Evidence map›Paper›PMID 39888227›Full record

ArticleDrug and alcohol review2025

The alcohol use disorder treatment gap and its correlates among middle-aged and older adults.

Silke Behrendt, Alexis Kuerbis, Anna Mejldal, Jens Søndergaard, Kjeld Andersen, Ulrik Becker, Marie Holm Eliasen, Anette Søgaard Nielsen

Abstract read
In one paragraph

Article in Drug and alcohol review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Silke BehrendtDepartment of Psychology, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-7973-4899
Alexis KuerbisSilberman School of Social Work at Hunter College, New York, USA.
Anna MejldalUnit of Clinical Alcohol Research, Institute of Clinical Research, University of Southern Denmark, and Psychiatric Department, Region of Southern Denmark, Odense, Denmark.
Jens SøndergaardResearch Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Kjeld AndersenUnit of Clinical Alcohol Research, Institute of Clinical Research, University of Southern Denmark, and Psychiatric Department, Region of Southern Denmark, Odense, Denmark.
Ulrik BeckerNational Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
Marie Holm EliasenCenter for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
Anette Søgaard NielsenUnit of Clinical Alcohol Research, Institute of Clinical Research, University of Southern Denmark, and Psychiatric Department, Region of Southern Denmark, Odense, Denmark.

Funding

Region Syddanmark 23_7250
6 · The paper itself

Abstract

introductionAlcohol use disorders (AUD) are under-treated, particularly among older adults. Using data from national treatment registers can expand knowledge on the AUD treatment rate among older adults and on potential biases in treatment receipt. The aim of this paper was to determine the AUD treatment prevalence rate and to investigate sociodemographic, health-related and substance use-related correlates of AUD treatment receipt among older adults with different degrees of problematic alcohol use.

methodsThe study sample (n = 13,403; inclusion criteria: age 55-80 years, positive CAGE-C) is a subsample from the representative cross-sectional 2017 Danish National Health Survey. It was enriched with data from Danish National Registers, including the National Alcohol Treatment Database. Weighted 12-month AUD treatment prevalence rates were determined. Logistic regression analysis was applied to identify correlates of treatment receipt. All analyses were conducted among: (i) the study sample; (ii) the 28.9% with a positive original CAGE (n = 3725); and (iii) the 6.1% endorsing the CAGE's E-criterion (n = 692).

resultsThe 12-month AUD treatment prevalence was 0.5% in the study sample, 1.6% in the CAGE-, and 3.8% in the E-criterion subsample. Not being married or partnered, loneliness and contacts with health care providers were positively associated with AUD treatment receipt in all three samples. DISCUSSION AND

conclusionsEven in the subsample with putative alcohol withdrawal, the AUD treatment rate did not reach 5%. This finding suggests that putative AUD is significantly undertreated in older adults. Contacts with other health care providers may facilitate AUD treatment entry in this age group.

Indexed as

AlcoholismAgedAged, 80 and overCross-Sectional StudiesDenmarkFemaleHealth SurveysHumansMaleMiddle AgedPrevalenceaddiction treatmentalcohol dependencealcohol misusehelp‐seekingsenior

Identifiers

PMID39888227
PMCPMC11814343

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LicenceCC BY-NC-ND
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Registered trials

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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.