US Military Veteran Versus Nonveteran Use of Licit and Illicit Substances
US Military Veteran Versus Nonveteran Use of Licit and Illicit Substances
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DOI：
10.1016/j.amepre.2020.04.027
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发表时间：
2020-11-01
影响因子：
5.5
通讯作者：
Nelson, Jantel R.
中科院分区：
文献类型：
--
作者：
Agaku, Israel;Odani, Satomi;Nelson, Jantel R.
简介：为了提供美国退伍军人与非退伍军人的最新药物使用监测数据，本研究评估了当前对烟草制品、酒精、大麻、处方止痛药、镇静剂、镇静剂、兴奋剂、可卡因、海洛因、甲基苯丙胺、吸入剂和致幻剂的使用情况。方法：汇总数据来自 2015-2017 年国家药物使用和健康调查，对美国非收容成年人口进行的具有全国代表性的自我报告调查。退伍军人是指那些“曾经在美国武装部队服役”并且“现在从预备役/现役部队退役/退役”的人（n=7,301）。非退伍军人是指从未加入过美国武装部队的人 (n=121,366)。计算了年龄和性别分层的加权患病率估计值，并与卡方检验进行了比较。所有分析均于 2019 年进行。结果：退伍军人中非法物质（包括大麻和可卡因）的使用普遍低于非退伍军人，而退伍军人中烟草和酒精等合法物质的使用高于非退伍军人。退伍军人最常用的物质是烟草和酒精。在 18-25 岁的男性参与者中，59.8% 的退伍军人报告过去 12 个月吸烟/雪茄（非退伍军人为 46.6%），而 17.6% 报告酗酒（非退伍军人为 12.2%）。对于吸烟/雪茄和酗酒而言，随着退伍军人年龄的增长，男女患病率差距明显缩小。 18-25 岁的女性退伍军人报告阿片类药物的使用率显着高于非退伍军人（54.7% vs 35.0%）；他们的阿片类药物滥用发生率也高于其他任何群体（15.3%）。 结论：需要加大力度减少退伍军人的药物使用，并提供戒烟和心理健康服务。 (C) 2020 年美国预防医学杂志。由爱思唯尔公司出版。保留所有权利。
Introduction: To provide up-to-date substance use surveillance data among U.S. military veterans versus nonveterans, this study assesses current use of tobacco products, alcohol, marijuana, prescription pain relievers, tranquilizers, sedatives, stimulants, cocaine, heroin, methamphetamines, inhalants, and hallucinogens.Methods: Pooled data were from the 2015-2017 National Survey on Drug Use and Health, a nationally representative, self-reported survey of the U.S. adult non-institutionalized population. Military veterans were those who had "ever been in the United States Armed Forces" and were "now separated/retired from reserves/active duty" (n=7,301). Nonveterans were those who had never been in the U.S. Armed forces (n=121,366). Age- and gender-stratified weighted prevalence estimates were calculated and compared with chi-square tests. All analyses were conducted in 2019.Results: Illicit substance use, including marijuana and cocaine, was generally lower among veterans than nonveterans, whereas use of licit substances such as tobacco and alcohol was higher among veterans than nonveterans. The most commonly used substances among veterans were tobacco and alcohol. Among male participants aged 18-25 years, 59.8% of veterans reported past-12-month cigarette/cigar smoking (vs 46.6% of nonveterans), whereas 17.6% reported heavy drinking (vs 12.2% of nonveterans). For both cigarette/cigar smoking and binge drinking, there was a marked narrowing of the male-female gap in prevalence with increasing age among veterans. Female veterans aged 18-25 years reported significantly higher opioid use than their nonveteran counterparts (54.7% vs 35.0%); they also had the highest prevalence of opioid misuse (15.3%) than any other group.Conclusions: Intensified efforts are needed to reduce substance use among veterans and provide cessation and mental health services. (C) 2020 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.