Alcohol Use Disorder in Older adults / Seniors

Key things to know What the evidence shows
How common is it? 1.5% 12-month; 16.1% lifetime AUD, U.S. 65+
Is it more common among older adults / seniors? Lower current prevalence than younger adults but medical consequences can be amplified
Are older adults / seniors at higher risk? Clinically important despite lower prevalence
How much higher is the risk? U.S. 65+: 1.5% 12m
How often can it be missed? Very High
Does it show up differently among older adults / seniors? Strong Yes
How might it look different? Falls, cognitive change, sleep problems and medication interactions may obscure AUD
What commonly occurs alongside it? Depression; cognitive impairment; medical illness
What can it be confused with? Medication effects; dementia; depression; delirium
Common screening tool AUDIT / AUDIT-C
Separate screening tool for older adults / seniors SMAST-G for older-adult alcohol problems
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