NIDA creates easy-to-read website on drug abuse

A new, easy-to-read website on drug abuse designed for adults with a low reading literacy level (eighth grade or below) was launched today by the National Institute on Drug Abuse(NIDA), part of the National Institutes of Health. The site, which provides plain language information on neuroscience, drug abuse prevention and treatment, is also a resource for adult literacy educators. It has a simple design with a large default text size, motion graphic videos and other features that make it easy to read and use.

“Drug abuse and addiction affects people of all reading levels, yet there are no websites with drug abuse information created specifically for adults with limited literacy,” said NIDA Director Dr. Nora D. Volkow. “We hope this new site will inform a large segment of our population who may not have otherwise received potentially life-saving information.”

The website’s emphasis on plain language supports the U.S. Department of Health and Human Service’s commitment to clear government communication that the public can understand and use. The site goes beyond plain language by using a website design and features that are easy to use, including animated videos that explain the science of addiction and how drugs affect the brain.

The website will use the ReadSpeaker text-to-speech tool that provides audio versions of each page without the need to download any software. The embedded highlighting tool enables website visitors to see synchronized highlighting of the text that is currently being read.

Before creating the site, NIDA interviewed adults who were seeking to improve their literacy skills to learn their challenges and preferences in using websites. NIDA also worked with groups that provide services to adult learners through nonprofit organizations, libraries, and in healthcare clinics. In addition, NIDA conducted website usability testing at nonprofit organizations that serve adults seeking to improve their reading and/or earn a GED.

NIDA’s new easy-to-read site can be found at: www.easyread.drugabuse.gov. See NIH’sHealth Literacy Initiative for more information and additional resources on health literacy.

H.A.L.T. is an independent 12-Step Substance Abuse Meeting for Alcoholics and Addicts following the format of AA that meets at Noon Monday through Saturday at Solutions, 2975 South Rainbow Blvd. Suite J, Las Vegas, Nevada 89146

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Alcoholics’ Suicide Risk Increases With Age

Researchers know that alcohol disorders amplify suicide risk. At least one-third of individuals who committed suicide also met criteria for alcohol abuse or dependence; alcohol-use disorders are a potent risk factor for suicide attempts that are considered medically serious; and up to seven percent of alcoholics die by committing suicide.

Suicide risk among alcoholics also appears to increase with age. A study in the journal Alcoholism: Clinical & Experimental Researchhas found that middle-aged and older alcoholics are at greater risk for suicide than young alcoholic adults.

Increased Risk for Suicide

“Alcoholism is a common disorder and is also a potent risk factor for suicide,” said Kenneth R. Conner, assistant professor at the University of Rochester Medical Center and first author of the manuscript. “This was the first study of a sample of adults across the age spectrum that explicitly focused on factors that increase the risk for suicide and medically serious suicide attempts associated with alcohol dependence.”

For the purposes of this study, a medically serious suicide attempt was defined as one that required hospital admission for up to 24 hours and met one other criterion that described the type of treatment received. “Data were gathered from medically serious attempters because they are a subgroup of suicide attempters who engaged in especially dangerous behavior, suggesting a high intent to die,” said Conner. Even if not successful the first time, he said, these individuals have an elevated risk of dying in subsequent attempts.

Age-Related Patterns

“In most countries, risk for attempted suicide is highest among adolescents and young adults,” Conner continued, “whereas the risk for completed suicide is highest among older adults. This study’s findings – that alcohol-dependent middle-aged and older adults are at greater risk for suicidethan alcohol-dependent young adults – reinforce the notion of different age-related patterns in attempted suicide and completed suicide.”

For the study, researchers examined data gathered by Annette L. Beautrais and colleagues for the Canterbury Suicide Project, a case-control study of suicides, medically serious suicide attempts, and randomly selected comparison subjects from the Canterbury region of New Zealand. In the analyses, all of the subjects were 18 years of age or older: 193 (149 males, 44 females) had died by committing suicide; 240 (114 males, 126 females) had made a medically serious suicide attempt; and 984 (476 males, 508 females) were community controls. Researchers compared demographic and diagnostic variables.

Mood Disorder and Suicide

Results indicate that the association between alcohol dependence and suicide becomes amplified with age; however, the association between alcohol dependence and medically serious suicide attempts does not. Increased age also appears to amplify the association between mood disorders and suicide, whereas decreased age appears to strengthen the association between mood disorders and medically serious suicide attempts.

