Lifetime substance misuse and 5-year incidence rates of emergent health problems among middle-aged adults

Kristin M Caspers; Rebecca Yucuis; Lowell M McKirgan; Ruth Spinks; Stephan Arndt

doi:10.1080/10550880903182796

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Lifetime substance misuse and 5-year incidence rates of emergent health problems among middle-aged adults

Journal article

Peer reviewed

Lifetime substance misuse and 5-year incidence rates of emergent health problems among middle-aged adults

Kristin M Caspers, Rebecca Yucuis, Lowell M McKirgan, Ruth Spinks and Stephan Arndt

Journal of addictive diseases, Vol.28(4), pp.320-331

10/2009

DOI: 10.1080/10550880903182796

PMID: 20155602

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Abstract

Understanding the impact of prior substance misuse on emergent health problems is important to the implementation of effective preventive care. This study examined the 5-year incidence rates using a sample of middle-aged adult adoptees (N = 309, mean(age) = 44.32, standard deviation(age) = 7.28). Subjects reported on health problems at two waves of study. DSM-IV diagnoses of substance misuse were obtained using a semi-structured diagnostic interview. Finally, health services utilization and perceived health status were collected. Lifetime diagnoses of marijuana and other non-marijuana substance misuse significantly predicted new occurrences of cardiovascular and metabolic disease. Alcohol misuse predicted earlier onset of cardiovascular disease among men. Marijuana and other non-marijuana drugs predicted earlier onset of cardiovascular disease for men and women. Finally, marijuana and other non-marijuana drugs predicted earlier onset of metabolic disease among men. Substance misuse did not predict health services utilization despite higher rates of disease. These findings emphasize the need to assess lifetime substance misuse when evaluating health risks associated with use.

Adoption

Adult

Cardiovascular Diseases - complications

Cardiovascular Diseases - epidemiology

Chronic Disease - epidemiology

Comorbidity

Female

Health Services - statistics & numerical data

Health Status

Humans

Incidence

Interview, Psychological

Male

Metabolic Diseases - complications

Metabolic Diseases - epidemiology

Middle Aged

Proportional Hazards Models

Sex Distribution

Substance-Related Disorders - complications

Substance-Related Disorders - diagnosis

Substance-Related Disorders - epidemiology

United States - epidemiology

Details

Title: Subtitle: Lifetime substance misuse and 5-year incidence rates of emergent health problems among middle-aged adults
Creators: Kristin M Caspers - University of Iowa
Rebecca Yucuis - University of Iowa
Lowell M McKirgan - University of Iowa
Ruth Spinks - University of Iowa
Stephan Arndt - University of Iowa
Resource Type: Journal article
Publication Details: Journal of addictive diseases, Vol.28(4), pp.320-331
DOI: 10.1080/10550880903182796
PMID: 20155602
ISSN: 1055-0887
eISSN: 1545-0848
Grant note: R01 DA005821 / NIDA NIH HHS
Language: English
Date published: 10/2009
Academic Unit: Psychiatry; Epidemiology; Biostatistics; Nursing; Injury Prevention Research Center
Record Identifier: 9985132069402771

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