Reconceptualizing Early- and Late-Onset: A Life Course Analysis of Older Heroin Users

• Authors: Miriam Williams Boeri, Emory University; Claire E Sterk, Emory University; Kirk W. Elifson, Emory University
• Journal Title: Gerontologist
• Volume: Volume 48, Number 5
• Publisher: Oxford University Press (OUP) | 2008-10, Pages 637-645
• Type of Work: Article | Post-print: After Peer Review
• Publisher DOI: http://doi.org/10.1093/geront/48.5.637
• Keywords: maturing-in; aging-into; older drug users; HIV/AIDS; drug trajectories

Abstract

Purpose Our knowledge regarding older users of illicit drugs is limited despite their increasing numbers. In this paper we apply a life course perspective to gain a further understanding of older adult drug use, specifically contrasting early- and late-onset heroin users. Design and Methods Qualitative data were collected from 29 older heroin users. Life course analysis focused on the users’ experiences across the life span. Results The findings suggest that those aging-into heroin use (late-onset) are disadvantaged compared to those who are maturing-in (early-onset) except in areas of health. Implications We propose that conceptualizing the use of heroin and other illicit drugs among older adults based on their life course trajectory will provide insights for social and health services, including drug treatment.