{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T20:57:06Z","timestamp":1791665826095,"version":"4.3.4"},"reference-count":45,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,11,17]],"date-time":"2024-11-17T00:00:00Z","timestamp":1731801600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The population of the United States is rapidly aging due to a number of factors, such as lower fertility rates and increases in life expectancy. Globally, dementia is a leading cause of disability among older adults, affecting approximately 50 million people. Family caregivers, who often have to sacrifice their health and well-being, provide most of the care needed by older adults living with dementia. Further, alcohol is one of the most commonly used substances in the United States. Considering the stress and unfavorable health outcomes that are associated with caring for a loved one with dementia, it is important to understand the prevalence of alcohol use and abuse among family caregivers. In this study, Arksey and O\u2019Malley\u2019s five-stage approach for a scoping review is used to examine the nature and scope of a body of research related to alcohol use and abuse among family caregivers of people living with dementia in the United States. Overall, the results show a paucity of research on the prevalence and implications of alcohol use among family caregivers. The identified studies suggest that family caregivers may be less likely to misuse alcohol than non-caregivers. However, additional population-wide studies are needed.<\/jats:p>","DOI":"10.3390\/ijerph21111525","type":"journal-article","created":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T05:36:45Z","timestamp":1731908205000},"page":"1525","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Alcohol Use and Abuse Among Family Caregivers of People Living with Dementia in the United States: A Scoping Review"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6069-6327","authenticated-orcid":false,"given":"Afeez A.","family":"Hazzan","sequence":"first","affiliation":[{"name":"Department of Healthcare Studies, State University of New York, Brockport, NY 14420, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica L.","family":"Sniatecki","sequence":"additional","affiliation":[{"name":"Department of Healthcare Studies, State University of New York, Brockport, NY 14420, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Metz","sequence":"additional","affiliation":[{"name":"Department of Healthcare Studies, State University of New York, Brockport, NY 14420, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6804-4718","authenticated-orcid":false,"given":"Jamia","family":"Williams","sequence":"additional","affiliation":[{"name":"Spencer S. Eccles Health Sciences Library, The University of Utah, Salt Lake City, UT 84112, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,17]]},"reference":[{"key":"ref_1","unstructured":"Substance Abuse and Mental Health Services Administration (SAMHSA) (2024, July 05). Center for Behavioral Health Statistics and Quality. 2013.  National Survey on Drug Use and Health, Available online: https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/reports\/rpt29394\/NSDUHDetailedTabs2019\/NSDUHDetTabsSect2pe2019.htm#tab2-17b."},{"key":"ref_2","unstructured":"National Institute on Alcohol Abuse and Alcoholism (NIAAA) (2024, July 05). Alcohol Facts and Statistics, Available online: https:\/\/www.niaaa.nih.gov\/publications\/brochures-and-fact-sheets\/alcohol-facts-and-statistics."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"981","DOI":"10.15585\/mmwr.mm6930a1","article-title":"Deaths and years of potential life lost from excessive alcohol use\u2014United States, 2011\u20132015","volume":"69","author":"Esser","year":"2020","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Grossman, E.R., Benjamin-Neelson, S.E., and Sonnenschein, S. (2020). Alcohol consumption during the COVID-19 pandemic: A cross-sectional survey of US adults. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17249189"},{"key":"ref_5","unstructured":"World Health Organization (WHO) (2020). Dementiai, World Health Organization. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/dementia."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.ncl.2017.01.005","article-title":"Early-Onset Alzheimer Disease","volume":"35","author":"Mendez","year":"2017","journal-title":"Neurol. Clin."},{"key":"ref_7","unstructured":"Alzheimer\u2019s Association (2024, July 05). Facts and figures. Available online: https:\/\/www.alz.org\/alzheimers-dementia\/facts-figures."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Hazzan, A.A., Dauenhauer, J., Follansbee, P., Hazzan, J.O., Allen, K., and Omobepade, I. (2022). Family caregiver quality of life and the care provided to older people living with dementia: Qualitative analyses of caregiver interviews. BMC Geriatr., 22.","DOI":"10.1186\/s12877-022-02787-0"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"217","DOI":"10.31887\/DCNS.2009.11.2\/hbrodaty","article-title":"Family caregivers of people with dementia","volume":"11","author":"Brodaty","year":"2009","journal-title":"Dialogues Clin. Neurosci."