Gaulen Zhanna, Lunde Linn-Heidi, Alpers Silvia Eiken, Carlsen Siv-Elin Leirvaag
Department of Addiction Medicine, Haukeland University Hospital, 5009 Bergen, Norway.
Int J Environ Res Public Health. 2025 Mar 20;22(3):458. doi: 10.3390/ijerph22030458.
This scoping review explores the unique challenges and needs faced by ageing individuals, aged 45 and above, in opioid agonist treatment (OAT), noting the earlier onset of age-related impairments among this population. The literature search was conducted in PsycINFO, EMBASE, MEDLINE, CINAHL, and Web of Science. A total of 28 observational studies were included. Five topics were identified: health, treatment, substance use, demographic, and social aspects. Findings reveal that, while health and age-related concerns are often discussed in the literature, limited attention has been given to gender differences, social factors such as financial issues, and psychological factors, which are also critical aspects of the lives of ageing individuals undergoing OAT. This review emphasizes the importance of expanding research to address these gaps, ultimately aiming to improve their overall well-being.
本综述探讨了45岁及以上老年个体在阿片类激动剂治疗(OAT)中面临的独特挑战和需求,指出该人群中与年龄相关的损伤发病较早。在PsycINFO、EMBASE、MEDLINE、CINAHL和Web of Science中进行了文献检索。共纳入28项观察性研究。确定了五个主题:健康、治疗、物质使用、人口统计学和社会方面。研究结果表明,虽然文献中经常讨论健康和与年龄相关的问题,但对性别差异、财务问题等社会因素以及心理因素的关注有限,而这些因素也是接受OAT治疗的老年个体生活中的关键方面。本综述强调了扩大研究以填补这些空白的重要性,最终目标是改善他们的整体福祉。