是对老年人。由于在生命末期发生的几个因素,如家庭动态变化、失去朋友和亲人以及慢性疾病,老年人处于危险之中。农村地区老年慢性病患者药物使用情况的研究仍然很少。本研究调查了美国田纳西州55岁以上的老年人。设计和方法:数据取自2019年国家行为风险因素监测系统(BRFSS),其中包括田纳西州(N = 6242)和55岁以上个体(N = 3389)的子样本。结果:至少33.7% (N = 1143)的老年人患有慢性疾病,24.4% (N = 828)的老年人至少患有两种或两种以上的慢性疾病。29.4%的老年人报告在过去一个月内饮酒;然而,慢性疾病状态与酒精使用无关。过去一个月吸食大麻和吸烟对患有两种或两种以上慢性疾病的老年人来说意义重大。低收入和高中教育程度较低与慢性疾病和吸烟有关。结论:在患有慢性疾病的老年人中,大麻的使用和吸烟是显著的,但与酒精使用无关。预防措施,如筛查工具、教育和向患者提供资源,应针对有风险的人群,以促进整体健康结果。
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来源期刊
Journal of Public Health Research
Journal of Public Health Research PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
4.30%
发文量
116
审稿时长
10 weeks
期刊介绍: The Journal of Public Health Research (JPHR) is an online Open Access, peer-reviewed journal in the field of public health science. The aim of the journal is to stimulate debate and dissemination of knowledge in the public health field in order to improve efficacy, effectiveness and efficiency of public health interventions to improve health outcomes of populations. This aim can only be achieved by adopting a global and multidisciplinary approach. The Journal of Public Health Research publishes contributions from both the “traditional'' disciplines of public health, including hygiene, epidemiology, health education, environmental health, occupational health, health policy, hospital management, health economics, law and ethics as well as from the area of new health care fields including social science, communication science, eHealth and mHealth philosophy, health technology assessment, genetics research implications, population-mental health, gender and disparity issues, global and migration-related themes. In support of this approach, JPHR strongly encourages the use of real multidisciplinary approaches and analyses in the manuscripts submitted to the journal. In addition to Original research, Systematic Review, Meta-analysis, Meta-synthesis and Perspectives and Debate articles, JPHR publishes newsworthy Brief Reports, Letters and Study Protocols related to public health and public health management activities.
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