Historique
Article de Périodique
Characteristics and consequences of heroin use among older adults in the United States: a review of the literature, treatment implications, and recommendations for further research (2011)
Auteur(s) :
ROSEN, D. ;
HUNSAKER, A. ;
ALBERT, S. M. ;
CORNELIUS, J. R. ;
REYNOLDS III, C. F.
Année
2011
Page(s) :
279-285
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
PERSONNE AGEE
;
HEROINE
;
TYPE D'USAGE
;
TRAITEMENT
;
RECOMMANDATION
;
RECHERCHE
;
METHADONE
;
PATHOLOGIE ORGANIQUE
;
COMORBIDITE
;
PSYCHOPATHOLOGIE
;
PREVALENCE
Résumé :
This review reports on the results of a comprehensive literature search of studies examining the physical and mental health characteristics of older adults in the United States who use heroin. Multiple databases were searched for papers meeting the inclusion criteria of heroin users who were age 50 years or older. A total of 14 articles covering 9 different studies met the review inclusion criteria. All of the studies were convenience samples, and seven of the nine studies (77.8%) were entirely drawn from substance abuse treatment programs, primarily methadone maintenance programs. Findings from the qualitative studies suggest that the marginalization of older heroin users was a predominant experience that impacted the intent to seek treatment as well as treatment retention. While articles reported high levels of physical and psychological/psychiatric comorbidities with substance misuse, research on heroin use and methadone treatment among older adults is scant and the quantitative findings are inconsistent. The articles reviewed in this study demonstrate that the needs of this population will be significant, yet the development of appropriate interventions and treatment for older adult heroin users will be contingent on empirical research that adequately describes mental and physical health problems.
Affiliation :
School of Social Work, University of Pittsburgh, Pittsburgh, PA 15260, United States / Etats-Unis