Substance Use Screening in Geriatric Primary Care: Cultural Issues and Alcohol Consumption in the Deep South.

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2025-10-01 Epub Date: 2024-03-12 DOI:10.1080/07317115.2024.2326523

Rebecca S Allen, Shayne S H Lin, Timothy K Ly, M Lindsey Jacobs, Robert E McKinney, Brian S Cox, Amy E Albright, Deanna M Dragan, Dana Carroll, Anne Halli-Tierney

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引用次数: 0

Abstract

Objectives: To investigate indicators of potentially hazardous alcohol use among older adults living in a region with high substance use stigma.

Methods: Patients at a university-affiliated geriatrics clinic in the Deep South of theUS completed behavioral health screenings including self-reported alcohol use, symptoms of depression or anxiety, and cognitive functioning between 2018 and 2022.

Results: Participants (N = 278) averaged 76.04 years of age (SD = 9.25), were predominantly female (70.9%), and non-Hispanic white (84.5%), with an averageof 6.08 comorbid diagnoses (SD = 2.86). Race/ethnicity, age, and symptoms of anxiety were associated with alcohol use and hazardous alcohol use, with non-Hispanic whites, younger individuals, and those with more anxiety symptoms reporting more alcohol use. Notably, alcohol use and hazardous alcohol use were associated with cognitive functioning in the dementia range.

Conclusion: Self-reported alcohol use is low in geriatric primary care in the Deep South, US, differs by race/ethnicity, and is predictive of cognitive impairment when alcohol use is hazardous. Issues of trust and stigma may play a role in self-report ofstigmatized behaviors.

Clinical implications: Self-reported alcohol intake must be considered within the cultural context of regional stigma. Recommendations to address this are provided.

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老年初级保健中的药物使用筛查：深南地区的文化问题和酒精消费。

目的调查生活在药物使用污名化严重地区的老年人使用酒精的潜在危险指标：美国深南地区一所大学附属老年病诊所的患者在 2018 年至 2022 年期间完成了行为健康筛查，包括自我报告的饮酒情况、抑郁或焦虑症状以及认知功能：参与者（N = 278）平均年龄为 76.04 岁（SD = 9.25），主要为女性（70.9%）和非西班牙裔白人（84.5%），平均合并诊断为 6.08 项（SD = 2.86）。种族/民族、年龄和焦虑症状与饮酒和危险饮酒有关，非西班牙裔白人、年轻人和焦虑症状较多的人饮酒较多。值得注意的是，饮酒和危险饮酒与痴呆范围内的认知功能有关：结论：在美国深南地区的老年初级保健中，自我报告的饮酒率较低，因种族/民族而异，当饮酒属于危险行为时，可预测认知功能受损。信任和污名化问题可能会对自我报告的污名化行为产生影响：临床意义：自我报告的酒精摄入量必须在地区性污名的文化背景下加以考虑。本文提供了解决这一问题的建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.