Nicotine Dependence in US Military Veterans: Results from the National Health and Resilience in Veterans Study.
Nicotine Dependence in US Military Veterans: Results from the National Health and Resilience in Veterans Study.
复制标题
DOI：
10.1080/16066359.2019.1613523
复制
发表时间：
2020
影响因子：
2.9
通讯作者：
Pietrzak RH
中科院分区：
文献类型：
--
作者：
Baldassarri SR;Kachadourian LK;Esterlis I;Pietrzak RH
退伍军人是一个独特的人群，可能会增加烟草使用障碍和尼古丁依赖（ND）的风险。为了更全面地了解美国退伍军人终身ND的患病率及其相关因素，我们分析了来自美国退伍军人国家健康和恢复力研究（NHRVS）的数据，这是一个具有全国代表性的美国退伍军人样本。采用描述性统计方法总结有和无终身ND的退伍军人的健康和功能/生活质量特征。采用层次二元logistic回归分析评价ND与精神、身体健康变量的关系。与没有终生ND的退伍军人相比，终生ND退伍军人更有可能筛查出几种终生精神障碍，包括当前酒精使用障碍（优势比[OR] 2.79[95%可信区间[CI] 2.23, 3.49]）、抑郁症（OR 1.86[1.38, 2.50]）和创伤后应激障碍（OR 1.68[1.14, 2.47]）。从医学角度来看，除了其他疾病外，他们更有可能患有肾脏疾病（OR 4.18[2.55, 6.86]）、心脏病发作（OR 2.09[1.51, 2.89]）和类风湿性关节炎（OR 1.90[1.20, 3.00]）。他们在整体身体机能方面得分较低，在躯体化症状方面得分较高。在NHRVS调查中，与没有终身ND的退伍军人相比，患有终身ND的退伍军人更容易出现精神和医疗状况，身体功能更差。因此，患有终身ND的退伍军人可能需要一种全面和综合的护理方法，除药物成瘾外，还包括对共病的关注。
Veterans are a unique population that may be at increased risk of tobacco use disorder and nicotine dependence (ND). We analyzed data from the National Health and Resilience in Veterans Study (NHRVS), a large nationally representative sample of US veterans, in order to more fully understand the prevalence and correlates of lifetime ND in US Veterans. Descriptive statistics were conducted to summarize health and functioning/quality of life characteristics among veterans with and without lifetime ND. Hierarchical binary logistic regression analyses were conducted to evaluate the relationship between ND and psychiatric and physical health variables. Compared with veterans without lifetime ND, veterans with lifetime ND were more likely to screen positive for several lifetime psychiatric disorders including current alcohol use disorder (odds ratio [OR] 2.79 [95% confidence interval [CI] 2.23, 3.49]), depression (OR 1.86 [1.38, 2.50]), and PTSD (OR 1.68 [1.14, 2.47]). From a medical standpoint, they were more likely to endorse having kidney disease (OR 4.18 [2.55, 6.86]), heart attack (OR 2.09 [1.51, 2.89]), and rheumatoid arthritis (1.90 [1.20, 3.00]) in addition to other conditions. They scored lower in overall physical functioning and higher in somatization symptoms. Veterans with lifetime ND in the NHRVS survey were more likely to have psychiatric and medical conditions and lower physical functioning compared with Veterans without lifetime ND. Veterans with lifetime ND may therefore require a comprehensive and integrated approach to care that includes attention to co-morbid illness in addition to drug addiction.
登录
查看更多内容
影响因子：
5.3
作者：
Sheehan, DV;Lecrubier, Y;Dunbar, GC
通讯作者：
Dunbar, GC
影响因子：
4.7
作者：
Barnett, Paul G.;Hamlett-Berry, Kim;Max, Wendy
通讯作者：
Max, Wendy
影响因子：
--
作者：
Grant, BF;Hasin, DS;Dawson, DA
通讯作者：
Dawson, DA
DOI：
10.1056/nejmra0809890
发表时间：
2010-06-17
期刊：
The New England journal of medicine
影响因子：
--
作者：
Benowitz NL
通讯作者：
Benowitz NL
影响因子：
5.3
作者：
Wisco, Blair E.;Marx, Brian P.;Pietrzak, Robert H.
通讯作者：
Pietrzak, Robert H.