TY - JOUR KW - Adult KW - Age Factors KW - Aged KW - Ambulatory Care KW - Cohort Studies KW - Employment KW - Female KW - Health Status KW - Humans KW - Male KW - Mental Disorders/psychology KW - Middle Aged KW - Opioid-Related Disorders/physiopathology/psychology/therapy KW - Severity of Illness Index KW - Substance Abuse Treatment Centers AU - M. R. Lofwall AU - R. K. Brooner AU - G. E. Bigelow AU - K. Kindbom AU - E. C. Strain A1 - AB - The aging "baby boomer" population has higher rates of substance use than previous cohorts and is predicted to put increased demands on substance abuse treatment services; however, little is known about older illicit drug abusers. This study compared 41 older (age 50-66 years) and 26 younger (age 25-34 years) opioid maintenance patients on psychiatric, substance use, medical, general health, demographic, and psychosocial characteristics using standardized instruments. The health of both groups was compared to age and sex-matched U.S. population norms. Both groups had high rates of lifetime psychiatric and substance abuse/dependence diagnoses, and poor general health compared to population norms. The older group began using illicit substances significantly later in life, and had significantly more medical problems and worse general health than the younger group. The inevitable increasing medical morbidity and physical limitations of an increasingly large older population with substance use problems will challenge treatment providers and planners. Low rates of positive urine opioid tests occurred for both older and younger patients without age-specific services. BT - Journal of substance abuse treatment C5 - Opioids & Substance Use; Healthcare Disparities CP - 3 CY - United States IS - 3 JF - Journal of substance abuse treatment N2 - The aging "baby boomer" population has higher rates of substance use than previous cohorts and is predicted to put increased demands on substance abuse treatment services; however, little is known about older illicit drug abusers. This study compared 41 older (age 50-66 years) and 26 younger (age 25-34 years) opioid maintenance patients on psychiatric, substance use, medical, general health, demographic, and psychosocial characteristics using standardized instruments. The health of both groups was compared to age and sex-matched U.S. population norms. Both groups had high rates of lifetime psychiatric and substance abuse/dependence diagnoses, and poor general health compared to population norms. The older group began using illicit substances significantly later in life, and had significantly more medical problems and worse general health than the younger group. The inevitable increasing medical morbidity and physical limitations of an increasingly large older population with substance use problems will challenge treatment providers and planners. Low rates of positive urine opioid tests occurred for both older and younger patients without age-specific services. PP - United States PY - 2005 SN - 0740-5472; 0740-5472 SP - 265 EP - 272 EP - T1 - Characteristics of older opioid maintenance patients T2 - Journal of substance abuse treatment TI - Characteristics of older opioid maintenance patients U1 - Opioids & Substance Use; Healthcare Disparities U2 - 15857727 VL - 28 VO - 0740-5472; 0740-5472 Y1 - 2005 ER -