アルコールの使用およびアルコール関連の問題は,軍事戦闘の展開前および後のものです
Isabel G Jacobson1, Margaret A K Ryan, Tomoko I Hooper
1DoD Center for Deployment Health Research, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106-3521, USA. Isabel.Jacobson@med.navy.mil
JAMA
|August 14, 2008
まとめ
戦闘に携わる軍人,特に予備軍,国民警備隊員,若い軍人は,新発症の重度な飲酒,乱飲,アルコールの問題を抱えるリスクが高くなります.
科学分野:
- 軍人の健康管理は,軍人の健康管理です.
- エピデミオロジー エピデミオロジー
- 薬物乱用の研究 薬物乱用の研究
背景:
- 配備後のアルコールの乱用率が高いことが報告されています.
- 現在のイラクとアフガニスタンでの配備の後にアルコールの乱用に関する研究は限られている.
研究 の 目的:
- 戦闘部署とアルコールの新規または継続的な消費との関連を調査する.
- 戦闘曝露と乱飲の関連性を調べる.
- 配備と戦闘の曝露に関連してアルコール関連の問題を評価する.
主な方法:
- ミレニアムコホート研究 (n=48,481) のデータを活用した.
- 現役,予備役,国民警備隊の参加者を含む.
- 新発症および継続した重度の毎週の飲酒,乱飲,およびフォローアップ時のアルコール関連の問題を分析しました.
主要な成果:
- 予備軍/国民警備隊の兵士は,戦闘経験のある兵士と比べて,新規に重度の飲酒 (OR=1.63),乱飲 (OR=1.46),アルコールの問題 (OR=1.63) が有意に高かった.
- 最年少のコホートメンバーは,すべてのアルコール関連のアウトカムのリスクが最も高かった.
- 激しい飲酒,乱飲,アルコールのトラブルの発生率は,予備軍/国家警備隊の部署メンバーのベースラインとフォローアップの間に異なっていた.
結論:
- 戦闘への曝露を伴う配備は,新たな重度の飲酒,乱飲,アルコール関連の問題の発生リスクを高めます.
- 予備軍,国家警備隊の兵士,若い兵役員は特に脆弱である.
- 調査結果は,リスクの高い軍人集団に対する標的型介入の必要性を強調しています.
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