Research Article
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Sociodemographic and Clinical Characteristics of Elderly Patients in Alcohol Dependence Treatment

Year 2025, Volume: 26 Issue: 3, 335 - 346, 30.09.2025

Cengiz Cengisiz , Selman Bölükbaşı

https://doi.org/10.51982/bagimli.1645603

Abstract

Objective: This study aimed to examine the prevalence, sociodemographic characteristics, and clinical features of alcohol use disorder (AUD) in individuals aged 60 years and older.
Method: A retrospective cohort analysis was conducted on 3892 patients aged 60 and over who were diagnosed with AUD and admitted to the Addiction Counseling Outpatient Clinic of Manisa Mental Health and Diseases Hospital between 2019 and 2023. Sociodemographic data, comorbidities, and treatment approaches were evaluated.
Results: Among the participants, 93.6% were male and 6.4% were female. The prevalence of AUD was higher among males; however, a significant increase in alcohol consumption among females was observed during the pandemic period. The mean age was 64.6±4.4 years, and 89% of the patients received outpatient treatment. Patients from metropolitan areas, such as İzmir, showed higher rates of inpatient treatment. The most common physical comorbidities were hypertension (51.6%) and malnutrition (31.4%), while the most frequent psychiatric comorbidities were depression (19.8%) and dementia/cognitive impairment (17.3%).
Conclusion: In geriatric individuals, AUD frequently coexists with significant physical and psychosocial comorbidities. These findings emphasize the importance of early diagnosis, interdisciplinary approaches, and comprehensive psychosocial support services. Future studies should aim to raise awareness of AUD among the elderly and develop holistic intervention strategies.

Keywords

alcohol-related disorders geriatric psychiatry substance-related disorders elderly

Ethical Statement

This study was conducted with the approval of the Inonu University Health Sciences Non-Interventional Clinical Research Ethics Committee dated 11-09-2024 and numbered 2024/6374.