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1002\/gps.2071","article-title":"Determinants of burden in those who care for someone with dementia","volume":"23","author":"Campbell","year":"2008","journal-title":"Int. J. Geriatr. Psychiatry"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1002\/gps.735","article-title":"Depression and anxiety in memory clinic attenders and their carers: Implications for evaluating the effectiveness of cognitive rehabilitation interventions","volume":"17","author":"Clare","year":"2002","journal-title":"Int. J. Geriatr. Psychiatry"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.jad.2005.08.017","article-title":"Coping strategies and anxiety in caregivers of people with Alzheimer\u2019s disease: The LASER-AD study","volume":"90","author":"Cooper","year":"2006","journal-title":"J. Affect. Disord."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1177\/089826439500700105","article-title":"Mental and physical health of male caregivers of a spouse with Alzheimer\u2019s disease","volume":"7","author":"Haley","year":"1995","journal-title":"J. Aging Health"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1177\/0164027598203001","article-title":"The stress process among dementia spouse caregivers: Are caregivers at risk for negative health behavior change?","volume":"20","author":"Gallant","year":"1998","journal-title":"Res. Aging"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.jagp.2014.05.005","article-title":"The two-year incidence of depression and anxiety disorders in spousal caregivers of persons with dementia: Who is at the greatest risk?","volume":"23","author":"Joling","year":"2005","journal-title":"Am. J. Geriatr. Psychiatry"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1097\/00019442-200509000-00008","article-title":"Anxiety and depression in family caregivers of people with Alzheimer disease: The LASER-AD study","volume":"13","author":"Mahoney","year":"2015","journal-title":"Am. J. Geriatr. Psychiatry"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1093\/geront\/35.6.771","article-title":"Psychiatric and physical morbidity effects of dementia caregiving: Prevalence, correlates, and causes","volume":"35","author":"Schulz","year":"1995","journal-title":"Gerontologist"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1037\/0882-7974.6.4.569","article-title":"A 2-year longitudinal study of depression among Alzheimer\u2019s caregivers","volume":"6","author":"Schulz","year":"1991","journal-title":"Psychol. Aging"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1002\/gps.2439","article-title":"Impact of early onset dementia on caregivers: A review","volume":"25","author":"Bakker","year":"2010","journal-title":"Int. J. Geriatr. Psychiatry"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1249\/MSS.0b013e3181951314","article-title":"Health-related quality of life and fitness of the caregiver of patient with dementia","volume":"41","author":"Gusi","year":"2009","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"81","DOI":"10.3928\/19404921-20240229-02","article-title":"Emotion regulation, coping strategies, and hazardous drinking among family caregivers of people with alzheimer\u2019s disease and related dementias","volume":"17","author":"Browning","year":"2024","journal-title":"Res. Gerontol. Nurs."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1037\/0882-7974.10.4.540","article-title":"Psychological, social, and health impact of caregiving: A comparison of black and white dementia family caregivers and noncaregivers","volume":"10","author":"Haley","year":"1995","journal-title":"Psychol. Aging"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1159\/000113649","article-title":"Increased Framingham coronary heart disease risk score in dementia caregivers relative to non-caregiving Ccntrols","volume":"54","author":"Mausbach","year":"2008","journal-title":"Gerontology"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.encep.2009.06.010","article-title":"Troubles du sommeil chez les aidants \u00e0 domicile de patients atteints de d\u00e9mence [Sleep disturbances in home caregivers of persons with dementia]","volume":"36","author":"Thomas","year":"2010","journal-title":"Encephale"},{"key":"ref_25","first-page":"26","article-title":"Impact of spouse caregiving on health behaviors and physical and mental health status","volume":"9","author":"Connell","year":"1994","journal-title":"Am. J. Alzheimer\u2019s Care Relat. Disord. Res."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1080\/13607869956334","article-title":"Lifestyle and health behaviors among female family dementia caregivers: A comparison of wives and daughters","volume":"3","author":"McKibbin","year":"1999","journal-title":"Aging Ment. Health"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1080\/1364557032000119616","article-title":"Scoping studies: Towards a methodological framework","volume":"8","author":"Arksey","year":"2005","journal-title":"Int. J. Soc. Res. Methodol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1177\/02646196211019064","article-title":"Interventions for quality of life and related outcomes among unpaid caregivers of older adults with visual impairments: A scoping review","volume":"40","author":"Hazzan","year":"2022","journal-title":"Br. J. Vis. Impair."