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Exploring life-course patterns of substance abuse: a qualitative study
Caitlin Foster1, Candace Konnert1, Julie A Gorenko1
1Department of Psychology, University of Calgary, Calgary, Canada.
Aging & Mental Health
|November 26, 2019
Summary
Older adults often misperceive their substance abuse onset, with life events like retirement and grief triggering problematic use. Recognition of substance abuse issues is often delayed until significant life consequences arise.
Area of Science:
- Gerontology
- Addiction Medicine
- Psychology
Background:
- Substance abuse among older adults is a growing public health concern.
- Understanding the life-course patterns of substance use in this demographic is crucial for effective intervention.
Purpose of the Study:
- To explore how older adults perceive the onset and progression of their substance abuse.
- To identify factors influencing the recognition of problematic substance use in later life.
Main Methods:
- Qualitative interviews were conducted with 20 older adults (aged 62-78) in a substance abuse treatment program.
- Thematic analysis was used to analyze interview data on substance use patterns, precipitants, and recognition of problems.
Main Results:
- Significant discrepancies exist between self-reported age of substance abuse onset and the age of problematic use.
- Normalizing use, minimizing impact, and lack of early severe consequences delayed problem recognition.
- Life events like retirement and grief were identified as precipitants for increased substance use.
Conclusions:
- Substance abuse patterns in older adults are highly variable and complex.
- Findings highlight the need for nuanced assessment tools and targeted prevention strategies for older adults with substance abuse issues.
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