“This study shows that suicide risk in alcoholics increases with age,” said Duberstein. “This study also shows that if you have a mood disorder, such as depression, the likelihood of suicide increases as you get older. I think the authors are absolutely correct in concluding that ‘the increased risk for suicide among older adults documented in western cultures may be attributable in large part to the increased vulnerability of older adults to complete suicide in the context of alcohol dependence and mood disorders.’

“Furthermore, the study also challenges the myth that suicide is ‘more rationale’ in older adults. Of course, there are rational suicides, but they are the exceptions. Most suicides have a diagnosable and treatable mental illness at the time of death.”

H.A.L.T. is an independent 12-Step Substance Abuse Meeting for Alcoholics and Addicts following the format of AA that meets at Noon Monday through Saturday at Solutions, 2975 South Rainbow Blvd. Suite J, Las Vegas, Nevada 89146

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Older Adults More Likely to Abuse Alcohol, Not Drugs

Four out of five people of retirement age who seek substance abuse treatment do so because of alcohol problems, instead of abuse of drugs, indicating again that alcohol abuse by older adults is a growing and many times ignored problem.

Research from 29 states and other jurisdictions indicate that 80 percent current retirees in substance abuse treatment needed treatment for alcohol as their primary substance of abuse in 2003, according to a report from the Substance Abuse and Mental Health Services Administration.

By comparison, in the same states only 44 percent who seek treatment do so primarily for alcohol problems.

This is a far higher proportion reporting alcohol (80 percent of retirees in treatment) than for all other admissions to treatment in these states (44 percent). These findings were released today in a report by the Substance Abuse and Mental Health Services Administration (SAMHSA) from continued analysis of the 2003 Treatment Episode Data Set (TEDS). “Alcohol abuse among older adults is something few want to talk about or deal with,” said SAMHSA Administrator Charles Curie. “Too often family members are ashamed of the problem and choose not to address it. Health care providers tend not to ask older patients about alcohol abuse if it wasn’t a problem in their lives in earlier years. Sometimes the symptoms are mistaken for those of dementia, depression, or other problems common to older adults.

“Unfortunately, too many older persons turn to alcohol as a comfort, following the death of a spouse, a divorce, retirement, or some other major life change, unaware that they are markedly affecting the quality of their lives.”

Older people in treatment reported using the following substances, compared to other groups seeking treatment:

  • Opiates, including heroin or prescription pain medications, five percent compared to 13 percent.
  • Cocaine, four percent, compared to 14 percent.
  • Marijuana, three percent, compared to 18 percent.
  • Stimulants, including methamphetamine, one percent, compared to six percent.

Of the older adults in treatment in 2003, only 17 percent reported a secondary substance of abuse other than alcohol, compared to 52 percent of others in treatment.

SAMSHA’s report included data on retirees in Alaska, Alabama, Colorado, the District of Columbia, Delaware, Hawaii, Iowa, Kansas, Kentucky, Louisiana, Maryland, Maine, Minnesota, Missouri, North Carolina, North Dakota, Nevada, New Hampshire, New Mexico, Ohio, Pennsylvania, Puerto Rico, South Carolina, Tennessee, Texas, Utah, Virginia, Washington and Wyoming.

H.A.L.T. is an independent 12-Step Substance Abuse Meeting for Alcoholics and Addicts following the format of AA that meets at Noon Monday through Saturday at Solutions, 2975 South Rainbow Blvd. Suite J, Las Vegas, Nevada 89146

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Older Drinkers More Impaired by Moderate Alcohol Consumption

If you are older than 50 and you have a couple of drinks when you go out to eat, you may want to take some extra time before getting into the car and driving home.

No one knows exactly why, but moderate amounts of alcohol impair older adults more than younger drinkers. It may be because alcohol is metabolized and removed from the body differently once you are older, but even moderate amounts of alcohol can cause measurable impairment for those over age 50.

Older Adults More Impaired

Although older adults become more impaired after drinking the same amount as younger drinkers, they do not perceive themselves to be impaired. Therefore, if you go to a social gathering and have a couple of drinks, you may think that you are OK to drive home, but you may be more impaired than you realize.

According to government studies, more than half of adults older than 55 drink socially. If those social drinkers are more impaired than they think they are, it can cause a significant threat to their health.

An Accident Can Change Your Life

People who are killed in alcohol-related accidents make headlines, but we seldom hear about the traffic crashes and accidents that merely injure or maim older adults, changing their quality of life for the rest of their years.

One study based at the University of Florida, showed that adults aged 50 to 74 who drank the equivalent of two drinks took five seconds longer to complete a task than adults 25 to 35 who had the same amount to drink. Meanwhile, adults in the same age groups who had no alcohol to drink completed the task in about the same time.