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2119","DOI":"10.11124\/JBIES-20-00167","article-title":"Updated methodological guidance for the conduct of scoping reviews","volume":"18","author":"Peters","year":"2020","journal-title":"JBI Evid. Synth."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1590\/S0104-11692007000300023","article-title":"The PICO strategy for the research question construction and evidence search","volume":"15","author":"Nobre","year":"2007","journal-title":"Rev. Lat. -Am. De Enferm."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan: A Web and mobile app for systematic reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst. Rev."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann. Intern. Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1943","DOI":"10.1002\/nop2.945","article-title":"A scoping review-Missed nursing care in community healthcare contexts and how it is measured","volume":"9","author":"Andersson","year":"2022","journal-title":"Nurs. Open"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1007\/s00038-020-01402-6","article-title":"The association between informal caregiving and behavioral risk factors: A cross-sectional study","volume":"65","author":"Gottschalk","year":"2020","journal-title":"Int. J. Public Health"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e145","DOI":"10.1016\/j.amepre.2021.07.004","article-title":"Examining Health Behaviors of Chronic Disease Caregivers in the U.S","volume":"62","author":"Secinti","year":"2022","journal-title":"Am. J. Prev. Med."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/s10804-011-9140-0","article-title":"Health-related behaviors: A study among former young caregivers","volume":"19","author":"Shifren","year":"2012","journal-title":"J. Adult Dev."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"920324","DOI":"10.1155\/2013\/920324","article-title":"Physical mistreatment in persons with Alzheimer\u2019s disease","volume":"2013","author":"Vandeweerd","year":"2013","journal-title":"J. Aging Res."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"von K\u00e4nel, R., Mausbach, B.T., Dimsdale, J.E., Ziegler, M.G., Mills, P.J., Allison, M.A., Patterson, T.L., Ancoli-Israel, S., and Grant, I. (2019). Refining caregiver vulnerability for clinical practice: Determinants of self-rated health in spousal dementia caregivers. BMC Geriatr., 19.","DOI":"10.1186\/s12877-019-1033-2"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Hazzan, A.A., Shannon, H., Ploeg, J., Raina, P., Gitlin, L.N., and Oremus, M. (2016). The association between caregiver well-being and care provided to persons with Alzheimer\u2019s disease and related disorders. BMC Res. Notes, 9.","DOI":"10.1186\/s13104-016-2150-z"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1017\/S1041610219000346","article-title":"Reflections on quality of care for persons with dementia: Moving toward an integrated, comprehensive approach","volume":"31","author":"Werner","year":"2019","journal-title":"Int. Psychogeriatr."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1093\/geroni\/igab046.2985","article-title":"Prevalence of binge drinking by caregivers of persons with alzheimer\u2019s disease or related dementia","volume":"5","author":"Kunicki","year":"2021","journal-title":"Innov. Aging"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1080\/10550887.2010.489450","article-title":"Caregiver burden and alcohol use in a community sample","volume":"29","author":"Rospenda","year":"2010","journal-title":"J. Addict. Dis."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1037\/adb0000796","article-title":"Changes in alcohol use during COVID-19 and associations with contextual and individual difference variables: A systematic review and meta-analysis","volume":"36","author":"Acuff","year":"2022","journal-title":"Psychol. Addict. Behav."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Hazzan, A.A., Beach, P., Lieberman, L.J., and Regan, C. (2023). Home-Based Pilot Intervention to Improve Quality of Life and Related Outcomes among Unpaid Caregivers and Their Care-Recipients with Visual Impairments. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20053867"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"104204","DOI":"10.1016\/j.ijnurstu.2022.104204","article-title":"Comparative efficacy of 11 non-pharmacological interventions on depression, anxiety, quality of life, and caregiver burden for informal caregivers of people with dementia: A systematic review and network meta-analysis","volume":"129","author":"Sun","year":"2022","journal-title":"Int. J. Nurs. Stud."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/11\/1525\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:34:05Z","timestamp":1760114045000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/11\/1525"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,17]]},"references-count":45,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["ijerph21111525"],"URL":"https:\/\/doi.org\/10.3390\/ijerph21111525","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,17]]}}}