Tobacco Use and Alcohol Misuse among Participants of the Millennium Cohort Study

千年队列研究参与者的烟草使用和酒精滥用情况

• 批准号: 8010367
• 负责人: EDWARD J BOYKO
• 金额: --
• 依托单位: VA PUGET SOUND HEALTHCARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-01 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8010367
• 关键词: Accounting; Acute Disease; Address; Adoption; Affect; Age; Air; Alcohol consumption; Alcoholic beverage heavy drinker; Alcohols; Anxiety; Bed Occupancy; Categories; Cessation of life; Characteristics; Chronic Disease; Cohort Studies; Comorbidity; Cross-Sectional Studies; DA10; Databases; Department of Defense; Disease; Educational Status; Electronics; Enrollment; Ethnic Origin; Exposure to; Family; Fire - disasters; Frequencies; Habits; Health; Health Care Costs; Health Personnel; Health Status; Health care facility; Incidence; Individual; Injury; Investigation; Lead; Left; Life; Life Style; Marital Status; Measures; Medical; Mental Depression; Mental Health; Mental disorders; Military Personnel; Morbidity - disease rate; Occupations; Outcome; Outcome Study; Panic; Participant; Performance; Persons; Physical activity; Policies; Population; Post-Traumatic Stress Disorders; Productivity; Prospective Studies; Race; Recruitment Activity; Relapse; Request for Applications; Research; Risk Factors; Role; Sample Size; Sampling; Services; Sleep; Smoke; Smokeless; Smoking; Social Characteristics; Spouses; Staging; Surveys; Symptoms; Time; Tobacco; Tobacco use; Uranium; Woman; Work; alcohol misuse; alcohol related problem; alcohol risk; arm; cohort; combat; design; experience; follow-up; hospital bed; improved; interest; lifestyle factors; member; men; mortality; physical conditioning; prospective; psychosocial; public health relevance; sex; therapy development; tobacco prevention

DESCRIPTION (provided by applicant): Tobacco and alcohol misuse are serious problems in the U.S. and are more prevalent among members of the U.S. Armed Forces. Both conditions account for higher mortality, greater morbidity, higher health care costs, and lost productivity while in the service and afterwards in civilian life. Little information exists from prospective research on predictors of the adoption of these habits while in military service. Such information would prove valuable for the development of interventions and policies for preventing tobacco use and alcohol misuse among military personnel. This application therefore proposes to conduct a comprehensive prospective assessment of military service features and exposures, demographic characteristics, and psychosocial risk factors for tobacco use and alcohol misuse in the Millennium Cohort Study, a 21-year longitudinal investigation of over 150,000 military personnel. This study began enrollment of members of the U.S. Armed Forces in 2001. Follow-up of subjects for both exposures and outcomes is accomplished through administration of a triennial survey and review of Department of Defense electronic personnel and health care databases as well as other national databases. The overall objective of this proposed research will be to identify the effects of exposures during military service on the incidence, persistence and relapse of tobacco use (including smokeless) and alcohol misuse. This objective will be accomplished by prospectively studying these outcomes in relation to exposures experienced at study entry and during military service, such as deployment with and without combat exposure, other military exposures, mental health conditions, military service characteristics and lifestyle factors. In addition, the Family Millennium Cohort Study will begin in 2010 when the spouses of 10,000 study participants will be recruited. This cross-sectional comparison will permit the study of the same predictors of interest as in the prospective study and allow for the first time the assessment of whether military experiences in the service member are associated with tobacco use and alcohol misuse among spouses. PUBLIC HEALTH RELEVANCE: The research will examine military service features and experiences as predictors of the adoption of tobacco use and the occurrence of alcohol misuse in U.S. military service members enrolled in the Millennium Cohort Study. The roles of military deployments, lifestyle, mental health conditions, and military service characteristics will be studied. A better understanding of the factors that precede the adoption of these habits may lead to improved ways to help prevent tobacco use and alcohol misuse from occurring in this population.

描述（由申请人提供）：滥用烟草和酒精在美国是一个严重的问题，并且在美国武装部队成员中更为普遍。这两种情况都会导致服役期间和退役后的平民生活中更高的死亡率、更高的发病率、更高的医疗保健费用以及生产力损失。关于服兵役期间养成这些习惯的预测因素的前瞻性研究几乎没有提供任何信息。事实证明，此类信息对于制定防止军事人员吸烟和酗酒的干预措施和政策很有价值。因此，本申请建议对千年队列研究中的兵役特征和暴露、人口特征以及烟草使用和酗酒的心理社会风险因素进行全面的前瞻性评估，该研究是一项对超过 150,000 名军事人员进行的为期 21 年的纵向调查。这项研究于 2001 年开始招募美国武装部队成员。通过对国防部电子人员和医疗保健数据库以及其他国家数据库进行三年一次的调查和审查，对受试者的暴露和结果进行跟踪。这项拟议研究的总体目标是确定服兵役期间暴露对吸烟（包括无烟）和酒精滥用的发生率、持续性和复发的影响。这一目标将通过前瞻性研究这些结果来实现，这些结果与研究开始时和服兵役期间经历的暴露有关，例如有或没有战斗暴露的部署、其他军事暴露、心理健康状况、兵役特征和生活方式因素。此外，家庭千年队列研究将于 2010 年开始，届时将招募 10,000 名研究参与者的配偶。这种横断面比较将允许研究与前瞻性研究中相同的预测因素，并首次评估军人的军事经历是否与配偶中吸烟和酗酒有关。 公共健康相关性：该研究将考察军事服役特征和经历，作为参加千年队列研究的美国军人吸烟和酗酒情况的预测因素。将研究军事部署、生活方式、心理健康状况和兵役特征的作用。更好地了解养成这些习惯之前的因素可能会导致改进方法，帮助防止该人群发生吸烟和酗酒。