A Multidimensional Latent Class Analysis of Harmful Alcohol Use Among Older Adults: Subtypes Within the Swedish Addiction Severity Index Registry

Autor: Lena Lundgren, Wossenseged Birhane Jemberie, Fredrik Snellman, Mojgan Padyab
Rok vydání: 2020
Předmět:
Male
Alcohol
Alcohol use disorder
01 natural sciences
chemistry.chemical_compound
0302 clinical medicine
addiction severity index
Pharmacology (medical)
030212 general & internal medicine
Registries
Register study
older adults
Original Research
Psychiatry
Socialt arbete
Social work
subtypes
Substance Abuse
Public Health
Global Health
Social Medicine and Epidemiology
Latent class model
Substance abuse
Psychiatry and Mental health
Alcoholism
addiction severity Index
Latent Class Analysis
ComputingMethodologies_DOCUMENTANDTEXTPROCESSING
Female
medicine.medical_specialty
Social Work
Substance-Related Disorders
Psykiatri
Addiction severity index
03 medical and health sciences
Assessment data
mental disorders
medicine
Humans
0101 mathematics
Beroendelära
Aged
Sweden
harmful alcohol use
business.industry
010102 general mathematics
medicine.disease
register-based study
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi
chemistry
business
Zdroj: Journal of Addiction Medicine
ISSN: 1935-3227
Popis: Supplemental Digital Content is available in the text
Objectives: The present study aimed to identify multidimensional typologies of harmful alcohol use based on the Swedish Addiction Severity Index (ASI) assessment data on individuals aged 50 years and above. Methods: Latent class analysis examined 11 indicators from ASI data on 1747 individuals (men = 1255, women = 492) who reported they were troubled by alcohol problem at least one day in the past 30 days before their assessment. The discriminative validity of the classes was assessed by comparing other measures of individual characteristics and problem severity of other ASI dimensions. Results: Five subtypes of harmful alcohol use were identified. Two classes with alcohol problems varying in psychosocial functioning, age composition and ages of onset of both regular and heavy drinking. Two with psychiatric comorbidity but varying in violence, criminality, gender composition and ages of onset of regular and heavy drinking. One with high prevalence of concurrent use of other substances, psychiatric, legal, and employment problems. Conclusions: The analysis identified, in a national sample, heterogeneous risk groups of older adults with harmful alcohol use. These findings suggest a need for healthcare providers to assess older adults not only for their substance use but also for associated problems and needs. Given these findings, the Addiction Severity Index is a valuable assessment tool for older adults with harmful alcohol use.
Databáze: OpenAIRE
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