As populations around the world continue to age, it is important to recognise that substance use disorders are not only an issue affecting younger generations. Older adults face unique biological, psychological and social vulnerabilities that can increase the risk of substance use, yet this population is often overlooked in both research and public discussions.

In this review article, our member organisation, the Singapore Anti-Narcotics Association (SANA), explores the emerging challenge of late-life substance use in Singapore while highlighting issues that are relevant far beyond one country. Drawing on existing research, the article examines why substance use among older adults often goes unnoticed, discusses barriers to identifying and addressing it, and outlines opportunities for earlier intervention and age-sensitive care.

The review highlights that substance use among older adults often follows different pathways than among younger people and may be influenced by factors such as bereavement, loneliness, chronic pain, retirement and the use of multiple medications. It also explains how the signs of substance use disorders can easily be mistaken for normal ageing or other health conditions, delaying identification and support. The article emphasises the importance of increasing awareness, strengthening early identification, and adopting age-sensitive approaches that better respond to the needs of older adults while supporting healthier ageing. To read the full review article, click the button below.