Alcohol and Drug Misuse, Abuse, and Dependence in Women Veterans
Alcohol and Drug Misuse, Abuse, and Dependence in Women Veterans
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DOI：
10.1093/epirev/mxu010
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发表时间：
2015-01-01
影响因子：
5.5
通讯作者：
Simpson, Tracy L.
中科院分区：
文献类型：
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作者：
Hoggatt, Katherine J.;Jamison, Andrea L.;Simpson, Tracy L.
我们对包括国民警卫队/预备役成员在内的女性退伍军人的药物滥用、滥用和依赖进行了系统的文献回顾。我们确定了1980年至2013年间发表的837篇文章。在56项纳入的研究中，32项报告了酒精滥用、酗酒或其他不健康的酒精使用不符合滥用或依赖的诊断标准，33项报告了药物滥用或诊断为酒精或药物使用障碍的发生率。酒精滥用的比例从4%到37%不等，酗酒的比例从7%到25%不等；在退伍军人健康管理局（VA）医疗保健系统的门诊患者中，物质使用障碍的比例从3%到16%不等。比较女性退伍军人和平民的研究报告显示，在酗酒和酗酒方面没有明显差异。女性退伍军人的药物滥用率普遍低于男性退伍军人。药物滥用与更高的创伤率、精神和医疗状况以及更高的死亡率和自杀率有关。大多数研究只包括退伍军人事务部的患者，许多研究只使用退伍军人事务部的医疗记录数据；因此，报告的药物滥用率可能不能反映真实的流行情况。比率也因评估方法、数据来源和所研究的亚组而异。需要进一步努力制定流行病学上有效的流行率估计，以掌握女性退伍军人，特别是那些不使用退伍军人护理的退伍军人滥用药物的真正健康负担。
We conducted a systematic literature review on substance misuse, abuse, and dependence in women veterans, including National Guard/reserve members. We identified 837 articles published between 1980 and 2013. Of 56 included studies, 32 reported rates of alcohol misuse, binge drinking, or other unhealthy alcohol use not meeting diagnostic criteria for abuse or dependence, and 33 reported rates of drug misuse or diagnosed alcohol or drug use disorders. Rates ranged from 4% to 37% for alcohol misuse and from 7% to 25% for binge drinking; among Veterans Health Administration (VA) health-care system outpatients, rates ranged from 3% to 16% for substance use disorder. Studies comparing women veterans and civilians reported no clear differences in binge or heavy drinking. Substance misuse rates were generally lower among women veterans than men veterans. Substance misuse was associated with higher rates of trauma, psychiatric and medical conditions, and increased mortality and suicide rates. Most studies included only VA patients, and many used only VA medical record data; therefore, the reported substance misuse rates likely do not reflect true prevalence. Rates also varied by assessment method, source of data, and the subgroups studied. Further efforts to develop epidemiologically valid prevalence estimates are needed to capture the true health burden of substance misuse in women veterans, particularly those not using VA care.