But the other important finding of the study was that the drinkers in both groups self-reported their estimated level of impairment about the same on a scale from 1 to 10, but the tests revealed that the older drinkers were significantly more impaired.

If You Drink, Take Your Time

Consequently, if you are over age 50 and have had a couple of drinks, you may be impaired to the point that it is unsafe for you to drive, even though you feel perfectly fine.

The authors of the Florida study suggest that you take a little extra time before getting in the car and driving home. “If you have a couple of drinks at dinner, sit around, have dessert — don’t drive for a while,” they suggested.

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Aging Baby Boomers and Alcohol

As more than 10,000 baby boomers a day are turning 65 years old, many of them may need to adjust their attitudes toward alcohol consumption — particularly given the fact that as the body ages, how it interacts with and reacts to alcohol also changes.

On Jan. 1, 2011, the first of the baby boomer generation — born between 1946 and 1964 — began to turn age 65. According to the Pew Research Center, more than 10,000 Americans a day will turn that age, a trend that will continue for the next 19 years.

Although most baby boomers say they think you are not “elderly” until you are 72 years of age, and the average boomer says she feels nine years younger than she is, the truth is by 2030 an estimated 79 million Americans will no longer be middle-aged.

Bodies Change As We Age

For those who drink, they may find that their bodies no longer react to alcohol as they used to react. As your body ages, it changes. As you age, you metabolize alcohol more slowlythan you did when you were younger, so the alcohol and its effects stay in the body longer.

Also as you age, your body’s makeup changes, meaning the same amount of alcohol you are used to drinking can now produce a higher blood-alcohol concentration. In other words, you can become more intoxicated or impaired that you once were on the same amount of alcohol.

Alcohol Can Cause Injuries, Death

If you continue to drink alcohol as you grow older, thinking that you can continue to consume the same amount as you always have, you can put yourself at risk for injury or death from falls, household accidents or car crashes, due to impaired judgement, reaction times and coordination.

According to the National Institutes of Health, alcohol is a factor in 60 percent of fatal burn injuries, drownings and homicides and in 40 percent of fatal motor vehicle crashes, suicides and fatal falls.

Alcohol Affects Health, Medication

As you grow older, chances are you may develop chronic diseases that drinking can make worse. Alcohol can adversely affect many health conditions, including liver problems, congestive heart failure, memory problems, high blood pressure and diabetes.

Alcohol can also affect people with any psychiatric condition, such as depression and anxiety.

A significant problem, however, is the way drinking alcohol can react with any medications that you may be taking for other health conditions. Alcohol can cause some medicines to not work properly or to become dangerous. Mixing alcohol with medicine can cause — among other problems — sleepiness, confusion, lack of coordination, nausea, vomiting and headaches.

Alcohol Problems May Go Unnoticed

Another reason that alcohol consumption can be a problem for baby boomers is the fact that in general, drinking problems among older people can go unnoticed by others. Alcohol abuse among older adults is often undiagnosed, unreported or simply ignored.

One reason alcohol problems are undiagnosed among the elderly is because some of the symptoms, such as frequent falls or injuries or loss of memory, are written off as just part of getting older.

There is also an attitude among some health professionals that treatment for alcohol abuse among the elderly is a waste of time and resources. Many times, this attitude is also reflected in the older drinker’s own family members, who feel that confronting the problem will just create more problems.

Less Likely to Seek Help

Another factor for baby boomers who drink is that many of them came of age in the freewheeling 1960s and 1970s and have other substance abuse issues. Many still continue recreational drug use into their sixties. This makes it less likely for them to seek help on their own for a drinking problem.

There is also research that shows that members of the baby boomer generation are generally reluctant and ashamed to admit their abuse of drugs and alcohol and less likely to seek professional help, compared to younger generations. They consider it a private matter.

But there is other research that shows that early intervention programsaimed at older substance abusers can save them from developing even more serious health problems. Older people with substance abuse problems have medical expenses that increase at a far higher rate than behavioral health care would cost, research shows.

Help Is There If You Want It

If you are a baby boomer and you drink alcohol, what is a safe level of drinking? The National Institute on Alcohol Abuse and Alcoholism recommends that “healthy men and women over age 65 should not drink more than three drinks a day or a total of seven drinks a week.”

But even at that level of consumption, some people can develop problems. Depending on other health factors and how the older person’s body reacts to alcohol, the NIAAA says that some older adults may need to drink even less than one drink a day and some drink not at all.

If you find that you cannot limit your alcohol consumption to the recommended guidelines or if you try to quit and find that you cannot do so, you may want to seek outside help. You also may want to take this quiz to see if you may have already developed an alcohol problem.

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