在美国退伍军人中探索物质依赖和严重心理痛苦的种族/民族差异
Schuyler C Lawson1, Mehreen Arif2, Rachel A Hoopsick3
1Graduate Research Assistant, Department of Community Health and Health Behavior, University at Buffalo, The State University of New York, Buffalo, NY, USA. sclawson@buffalo.edu.
Journal of racial and ethnic health disparities
|August 21, 2023
概括
美国退伍军人中存在物质依赖和严重心理困扰 (SPD) 的种族和种族差异,尽管它们比平民人口少. 具体的差异包括美国印第安人/阿拉斯加原住民退伍军人中较高的酒精依赖,以及几个少数群体中较低的尼古丁依赖.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 在平民人口中,在物质使用和心理健康方面有大量的种族/民族差异被记录在案.
- 有限的研究利用国家数据探索了退伍军人人口中的这些差异.
研究的目的:
- 在美国退伍军人的全国代表样本中检查物质依赖和严重心理困扰 (SPD) 的种族/种族差异.
- 为了比较退伍军人与平民人口之间的这些差异的大小.
主要方法:
- 来自2015-2019年国家药物使用和健康调查的综合横截面数据.
- 包括7,653名年龄在18-64岁之间的美国退伍军人.
- 使用Benjaminini-Hochberg校正的回归模型来评估DSM-IV中物质依赖和SPD中的种族/民族差异.
主要成果:
- 与非西班牙裔白人退伍军人相比,美国印第安人/阿拉斯加原住民退伍军人过去一年酒精依赖的几率更高.
- 亚裔美国退伍军人过去一年酒精和非法药物依赖的几率较低.
- 非西班牙裔黑人,西班牙裔和多种族退伍军人过去一个月尼古丁依赖的几率较低.
- 非西班牙裔黑人退伍军人去年SPD的几率较低.
结论:
- 在美国退伍军人中,物质依赖和SPD的种族/种族差异通常不如平民群体那么明显.
- 尽管整体差异大小较小,但在不同的物质使用障碍和心理健康状况中仍然存在特定差异.
- 需要进一步的研究,以了解导致这些剩余差异的潜在因素.
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