Deployment-Related Military Sexual Trauma Predicts Heavy Drinking and Alcohol Problems Among Male Reserve and National Guard Soldiers.

Deployment-Related Military Sexual Trauma Predicts Heavy Drinking and Alcohol Problems Among Male Reserve and National Guard Soldiers.
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DOI:
10.1111/acer.13528
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发表时间:
2018-01
期刊:
Alcoholism, clinical and experimental research
影响因子:
--
通讯作者:
Homish GG
Homish GG
中科院分区:
其他
文献类型:
--
作者:
Fillo J;Heavey SC;Homish DL;Homish GG

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军需性创伤(MST)与一系列有害的心理和身体健康后果有关;然而,MST与药物滥用等负面健康行为之间的联系却鲜有人关注。这项研究考察了两个重点研究问题:1)男性预备役士兵和国民警卫队士兵在部署期间经历军事性创伤的流行率是多少;2)部署期间MST暴露的程度与部署后频繁的酗酒和酒精问题有多大程度的关联?来自已部署的男性士兵(N=248)的数据来自基线浪潮:行动:安全(士兵和家庭多年来表现出色),这是一项正在进行的研究,旨在调查美国陆军预备役和国民警卫队及其合作伙伴的健康状况。参与者是从纽约州的单位招募的,为期15个月(2014年夏季至2015年秋季)。部署发生在研究的基线浪潮之前。分析研究了士兵在最近一次部署期间接触MST的程度与a)频繁酗酒和b)酒精问题之间的关系,在基线上测量,控制创伤后应激障碍症状和年龄。17.3%的男性服役人员报告在他们最近的部署中经历了MST。此外,MST暴露越多,基线时频繁酗酒(ARR=1.03,95%CI[1.01,1.05])和经历酒精问题(ARR=1.03,95%CI[1.01,1.06])的可能性也越大。研究结果表明,男性预备役士兵和国民警卫队士兵的MST发生率很高,在已经有问题饮酒风险的人群中,更多的MST暴露与频繁酗酒和经历酒精问题的可能性增加有关。
Military sexual trauma (MST) is associated with a range of deleterious mental and physical health consequences; however, far less attention has been paid to the associations between MST and negative health behaviors, such as substance abuse. This study examined two focal research questions: 1) what is the prevalence of experiencing military sexual trauma during deployment among male Reserve and National Guard soldiers, and 2) to what extent is the degree of MST exposure during deployment associated with frequent heavy drinking and alcohol problems post-deployment? Data from male soldiers who had been deployed (N = 248) were drawn from the baseline wave of Operation: SAFETY (Soldiers And Families Excelling Through the Years) an ongoing study examining health among U.S. Army Reserve and National Guard and their partners. Participants were recruited over a 15 month period (Summer 2014 - Fall 2015) from units in New York State. Deployments occurred prior to the baseline wave of the study. Analyses examined the relation between degree of MST exposure during soldiers’ most recent deployment and a) frequent heavy drinking and b) alcohol problems, measured at baseline, controlling for posttraumatic stress disorder symptoms and age. 17.3% of the male service members reported experiencing MST during their most recent deployment. Further, greater MST exposure was associated with a greater likelihood of engaging in frequent heavy drinking (aRR = 1.03, 95% CI [1.01, 1.05]) and experiencing alcohol problems (aRR = 1.03, 95% CI [1.01, 1.06]) at baseline. Findings demonstrate that MST rates are high among male Reserve and National Guard soldiers, and greater MST exposure is associated with an increased likelihood of engaging in frequent heavy drinking and experiencing alcohol problems among a population already at risk for problematic alcohol use.
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期刊: Stress and health : journal of the International Society for the Investigation of Stress
影响因子: --
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通讯作者: Homish GG