Substance Use and Mental Health Trends Among US Military Active Duty Personnel: Key Findings From the 2008 DoD Health Behavior Survey

Substance Use and Mental Health Trends Among US Military Active Duty Personnel: Key Findings From the 2008 DoD Health Behavior Survey
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DOI:
10.7205/milmed-d-09-00132
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发表时间:
2010-06-01
期刊:
影响因子:
1.2
通讯作者:
Babeu, Lorraine A.
Babeu, Lorraine A.
中科院分区:
医学4区
文献类型:
--
作者:
Bray, Robert M.;Pemberton, Michael R.;Babeu, Lorraine A.

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目的:研究美国军事人员的物质使用和心理健康问题。方法:数据来自2008年(及之前)以人口为基础的国防部健康相关行为调查。2008年调查的样本数目为28,546人(回应率为70.6%)。结果:分析了物质使用、压力、抑郁、创伤后应激障碍(PTSD)、自杀意念和企图、部署和工作满意度。趋势显示烟草使用和非法药物使用减少,但处方药滥用、酗酒、压力、创伤后应激障碍和自杀企图增加。部署加剧了其中一些行为变化。尽管生活方式要求很高,但工作满意度很高。结论:军队在减少吸烟和非法药物使用方面取得了进展。应进一步强调了解处方药滥用、酗酒、创伤后应激障碍和自杀企图的增加,并规划更多有效的干预措施和预防方案。在理解和解决军人心理健康需求方面仍然存在挑战。
Objective: Examine substance use and mental health issues among U.S. military personnel. Methods: Data were from the 2008 (and before) population-based Department of Defense Health Related Behavior Surveys. The sample size for the 2008 survey was 28,546 (70.6% response rate). Results: Analyses examined substance use, stress, depression, post-traumatic stress disorder (PTSD), suicidal ideation and attempts, deployment, and job satisfaction. Trends show reductions in tobacco use and illicit drug use, but increases in prescription drug misuse, heavy alcohol use, stress, PTSD, and suicidal attempts. Deployment exacerbated some of these behavior changes. Despite the demanding lifestyle, job satisfaction was high. Conclusions: The military has shown progress in decreasing cigarette smoking and illicit drug use. Additional emphasis should be placed on understanding increases in prescription drug misuse, heavy alcohol use, PTSD, and suicide attempts, and on planning additional effective interventions and prevention programs. Challenges remain in understanding and addressing military mental health needs.