References

  • Miller SC, Rosenthal RN, Levy S. Principles of addiction medicine. 7th ed. Philadelphia, Pensilvanya, PA: Lippincott Williams & Wilkins, 2024.
  • World Health Organization. Global Status Report on Alcohol And Health. Geneva: World Health Organization, 2024.
  • World Health Organization. Alcohol. https://www.who.int/health-topics/alcohol (Accessed 02.04.2025).
  • Canadian Centre on Substance Use and Addiction. Canada's Guidance on Alcohol and Health. https://www.ccsa.ca/canadas-guidance-alcohol-and-health (Accessed 10.02.2025).
  • Centers for Disease Control and Prevention. Alcohol and public health. https://www.cdc.gov/alcohol (Accessed 10.02.2025).
  • Kramarow EA, Tejada-Vera B. Alcohol-induced deaths in adults aged 65 and over: United States, 2019 and 2020. NCHS Health E-Stats 2022; doi: 10.15620/cdc:122045.
  • McInerney K, Best D, Cross A. Characteristics of people who have received treatment for late-onset problem drinking. Nordisk Alkohol Nark 2023; 40(2): 100–126.
  • United Nations Office on Drugs and Crime. World Drug Report 2024. Vienna: United Nations Office on Drugs and Crime, 2024.
  • Torbay and South Devon NHS Foundation Trust. Your Drug and Alcohol Service Team. https://www.torbayandsouthdevon.nhs.uk/services/drug-and-alcohol-service/your-drug-and-alcohol-service-team (Accessed 10.02.2025).
  • Senarathne B, Palliyaguru D, Oshini A, Gamage J, et al. Anxiety prevalence and alcohol consumption patterns. BMC Public Health 2025; 25: 220.
  • Tevik K, Skråstad RB, Benth JS, Eldholm RS, et al. Prevalence and change in alcohol consumption in older adults. PLoS One 2024; 19(5): e0304714..
  • Fernández Castro R, Marcos Martín M, Novo Veleiro I. Alcohol consumption in elderly people. Rev Clin Esp (Barc) 2024; 224(6): 537–545.
  • Choi NG, Marti CN, Choi BY. Perceived risk of binge drinking among older alcohol users. Int J Environ Res Public Health 2024; 21(8): 1081.
  • Haighton C, Steer M, Nichol B. Domiciliary carers’ perspectives on alcohol use by older adults in their care. Int J Environ Res Public Health 2024; 21(10): 1324.
  • Han BH, Moore AA, Sherman S, et al. Demographic trends of binge alcohol use and alcohol use disorders among older adults in the United States, 2005–2014. Drug Alcohol Depend 2017; 170: 198–207.
  • Piano MR. Alcohol’s effects on the cardiovascular system. Alcohol Res 2017; 38(2): 219–241.
  • Lin Y, Ying YY, Li SX, et al. Association between alcohol consumption and metabolic syndrome among Chinese adults. Public Health Nutr 2021; 24(12): 4582–4590.
  • European Association for the Study of Liver. EASL clinical practical guidelines: Management of alcoholic liver disease. J Hepatol 2012; 57(2): 399–420.
  • Vishnubhotla R, Kulkarni AV, Sharma M, et al. An update on the genetics of alcoholic liver disease. Front Gastroenterol 2022; 1: 1030399.
  • Simet SM, Sisson JH. Alcohol’s effects on lung health and immunity. Alcohol Res 2015; 37(2): 199–208.
  • Kaluza J, Harris HR, Linden A, Wolk A. Alcohol consumption and risk of chronic obstructive pulmonary disease: A prospective cohort study of men. Am J Epidemiol 2019; 188(5): 907–916.
  • Ke Y, Hu H, Zhang J, et al. Alcohol consumption and risk of fractures: A systematic review and dose-response meta-analysis of prospective cohort studies. Adv Nutr 2023; 14(4): 599–611.
  • Ross LJ, Wilson M, Banks M, et al. Prevalence of malnutrition and nutritional risk factors in patients undergoing alcohol and drug treatment. Nutrition 2012; 28(7-8): 738–743.
  • Butts M, Sundaram VL, Murughiyan U, et al. The influence of alcohol consumption on intestinal nutrient absorption: A comprehensive review. Nutrients 2023; 15(7): 1571.
  • Le Roux C, Tang Y, Drexler K. Alcohol and opioid use disorder in older adults: neglected and treatable illnesses. Curr Psychiatry Rep 2016; 18: 87.
  • Çavuşoğlu Ç, Demirkol ME. Yaşlılarda bağımlılık. Bağımlılık Dergisi 2018; 19(3): 59-69.
  • Blow FC, Barry KL. Use and misuse of alcohol among older women. Alcohol Res Health 2002; 26(4): 308–315.
  • Magill M, Apodaca TR, Borsari B, et al. A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change. J Consult Clin Psychol 2018; 82(2): 140–157.
  • Substance Abuse and Mental Health Services Administration. Recovery and relapse prevention for older adults. https://www.samhsa.gov/recovery (Accessed 22.02.2025).
  • Borazan NG, Kırışık H, Ulusal F. Yaşlılarda ilaç bağımlılığı ve ilacın kötüye kullanımının gerontolojik perspektiften değerlendirilmesi. Bağımlılık Dergisi 2025; 26(1): 116-126.
  • Jeremiah RP, Katisi M, Shehu OM. Alcohol misuse within different socio-ecologies in rural communities of Botswana. PLoS One 2024; doi: 10.1371/journal.pone.0306542.
  • Geniş B, Coşar B, Arıkan Z. Alkol Bağımlılığı Olan Erişkin Hastalarda Hastanede Kalış Süresini Etkileyen Faktörler. Bağımlılık Dergisi 2020; 21(1): 24-33.
  • European Monitoring Centre for Drugs and Drug Addiction. European drug report 2024: Trends and developments. https://www.emcdda.europa.eu/publications/edr/trends-developments-2024 (Accessed 10.02.2025).
  • Probst C, Rehm J. Alcohol use, opioid overdose and socioeconomic status in Canada: A threat to life expectancy? CMAJ 2018; 190(44): E1294-5.
  • Barbosa C, Cowell AJ, Dowd WN. Alcohol consumption in response to the COVID-19 pandemic in the United States. J Addict Med 2021; 15(1): 341-344.
  • Michalak A, Lach T, Szczygieł K, Cichoż-Lach H. COVID-19, possible hepatic pathways and alcohol abuse. Int J Mol Sci 2024; 25(4): 2212.
  • Smith JP, Randall CL. Anxiety and alcohol use disorders: Comorbidity and treatment considerations. Alcohol Res 2012; 34(4): 414–431.

Alkol Bağımlılığı Tedavisi Gören Yaşlı Hastaların Sosyodemografik ve Klinik Özellikleri

