Alcohol problems in old age: a review of recent epidemiological research

The subject of alcoholism in late life has received relatively little attention in the literature. This is despite the fact that elderly people are particularly vulnerable to the adverse effects of alcohol. Demographic data predicts that in the first half of the next century there will be an increase in the absolute number of elderly people with alcohol problems. The recognition and treatment of alcohol problems are likely therefore to become more important as this population expands. High rates of comorbidity with physical and psychiatric illness mean that elderly alcoholics are liable to be frequent users of health facilities. Concern has been expressed regarding the impact this trend will have upon health services, particularly the high costs of treatment and institutionalization. Previous researchers in this field have been disadvantaged by a lack of standardized diagnostic criteria and the absence of age-validated screening tools. This paper reviews recent publications relating to the epidemiology of alcohol problems in the elderly and focuses on comparing the prevalence rates of alcohol problems in various clinical settings. Epidemiological research is important as it improves the understanding of the scope and impact of a disease as well as being a vital component during the planning stage for new services. This review highlights some ongoing limitations in recent research.