Substance Use Disorders Among Veterans in a Nationally Representative Sample: Prevalence and Associated Functioning and Treatment Utilization
Substance Use Disorders Among Veterans in a Nationally Representative Sample: Prevalence and Associated Functioning and Treatment Utilization
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DOI：
10.15288/jsad.2018.79.853
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发表时间：
2018-11-01
影响因子：
3.4
通讯作者：
Hoggatt, Katherine J.
中科院分区：
文献类型：
--
作者：
Boden, Matthew Tyler;Hoggatt, Katherine J.
目的：一些流行病学研究报告说，退伍军人和非退伍军人有类似的物质使用障碍（SUD）的患病率和SUD治疗率SUD和几种类型的治疗。没有研究比较过患有SUD的退伍军人与没有SUD的退伍军人或非退伍军人的功能。方法：我们调查了过去一年和一生SUD的患病率（基于精神疾病诊断和统计手册第五版的标准），总体和物质，并估计了退伍军人和非退伍军人在全国代表性样本中的身心健康功能和治疗利用率和需求的相关性。结果如下：在退伍军人中，有和没有烟草使用障碍（TUD）的任何过去一年SUD的预测患病率分别为32.9%和17.1%，有和没有TUD的任何终生SUD的患病率分别为52.5%和38.7%。退伍军人在过去一年和一生中对某些物质的SUD患病率较高（例如，烟草，酒精）而不是其它（例如，大麻、阿片类药物）。较低的身体和心理健康功能被发现在退伍军人，相对于nonvetcrans，与SUD的参与者，相对于那些没有SUD，和退伍军人与SUD报告在所有领域的功能最低。更多的退伍军人比非退伍军人接受任何SUD治疗和SUD治疗在特定领域（例如，自助）。大约70%的退伍军人与去年SUD没有接受治疗，但只有5.4%的报告需要和没有接受治疗。结论：相对于非退伍军人，退伍军人有较高的患病率，过去一年的TUD和终身酒精使用障碍或TUD和较低的身体或心理健康功能。少数退伍军人接受SUD治疗，很少有人报告未满足的治疗需求。
Objective: Several epidemiological studies have reported that veterans and nonveterans have comparable substance use disorder (SUD) prevalence and SUD treatment rates for SUD and treatments of several types. No studies have compared functioning among veterans with SUD to veterans without SUD or to nonveterans. Method: We investigated the prevalence of past-year and lifetime SUD (based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), overall and by substance, and estimated the association with physical and mental health functioning and treatment utilization and need among veterans and nonveterans in a nationally representative sample. Results: Predicted prevalence of any past-year SUD, with and without tobacco use disorder (TUD), among veterans was 32.9% and 17.1%, and prevalence of any lifetime SUD, with and without TUD, was 52.5 and 38.7%, respectively. Veterans had higher prevalence of past-year and lifetime SUD for some substances (e.g., tobacco, alcohol) but not others (e.g., cannabis, opioid). Lower physical and mental health functioning was found among veterans, relative to nonvetcrans, and participants with SUD, relative to those without SUD, and veterans with SUD reported the lowest functioning across all domains. More veterans than nonveterans received any SUD treatment and SUD treatment in specific domains (e.g., self-help). About 70% of veterans with past-year SUD did not receive treatment, but only 5.4% reported needing and not receiving treatment. Conclusions: Relative to nonveterans, veterans have higher prevalence of past-year TUD and lifetime alcohol use disorder or TUD and lower physical or mental health functioning. A minority of veterans receive SUD treatment, and few report unmet need for treatment.