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Representation of Substance Use Issues in Old Age Within Norwegian Policy Frameworks
Gloria Abena Ampim1, Gudmund Ågotnes1
1Department of Welfare and Participation, Western Norway University of Applied Sciences, Bergen, Norway.
Nordisk Alkohol- & Narkotikatidskrift : NAT
|July 3, 2026
Summary
Norwegian policies address older adult substance use, focusing on alcohol and prescription drugs. Strategies promote active aging and combat loneliness but risk generalizing diverse needs, potentially worsening health inequalities.
Area of Science:
- Public Health
- Gerontology
- Sociology
Background:
- Substance use among older adults is a growing concern in Norway.
- National policies are crucial for addressing the health and social challenges associated with this demographic.
Purpose of the Study:
- To examine how Norwegian national policies frame substance use issues in older adults.
- To analyze the strategies proposed in policy documents to combat substance use in this population.
Main Methods:
- A poststructural analysis of 18 Norwegian white papers (2003-2024) from relevant ministries.
- Utilized the "What Is the Problem Represented to Be?" framework to interpret policy documents.
Main Results:
- White papers recognize rising alcohol and substance use among older adults as a significant challenge.
- Key strategies include promoting active aging, combating loneliness, and implementing preventive home visits.
- Policies primarily focus on alcohol and prescription drugs, neglecting illicit substances.
Conclusions:
- Current policies adopt a funnel approach, from broad prevention to narrow cure, but risk overgeneralizing the experiences of older adults with substance use issues.
- This generalization may exacerbate health inequalities among older adults facing substance use challenges.
- A more nuanced approach is needed to address the diverse needs within this population.
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