Probable post-traumatic stress disorder and harmful alcohol use among male members of the British Police Forces and the British Armed Forces: a comparative study.
Probable post-traumatic stress disorder and harmful alcohol use among male members of the British Police Forces and the British Armed Forces: a comparative study.
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DOI：
10.1080/20008198.2021.1891734
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发表时间：
2021-03-25
影响因子：
5
通讯作者：
Fear NT
中科院分区：
文献类型：
--
作者：
Irizar P;Stevelink SAM;Pernet D;Gage SH;Greenberg N;Wessely S;Goodwin L;Fear NT
背景：英国武装部队和警察部队的人员接受过在可能造成创伤的情况下开展行动的培训。因此，他们可能会经历创伤后应激障碍（PTSD），这往往是与有害的酒精使用共病。目的：我们的目的是评估的比例，和协会，可能的创伤后应激障碍和有害的酒精使用之间的协变量平衡的男性军人和警察雇员的样本。研究方法：使用来自警察电波健康监测研究（2007-2015）（N = 23，826）和军事健康和福祉队列研究（第2阶段：2007 -2009，第3阶段：2014-2016）（N = 7，399）的数据，探索可能的创伤后应激障碍，有害酒精使用和每日酗酒的比例。对较大的警察样本采用了熵平衡权重，使其在一系列预先规定的变量（即数据收集年份、年龄和教育程度）方面与军事样本具有可比性。多项和逻辑回归分析确定了结果变量和相关因素（按样本分层）的样本差异。结果如下：军人和警察可能的PTSD比例相似（3.67% vs 3.95%），尽管大样本量使这些边缘显著（调整后比值比（AOR）：0.84; 95%置信区间（CI）：0.72至0.99）。军事人员与警察雇员之间的有害酒精使用存在明显差异（9.59% vs 2.87%; AOR：2.79; 95% CI：2.42至3.21）。目前的吸烟，这是更普遍的军事人员，与有害的饮酒和酗酒在两个样本，但与创伤后应激障碍的军事人员。结论：一般认为，这两个群体都有高比例的创伤后应激障碍的创伤暴露，然而，低比例的创伤后应激障碍，观察到在两个样本中，可能反映了单位凝聚力或弹性的保护作用。军事人员有害饮酒水平较高可能与更突出的饮酒文化或独特的作战经验有关。在军人和警察雇员中比较了可能的创伤后应激障碍和有害饮酒。可能的PTSD的比例在军事人员和警察雇员中是相当的。军人饮酒的可能性是警察的三倍。
Background: British Armed Forces’ and Police Forces’ personnel are trained to operate in potentially traumatic conditions. Consequently, they may experience post-traumatic stress disorder (PTSD), which is often comorbid with harmful alcohol use. Objective: We aimed to assess the proportions, and associations, of probable PTSD and harmful alcohol use among a covariate-balanced sample of male military personnel and police employees. Methods: Proportions of probable PTSD, harmful alcohol use, and daily binge drinking, were explored using data from the police Airwave Health Monitoring Study (2007–2015) (N = 23,826) and the military Health and Wellbeing Cohort Study (phase 2: 2007–2009, phase 3: 2014–2016) (N = 7,399). Entropy balancing weights were applied to the larger police sample to make them comparable to the military sample on a range of pre-specified variables (i.e. year of data collection, age and education attainment). Multinomial and logistic regression analyses determined sample differences in outcome variables, and associated factors (stratified by sample). Results: Proportions of probable PTSD were similar in military personnel and police employees (3.67% vs 3.95%), although the large sample size made these borderline significant (Adjusted Odds Ratio (AOR): 0.84; 95% Confidence Intervals (CI): 0.72 to 0.99). Clear differences were found in harmful alcohol use among military personnel, compared to police employees (9.59% vs 2.87%; AOR: 2.79; 95% CI: 2.42 to 3.21). Current smoking, which was more prevalent in military personnel, was associated with harmful drinking and binge drinking in both samples but was associated with PTSD in military personnel only. Conclusions: It is generally assumed that both groups have high rates of PTSD from traumatic exposures, however, low proportions of PTSD were observed in both samples, possibly reflecting protective effects of unit cohesion or resilience. The higher level of harmful drinking in military personnel may relate to more prominent drinking cultures or unique operational experiences. Probable PTSD and harmful drinking were compared in military personnel and police employees. Proportions of probable PTSD were comparable in military personnel and police employees. Military personnel were three times more likely to drink harmfully than police employees.
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