Prevalence of Concurrent Prescription Opioid and Hazardous Alcohol Use Among Older Women: Results from a Cross-Sectional Study of Community Members
Concurrent use of prescription medications and alcohol is prevalent among older adults and impacts women more than men, however little is known about characteristics of older women who use both. The current analysis aims to evaluate those characteristics. Participants were recruited through HealthStreet, an outreach program. Community health workers (CHWs) assess health needs and concerns among community members. CHWs collect demographic, substance use, and other health data from participants. Female participants (≥ 50 years) interviewed November 2011–November 2017 were included and stratified into four groups: neither prescription opioid nor hazardous alcohol use (three or more drinks in a single day), hazardous alcohol use only, prescription opioid use only, and both prescription opioid and hazardous alcohol use. Chi square and ANOVA tests were used to compare these groups. Among the 2370 women (53% black; mean age 61 years), 70% reported neither prescription opioid nor hazardous alcohol use, 12% reported hazardous alcohol use only, 15% reported prescription opioid use only, and 3% reported use of both in the past 30 days. Concurrent prescription opioid and hazardous alcohol use were significantly associated with comorbid depression and anxiety (p < 0.0001); women who endorsed prescription opioid use only were significantly more likely to report a history of back pain, cancer, or diabetes compared to their counterparts (p < 0.0001). Nearly a third of women reported prescription opioid and/or hazardous alcohol use in the past 30 days. Because the risk and consequences of concomitant alcohol and opioid use increase with age, interventions tailored to women are needed.
KeywordsPrescription opioids Drinking Women Community-engaged research
Funding was provided by National Institutes of Health and National Clinical and Translational Science Award with Grant No. UL1, TR000064 and National Institute on Drug Abuse with Grant No. T32DA035167.
Compliance with Ethical Standards
Conflict of interest
The authors report no relevant financial conflicts.
- 1.Dedert, E., et al. (2014). e-Interventions for alcohol misuse. Washington (DC): Department of Veterans Affairs.Google Scholar
- 2.Alcohol Facts and Statistics | National Institute on Alcohol Abuse and Alcoholism (NIAAA). [Online]. https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/alcohol-facts-and-statistics. Accessed 04 August 2016.
- 5.Use and Misuse of Alcohol Among Older Women. [Online]. https://pubs.niaaa.nih.gov/publications/arh26-4/308-315.htm. Accessed 24 April 2017.
- 9.Compton, W. M., Thomas, Y. F., Stinson, F. S., & Grant, B. F. (2007). Prevalence, correlates, disability, and comorbidity of dsm-iv drug abuse and dependence in the united states: Results from the national epidemiologic survey on alcohol and related conditions. Archives of General Psychiatry, 64(5), 566–576.CrossRefPubMedGoogle Scholar
- 15.NIAAA Publications. [Online]. http://pubs.niaaa.nih.gov/publications/brochurewomen/women.htm. Accessed 29 July 2016.
- 16.Hasin, D., Samet, S., Nunes, E., Meydan, J., Matseoane, K., & Waxman, R. (2006). Diagnosis of comorbid psychiatric disorders in substance users assessed with the psychiatric research interview for substance and mental disorders for DSM-IV. American Journal of Psychiatry, 163(4), 689–696.CrossRefPubMedGoogle Scholar
- 19.Green, T. C., Grimes Serrano, J. M., Licari, A., Budman, S. H., & Butler, S. F. (Jul. 2009). Women who abuse prescription opioids: Findings from the Addiction Severity Index-Multimedia Version® Connect prescription opioid database. Drug and Alcohol Dependence, 103(1–2):65–73.CrossRefPubMedPubMedCentralGoogle Scholar
- 20.Centers for Disease Control and Prevention (CDC). (2013). Vital signs: overdoses of prescription opioid pain relievers and other drugs among women—United States, 1999–2010. Morbidity and Mortality Weekly Report, 62(26), 537–542.Google Scholar
- 22.Grant, B. F., Stinson, F. S., & Dawson, D. A., et al. (2004). Prevalence and co-occurrence of substance use disorders and independentmood and anxiety disorders: Results from the national epidemiologic survey on alcohol and relatedconditions. Archives of General Psychiatry, 61(8), 807–816.CrossRefPubMedGoogle Scholar
- 23.Grant, B. F., & Weissman, M. M. (2007). Gender and the prevalence of psychiatric disorders. In W. E. Narrow, M. B. First, P. J. Sirovatka & D. A. Regier (Eds.), Age and gender considerations in psychiatric diagnosis: A research agenda for DSM-V (pp. 31–45). Arlington: American Psychiatric Publishing, Inc.Google Scholar
- 24.Epidemiology of analgesic use: A gender perspective: European Journal of Anaesthesiology (EJA), LWW. http://journals.lww.com/ejanaesthesiology/Fulltext/2002/19261/Epidemiology_of_analgesic_use__a_gender.3.aspx. Accessed 29 July 2016.
- 26.Meeting, A. P. A. (2011) Mental health in public health: The next 100 years. New York: Oxford University Press.Google Scholar
- 27.SAS Institute Inc., 9.4, SAS Institute Inc., Cary, NC (2011).Google Scholar
- 28.Products - Data Briefs - Number 189 - February 2015. [Online]. http://www.cdc.gov/nchs/data/databriefs/db189.htm. Accessed 18 July 2016.
- 33.CDC - Fact Sheets-Excessive Alcohol Use and Risks to Women’s Health - Alcohol. [Online]. http://www.cdc.gov/alcohol/fact-sheets/womens-health.htm. Accessed 29 July 2016.
- 34.Colby, S. L., & Ortman, J. M. (2015) Projections of the size and composition of the US population: 2014 to 2060. US Census Bureau, Ed., pp. 25–1143.Google Scholar