Evidence map›Paper›PMID 33508892›Full record

ArticleDrug and alcohol review2021

Substance use disorder and the baby boom generation: Does Berlin outpatient addiction care face a sustained change?

Sara Specht, Barbara Braun-Michl, Larissa Schwarzkopf, Daniela Piontek, Nicki-Nils Seitz, Manfred Wildner, Ludwig Kraus

Open access · hybridAbstract read
In one paragraph

Article in Drug and alcohol review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 12 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Sara SpechtIFT Institut für Therapieforschung, Munich, Germany.ORCID 0000-0002-6342-9942
Barbara Braun-MichlIFT Institut für Therapieforschung, Munich, Germany.
Larissa SchwarzkopfIFT Institut für Therapieforschung, Munich, Germany.
Daniela PiontekIFT Institut für Therapieforschung, Munich, Germany.
Nicki-Nils SeitzIFT Institut für Therapieforschung, Munich, Germany.
Manfred WildnerPettenkofer School of Public Health, Ludwig-Maximilians-University, Munich, Germany.
Ludwig KrausIFT Institut für Therapieforschung, Munich, Germany.ORCID 0000-0001-7282-0217
IFT Institut für Therapieforschung · DEEötvös Loránd University · HULudwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe ageing of baby boomers is expected to confront addiction care with new challenges. This cohort had greater exposure to psychoactive substances in youth than earlier cohorts. In this study, we aimed to investigate whether Berlin addiction care is confronted with a sustained change in its clientele initiated by the baby boomers.

methodsUsing data from Berlin outpatient addiction care facilities, we contrasted type of primary substance use disorder and number of comorbid substance use disorders in baby boomers with an earlier and a later cohort. To isolate cohort effects, two-level random intercept regression models were applied in the overlapping age groups of the baby boomer cohort with each of the other cohorts.

resultsCompared with the earlier cohort, alcohol use disorder lost importance whereas illicit substance use disorder gained importance in the baby boomers. Baby boomers presented a higher number of comorbid substance use disorders than the earlier cohort. Comparing baby boomers with the later cohort, these relationships pointed in the opposite direction. DISCUSSION AND

conclusionsOutpatient addiction care faces a sustained change to more illicit and comorbid substance use disorders. With increasing life expectancy and the ageing of baby boomers marked by higher substance use than previous cohorts, older clients, who had been under-represented in outpatient addiction care, will gain relevance. Hence, addiction care has to adapt its offers to appropriately meet the changing needs of its clientele.

Indexed as

Population GrowthSubstance-Related DisordersAdolescentBerlinCohort StudiesHumansOutpatientsaddiction carealcohol and illicit substance use disorderbaby boomerscohort effectcomorbid substance use disorders

Identifiers

PMID33508892
PMCPMC8451895
OpenAlexW3124854398

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.