Civilian Stressors Associated with Alcohol Use Disorders in the National Guard
Civilian Stressors Associated with Alcohol Use Disorders in the National Guard
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DOI：
10.1016/j.amepre.2014.06.015
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发表时间：
2014-10-01
影响因子：
5.5
通讯作者：
Koenen, Karestan C.
中科院分区：
文献类型：
--
作者：
Cerda, Magdalena;Richards, Catherine;Koenen, Karestan C.
背景：酒精使用障碍是士兵中一个严重的公共卫生问题。虽然部署相关的风险已与酒精使用障碍的士兵，较少被理解之间的联系，可修改的，平民的压力和部署后的酒精使用disorders.Purpose：（1）比较平民的压力和部署相关的创伤性事件和压力的影响，对部署后的酒精使用障碍的陆军国民警卫队主要部署到阿富汗和伊拉克;和（2）评估平民压力源是否影响不同的一组酒精使用障碍表型比部署相关的创伤事件和stresss.Methods：一个队列的俄亥俄州国民警卫队士兵在2008-2009年招募，并采访了三次超过3年。分析样本包括2008-2009年部署的俄亥俄州国民警卫队士兵，他们参加了至少一次随访，报告一生中至少喝过一次酒精饮料，并且有关于酒精使用障碍的非缺失数据（n= 1，095）。结果：在一个包括平民压力源和部署相关创伤事件的模型中，只有平民压力源（OR=2.07，95%CI =1.46，2.94）与随后的酒精使用障碍相关。平民压力源的影响只存在于没有酒精使用disorder.Conclusions的历史的人之间：独立的部署相关的曝光，部署后的平民压力源与酒精使用障碍的发病之间的预备役部队士兵。可能需要进行协调一致的投资，解决与重返平民生活有关的日常平民困难，以防止返回的军事人员中出现新的酗酒病症。(C)2014年美国预防医学杂志
Background: Alcohol use disorders are a serious public health concern among soldiers. Although deployment-related exposures have been linked with alcohol use disorders in soldiers, less is understood about the link between modifiable, civilian stressors and post-deployment alcohol use disorders.Purpose: To (1) compare the influence of civilian stressors and deployment-related traumatic events and stressors on post-deployment alcohol use disorders among Army National Guardsmen primarily deployed to Afghanistan and Iraq; and (2) evaluate whether civilian stressors influence a different set of alcohol use disorder phenotypes than deployment-related traumatic events and stressors.Methods: A cohort of Ohio National Guard soldiers was recruited in 2008-2009 and interviewed three times over 3 years. The analytic sample included Ohio National Guard soldiers who had been deployed by 2008-2009, had participated in at least one follow-up wave, had reported consuming at least one alcoholic drink in their lifetime, and had non-missing data on alcohol use disorders (n=1,095). Analyses were conducted in 2013.Results: In a model including measures of civilian stressors and deployment-related traumatic events, only civilian stressors (OR=2.07, 95% CI=1.46, 2.94) were associated with subsequent alcohol use disorder. The effects of civilian stressors were only present among people with no history of alcohol use disorder.Conclusions: Independent of deployment-related exposures, post-deployment civilian stressors are associated with the onset of alcohol use disorder among reserve-component soldiers. Concerted investment to address daily civilian difficulties associated with reintegration into civilian life may be needed to prevent new cases of alcohol use disorders among returning military personnel. (C) 2014 American Journal of Preventive Medicine