Year 2025, Volume: 26 Issue: 3, 335 - 346, 30.09.2025

Cengiz Cengisiz , Selman Bölükbaşı

https://doi.org/10.51982/bagimli.1645603

Abstract

Amaç: Bu çalışmanın amacı, 60 yaş ve üzeri bireylerde alkol kullanım bozukluğunun (AKB) yaygınlığını, sosyodemografik ve klinik özelliklerini incelemektir.
Yöntem: 2019-2023 yılları arasında Manisa Ruh Sağlığı ve Hastalıkları Hastanesi Bağımlılık Danışmanlığı Polikliniği'ne başvuran ve AKB tanısı konulan 60 yaş ve üzeri 3892 hasta retrospektif olarak analiz edilmiştir. Hastaların sosyodemografik verileri, komorbiditeleri ve tedavi yaklaşımları değerlendirilmiştir.
Bulgular: Çalışmaya dahil edilen bireylerin %93,6'sı erkek, %6,4'ü kadındır. Erkeklerde AKB prevalansı kadınlara göre daha yüksek bulunmuş, ancak pandemi döneminde kadınlarda alkol tüketiminde anlamlı bir artış saptanmıştır. Katılımcıların yaş ortalaması 64,6±4,4 yıl olup, %89'u ayaktan tedavi almıştır. İzmir gibi metropol şehirlerden gelen hastalarda yatarak tedavi oranı daha yüksektir. En sık görülen fiziksel komorbiditeler hipertansiyon (%51,6) ve malnütrisyon (%31,4), psikiyatrik komorbiditeler ise depresyon (%19,8) ve demans/bilişsel bozukluk (%17,3) olarak belirlenmiştir.
Sonuç: Geriatrik bireylerde AKB, ciddi fiziksel ve psikososyal eş tanılarla birlikte seyretmektedir. Bu durum, erken tanının, disiplinler arası yaklaşımın ve kapsamla psikososyal destek hizmetlerinin önemini vurgulamaktadır. Gelecek çalışmalar, yaşlı bireylerde AKB'ye yönelik farkındalığı artırmayı ve bütüncül müdahale stratejileri geliştirmeyi hedeflemelidir.

Keywords

alkol-bağlantılı rahatsızlıklar geriatrik psikiyatri madde kullanımına bağlı bozukluklar Yaşlı

Ethical Statement

Bu çalışma, İnönü Üniversitesi Sağlık Bilimleri Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu 11-09-2024 tarihli ve 2024/6374 karar sayılı onayı ile yürütülmüştür.

