The prevalence of alcohol use and misuse declines with age, but misuse
use remains an important public health problem among older people. Be
tween 2 and 4% of the United States elderly population meet DSM-III cr
iteria for ''alcohol abuse'' or dependence. Up to 10% are ''heavy'' or
problem drinkers. Alcohol use and misuse are both more common among m
en than women. Since the elderly population is expanding, we will see
an increase in the absolute number of older problem drinkers over the
next few decades even if the prevalence of problem drinking remains co
nstant. It is incumbent on health care providers and administrators to
plan for the prevention and treatment of alcohol problems among these
people.