Longitudinal Investigation of Military-specific Factors Associated With Continued Unhealthy Alcohol Use Among a Large US Military Cohort
| Autor: | Rudolph P. Rull, Charles Maynard, Amber D Seelig, Isabel G. Jacobson, Alyson J. Littman, Emily C. Williams, Edward J. Boyko, Jonathan B. Bricker |
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| Rok vydání: | 2019 |
| Předmět: |
Active duty
Alcohol Drinking Military service drinking 01 natural sciences Cohort Studies 03 medical and health sciences 0302 clinical medicine Environmental health Humans Medicine Pharmacology (medical) 030212 general & internal medicine 0101 mathematics Veterans Original Research alcohol business.industry 010102 general mathematics Odds ratio Mental health United States Alcoholism Psychiatry and Mental health Military personnel Military Personnel Millennium Cohort Study (United States) Cohort business veteran health Cohort study |
| Zdroj: | Journal of Addiction Medicine |
| ISSN: | 1935-3227 1932-0620 |
| DOI: | 10.1097/adm.0000000000000596 |
| Popis: | Objective To examine whether military separation (Veteran), service component (active duty, Reserve/National Guard), and combat deployment are prospectively associated with continuing unhealthy alcohol use among US military service members. Methods Millennium Cohort Study participants were evaluated for continued or chronic unhealthy alcohol use, defined by screening positive at baseline and the next consecutive follow-up survey for heavy episodic, heavy weekly, or problem drinking. Participants meeting criteria for chronic unhealthy alcohol use were followed for up to 12 years to determine continued unhealthy use. Multivariable regression models-adjusted for demographics, military service factors, and behavioral and mental health characteristics-assessed whether separation status, service component, or combat deployment were associated with continuation of 3 unhealthy drinking outcomes: heavy weekly (sample n = 2653), heavy episodic (sample n = 22,933), and problem drinking (sample n = 2671). Results In adjusted models, Veterans (compared with actively serving personnel) and Reserve/Guard (compared with active duty members) had a significantly higher likelihood of continued chronic use for heavy weekly, heavy episodic, and problem drinking (Veteran odds ratio [OR] range 1.17-1.47; Reserve/Guard OR range 1.25-1.29). Deployers without combat experience were less likely than nondeployers to continue heavy weekly drinking (OR 0.75, 95% confidence interval 0.61-0.91). Conclusions The elevated likelihood of continued unhealthy alcohol use among Veterans and Reserve/Guard members suggests that strategies to reduce unhealthy drinking targeted to these populations may be warranted. |
| Databáze: | OpenAIRE |
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