Mental and Physical Health Status and Alcohol and Drug Use Following Return From Deployment to Iraq or Afghanistan
Mental and Physical Health Status and Alcohol and Drug Use Following Return From Deployment to Iraq or Afghanistan
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DOI：
10.2105/ajph.2011.300609
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发表时间：
2012-01-01
影响因子：
12.7
通讯作者：
Martin, James
中科院分区：
文献类型：
--
作者：
Eisen, Susan V.;Schultz, Mark R.;Martin, James
目标.我们检查了（1）从部署返回1年内的美国退伍军人的精神和身体健康症状和功能，以及（2）性别、服务组成（现役、国民警卫队、其他预备役）、服务分支（陆军、海军、空军、海军陆战队）和部署操作（持久自由行动/伊拉克自由行动[OEF/OIF]）的差异。我们对596名OEF/OIF退伍军人进行了全国抽样调查，对妇女进行了过度抽样，占总数的50%，国民警卫队和预备役各占25%。权重用于解释分层和无应答偏倚。与一般人群相比，心理健康功能明显更差; 13.9%的人可能患有创伤后应激障碍，39%可能患有酗酒，3%可能患有药物滥用。男性比女性报告更多的酒精和药物使用，但在创伤后应激障碍或其他心理健康领域没有性别差异。OIF退伍军人比OEF退伍军人报告更多的抑郁症或功能问题以及酒精和药物使用。陆军和海军陆战队退伍军人报告更糟糕的心理和身体健康比空军或海军退伍军人。继续识别退伍军人的精神健康和物质使用问题的风险是重要的循证干预措施，旨在提高弹性和加强治疗。(Am J公共卫生。2012;102：S66-S73。doi：10.2105/AJPH.2011.300609）
Objectives. We examined (1) mental and physical health symptoms and functioning in US veterans within 1 year of returning from deployment, and (2) differences by gender, service component (Active, National Guard, other Reserve), service branch (Army, Navy, Air Force, Marines), and deployment operation (Operation Enduring Freedom/Operation Iraqi Freedom [OEF/OIF]).Methods. We surveyed a national sample of 596 OEF/OIF veterans, over-sampling women to make up 50% of the total, and National Guard and Reserve components to each make up 25%. Weights were applied to account for stratification and nonresponse bias.Results. Mental health functioning was significantly worse compared with the general population; 13.9% screened positive for probable posttraumatic stress disorder, 39% for probable alcohol abuse, and 3% for probable drug abuse. Men reported more alcohol and drug use than did women, but there were no gender differences in posttraumatic stress disorder or other mental health domains. OIF veterans reported more depression or functioning problems and alcohol and drug use than did OEF veterans. Army and Marine veterans reported worse mental and physical health than did Air Force or Navy veterans.Conclusions. Continuing identification of veterans at risk for mental health and substance use problems is important for evidence-based interventions intended to increase resilience and enhance treatment. (Am J Public Health. 2012;102:S66-S73. doi:10.2105/AJPH.2011.300609)