References

  • Miller SC, Rosenthal RN, Levy S. Principles of addiction medicine. 7th ed. Philadelphia, Pensilvanya, PA: Lippincott Williams & Wilkins, 2024.
  • World Health Organization. Global Status Report on Alcohol And Health. Geneva: World Health Organization, 2024.
  • World Health Organization. Alcohol. https://www.who.int/health-topics/alcohol (Accessed 02.04.2025).
  • Canadian Centre on Substance Use and Addiction. Canada's Guidance on Alcohol and Health. https://www.ccsa.ca/canadas-guidance-alcohol-and-health (Accessed 10.02.2025).
  • Centers for Disease Control and Prevention. Alcohol and public health. https://www.cdc.gov/alcohol (Accessed 10.02.2025).
  • Kramarow EA, Tejada-Vera B. Alcohol-induced deaths in adults aged 65 and over: United States, 2019 and 2020. NCHS Health E-Stats 2022; doi: 10.15620/cdc:122045.
  • McInerney K, Best D, Cross A. Characteristics of people who have received treatment for late-onset problem drinking. Nordisk Alkohol Nark 2023; 40(2): 100–126.
  • United Nations Office on Drugs and Crime. World Drug Report 2024. Vienna: United Nations Office on Drugs and Crime, 2024.
  • Torbay and South Devon NHS Foundation Trust. Your Drug and Alcohol Service Team. https://www.torbayandsouthdevon.nhs.uk/services/drug-and-alcohol-service/your-drug-and-alcohol-service-team (Accessed 10.02.2025).
  • Senarathne B, Palliyaguru D, Oshini A, Gamage J, et al. Anxiety prevalence and alcohol consumption patterns. BMC Public Health 2025; 25: 220.
  • Tevik K, Skråstad RB, Benth JS, Eldholm RS, et al. Prevalence and change in alcohol consumption in older adults. PLoS One 2024; 19(5): e0304714..
  • Fernández Castro R, Marcos Martín M, Novo Veleiro I. Alcohol consumption in elderly people. Rev Clin Esp (Barc) 2024; 224(6): 537–545.
  • Choi NG, Marti CN, Choi BY. Perceived risk of binge drinking among older alcohol users. Int J Environ Res Public Health 2024; 21(8): 1081.
  • Haighton C, Steer M, Nichol B. Domiciliary carers’ perspectives on alcohol use by older adults in their care. Int J Environ Res Public Health 2024; 21(10): 1324.
  • Han BH, Moore AA, Sherman S, et al. Demographic trends of binge alcohol use and alcohol use disorders among older adults in the United States, 2005–2014. Drug Alcohol Depend 2017; 170: 198–207.
  • Piano MR. Alcohol’s effects on the cardiovascular system. Alcohol Res 2017; 38(2): 219–241.
  • Lin Y, Ying YY, Li SX, et al. Association between alcohol consumption and metabolic syndrome among Chinese adults. Public Health Nutr 2021; 24(12): 4582–4590.
  • European Association for the Study of Liver. EASL clinical practical guidelines: Management of alcoholic liver disease. J Hepatol 2012; 57(2): 399–420.
  • Vishnubhotla R, Kulkarni AV, Sharma M, et al. An update on the genetics of alcoholic liver disease. Front Gastroenterol 2022; 1: 1030399.
  • Simet SM, Sisson JH. Alcohol’s effects on lung health and immunity. Alcohol Res 2015; 37(2): 199–208.
  • Kaluza J, Harris HR, Linden A, Wolk A. Alcohol consumption and risk of chronic obstructive pulmonary disease: A prospective cohort study of men. Am J Epidemiol 2019; 188(5): 907–916.
  • Ke Y, Hu H, Zhang J, et al. Alcohol consumption and risk of fractures: A systematic review and dose-response meta-analysis of prospective cohort studies. Adv Nutr 2023; 14(4): 599–611.
  • Ross LJ, Wilson M, Banks M, et al. Prevalence of malnutrition and nutritional risk factors in patients undergoing alcohol and drug treatment. Nutrition 2012; 28(7-8): 738–743.
  • Butts M, Sundaram VL, Murughiyan U, et al. The influence of alcohol consumption on intestinal nutrient absorption: A comprehensive review. Nutrients 2023; 15(7): 1571.
  • Le Roux C, Tang Y, Drexler K. Alcohol and opioid use disorder in older adults: neglected and treatable illnesses. Curr Psychiatry Rep 2016; 18: 87.
  • Çavuşoğlu Ç, Demirkol ME. Yaşlılarda bağımlılık. Bağımlılık Dergisi 2018; 19(3): 59-69.
  • Blow FC, Barry KL. Use and misuse of alcohol among older women. Alcohol Res Health 2002; 26(4): 308–315.
  • Magill M, Apodaca TR, Borsari B, et al. A meta-analysis of motivational interviewing process: Technical, relational, and conditional process models of change. J Consult Clin Psychol 2018; 82(2): 140–157.
  • Substance Abuse and Mental Health Services Administration. Recovery and relapse prevention for older adults. https://www.samhsa.gov/recovery (Accessed 22.02.2025).
  • Borazan NG, Kırışık H, Ulusal F. Yaşlılarda ilaç bağımlılığı ve ilacın kötüye kullanımının gerontolojik perspektiften değerlendirilmesi. Bağımlılık Dergisi 2025; 26(1): 116-126.
  • Jeremiah RP, Katisi M, Shehu OM. Alcohol misuse within different socio-ecologies in rural communities of Botswana. PLoS One 2024; doi: 10.1371/journal.pone.0306542.
  • Geniş B, Coşar B, Arıkan Z. Alkol Bağımlılığı Olan Erişkin Hastalarda Hastanede Kalış Süresini Etkileyen Faktörler. Bağımlılık Dergisi 2020; 21(1): 24-33.
  • European Monitoring Centre for Drugs and Drug Addiction. European drug report 2024: Trends and developments. https://www.emcdda.europa.eu/publications/edr/trends-developments-2024 (Accessed 10.02.2025).
  • Probst C, Rehm J. Alcohol use, opioid overdose and socioeconomic status in Canada: A threat to life expectancy? CMAJ 2018; 190(44): E1294-5.
  • Barbosa C, Cowell AJ, Dowd WN. Alcohol consumption in response to the COVID-19 pandemic in the United States. J Addict Med 2021; 15(1): 341-344.
  • Michalak A, Lach T, Szczygieł K, Cichoż-Lach H. COVID-19, possible hepatic pathways and alcohol abuse. Int J Mol Sci 2024; 25(4): 2212.
  • Smith JP, Randall CL. Anxiety and alcohol use disorders: Comorbidity and treatment considerations. Alcohol Res 2012; 34(4): 414–431.
There are 37 citations in total.

Details

Primary Language Turkish
Subjects Psychiatry, Behaviour-Personality Assessment in Psychology, Subtance Abuse, Mental Health Services, Health Services and Systems (Other)
Journal Section Research
Authors

Cengiz Cengisiz 0000-0001-5552-8767

Selman Bölükbaşı 0000-0003-3771-4827

Publication Date September 30, 2025
Submission Date February 23, 2025
Acceptance Date May 11, 2025
Published in Issue Year 2025 Volume: 26 Issue: 3

Cite

AMA Cengisiz C, Bölükbaşı S. Alkol Bağımlılığı Tedavisi Gören Yaşlı Hastaların Sosyodemografik ve Klinik Özellikleri. Bağımlılık Dergisi. September 2025;26(3):335-346. doi:10.51982/bagimli.1645603

Bağımlılık Dergisi - Journal of Dependence