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. 2023 Mar:107:32-37.
doi: 10.1016/j.alcohol.2022.07.006. Epub 2022 Aug 5.

Past-month binge drinking and cannabis use among middle-aged and older adults in the United States, 2015-2019

Wayne E Kepner  1 , Benjamin H Han  2 , Daniel Nguyen  1 , Stacy S Han  1 , Francisco A Lopez  1 , Joseph J Palamar  3
Affiliations

Past-month binge drinking and cannabis use among middle-aged and older adults in the United States, 2015-2019

Wayne E Kepner et al. Alcohol. 2023 Mar.

Abstract

The aging United States population, which includes the large Baby Boomer generation, is leading to an increasing number of middle-aged and older adults who engage in psychoactive substance use. Due to the size of this cohort, and their changing attitudes around psychoactive substance use, there has been a sharp increase in prevalence of past-month cannabis use among adults aged ≥50; however, little is understood about recent trends in the use of both cannabis and excess alcohol use, such as binge drinking, in this population. The current use of both alcohol and cannabis has important health implications for older adults, given their higher prevalence of chronic diseases and prescribed medications. This study aimed to 1) estimate national trends among older adults who report both past-month binge drinking and cannabis use, and 2) examine correlates of reporting both. We examined aggregated data from a nationally representative sample of noninstitutionalized adults aged ≥50 from the 2015 to 2019 National Survey on Drug Use and Health. During the study period, there was an estimated 2.5% increase (a 64.1% relative increase) in past-month cannabis use (linear trend p < 0.001), a non-significant decrease in past-month binge drinking, and a 0.5% estimated increase in both past-month cannabis use and binge drinking (a 26.3% relative increase) (p = 0.03). The sharpest increase in both past-month cannabis use and binge drinking was among adults aged ≥65, with the estimated prevalence increasing from 0.2% in 2015 to 1.1% in 2019 (a 450% relative increase, p < 0.001). Those engaging in past-month binge drinking and cannabis use were more likely to be younger, male, non-Hispanic Black, use tobacco, and report past-year mental health treatment. Results suggest that the prevalence of both past-month cannabis use and binge drinking among middle-aged and older adults increased between 2015 and 2019, especially among adults aged ≥65, which indicates an increased need to screen for both excess alcohol and cannabis use to minimize potential harm.

Keywords: aging; binge drinking; cannabis; chronic disease.

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Conflict of interest statement

Declaration of interest

Dr. Palamar has consulted for Alkermes. The authors have no other potential conflicts to declare.

Figures

Fig. 1.
Fig. 1.
Trends in past-month cannabis use and both past-month cannabis use and binge drinking among adults aged ≥50, United States, 2015–2019.
See this image and copyright information in PMC

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References

    1. Agosti V, Nunes E, & Levin F (2002). Rates of psychiatric comorbidity among U.S. residents with lifetime cannabis dependence. The American Journal of Drug and Alcohol Abuse, 28(4), 643–652. - PubMed
    1. Al-Rousan T, Moore AA, Han BH, Ko R, & Palamar JJ (2022). Trends in binge drinking prevalence among older U.S. men and women, 2015 to 2019. Journal of the American Geriatrics Society, 70(3), 812–819. - PMC - PubMed
    1. Banks DE, Rowe AT, Mpofu P, & Zapolski TC (2017). Trends in typologies of concurrent alcohol, marijuana, and cigarette use among US adolescents: An ecological examination by sex and race/ethnicity. Drug and Alcohol Dependence, 179, 71–77. - PMC - PubMed
    1. Benitez A, Lauzon S, Nietert PJ, McRae-Clark A, & Sherman BJ (2020). Self-reported cognition and marijuana use in older adults: Results from the national epidemiologic survey on alcohol and related conditions-III. Addictive Behaviors, 108, Article 106437. - PMC - PubMed
    1. Center for Behavioral Health Statistics and Quality; Substance Abuse and Mental Health Services Administration (SAMHSA). (September 2020). 2019 National survey of drug use and health (NSDUH). SAMHSA.

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