在军事作战部署之前和之后,酒精使用和与酒精有关的问题
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
概括
军事人员,特别是预备役和国民警卫队成员和年轻的服务人员,他们部署与战斗暴露面临更高的风险新发重度饮酒,狂饮,和酒精问题.
科学领域:
- 军队的医疗卫生.
- 流行病学 流行病学
- 药物滥用研究 药物滥用研究
背景情况:
- 在部署后报告了高比例的滥用酒精.
- 在目前的伊拉克和阿富汗部署之后,关于滥用酒精的研究有限.
研究的目的:
- 调查战斗部署与新发作或持续饮酒之间的关联.
- 为了检查战斗暴露和暴饮暴酒之间的联系.
- 评估与部署和战斗接触有关的与酒精有关的问题.
主要方法:
- 利用了来自千年队列研究 (n=48,481) 的数据.
- 包括现役,储备和国民警卫队的参与者.
- 在随访时分析了新发病和持续的每周重度饮酒,滥饮酒和与酒精有关的问题.
主要成果:
- 与没有部署的同龄人相比,预备役/国民警卫队人员接触战斗的可能性明显更高,新发重度饮酒 (OR=1.63),过度饮酒 (OR=1.46) 和酒精问题 (OR=1.63).
- 最年轻的队列成员在所有与酒精有关的结果中风险最高.
- 沉重饮酒,过度饮酒和酒精问题的患病率在基线和部署后备军/国民警卫队成员的随访之间有所不同.
结论:
- 与战斗接触的部署增加了新出现的重度饮酒,过度饮酒和与酒精有关的问题的风险.
- 储备和国民警卫队人员以及年轻的服务人员特别容易受到伤害.
- 调查结果强调了针对处于危险的军事人口进行有针对性的干预的必要性.
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