Trajectories of alcohol use in the UK military and associations with mental health
Trajectories of alcohol use in the UK military and associations with mental health
复制标题
DOI：
10.1016/j.addbeh.2017.07.010
复制
发表时间：
2017-12-01
影响因子：
4.4
通讯作者：
Rona, R. J.
中科院分区：
文献类型：
--
作者：
Goodwin, L.;Norton, S.;Rona, R. J.
导语：与普通人群相比，军队中的酒精滥用程度更高。然而，在军队人群中，关于酒精使用的纵向模式的研究很少。本研究旨在确定英国军队中酒精消费的群体轨迹，并确定与童年逆境、部署史和精神障碍的关系；方法：使用生长混合模型对英国军队队列研究(n=667)中八年期间和三个阶段的每周酒精消费数据进行检验。结果：确定了五种酒精轨迹类别：中等饮酒者(55%)、戒酒者(4%)、低饮酒者(19%)、饮酒量减少者(3%)和重度饮酒者(19%)。除了小幅下降的轨迹类别外，所有类别的酒精消费量在三个时期内都保持稳定。酗酒阶层的人更有可能被派往伊拉克。与普通饮酒者相比，戒酒者和酗酒者更有可能报告创伤后应激障碍。结论：在八年的时间里，英国军队中的酗酒者没有改变他们的饮酒模式。这突出表明需要制定有效的预防方案，以减轻长期大量饮酒造成的身体和心理后果。有心理健康问题的人似乎更有可能酗酒或戒酒。
Introduction: There are higher levels of alcohol misuse in the military compared to the general population. Yet there is a dearth of research in military populations on the longitudinal patterns of alcohol use. This study aims to identify group trajectories of alcohol consumption in the UK military and to identify associations with childhood adversity, deployment history and mental disorder;Methods: Data on weekly alcohol consumption across an eight year period and three phases of a UK military cohort study (n = 667) were examined using growth mixture modelling.Results: Five alcohol trajectory classes were identified: mid-average drinkers (55%), abstainers (4%), low level drinkers (19%), decreasing drinkers (3%) and heavy drinkers (19%). Alcohol consumption remained stable over the three periods in all classes, other than in the small decreasing trajectory class. Individuals in the heavy drinking class were more likely to have deployed to Iraq. Abstainers and heavy drinkers were more likely to report post-traumatic stress disorders at baseline compared to average drinkers.Conclusions: Heavy drinkers in the UK military did not change their drinking pattern over a period of eight years. This highlights the need to develop effective preventive programmes to lessen the physical and psychological consequences of long-term heavy alcohol use. Individuals with a mental health problem appeared more likely to either be drinking at a high level or to be abstaining from use.