在部署后有饮酒风险的士兵中,医疗保健利用率和准备情况,按多病症类别划分
Joshua C Gray1, Mary Jo Larson2, Natalie Moresco2
1Uniformed Services University of the Health Sciences, Department of Medical and Clinical Psychology, Bethesda, MD 20814, United States.
有风险饮酒的军人表现出不同的多病症类别. 那些同时患有心理健康状况和重度饮酒的人面临着健康状况不佳和准备结果的最高风险.
科学领域:
- 军事卫生研究军事卫生研究
- 药物中毒药物 药物中毒药物
- 公共卫生 公共卫生
背景情况:
- 酒精使用障碍 (AUD) 通常与其他健康问题同时发生.
- 在有风险饮酒的军人中,特定的多病态模式仍未得到充分研究.
研究的目的:
- 在有风险的酒精使用的士兵中确定不同的多病症类别.
- 检查这些类与医疗保健利用和军事准备的关联.
主要方法:
- 对来自138,929名士兵的31个指标的潜阶级分析 (LCA).
- 这些指标包括酒精使用的严重程度,心理健康查,诊断和烟草使用.
- 纵向生存分析评估了医疗保健利用率和准备情况的结果.
主要成果:
- 确定了五个多重疾病类别:相对健康,疼痛/烟草,大量饮酒/疼痛/烟草,心理健康/疼痛/烟草,以及大量饮酒/心理健康/疼痛/烟草.
- 肌肉骨疼痛和吸烟在各个阶级都是常见的.
- 患有心理健康状况和大量饮酒的类别 (4类和5类) 显示出不良结果的风险最高.
结论:
- 在有风险的军人饮酒者中存在明显的多病态概况.
- 重度饮酒,心理健康问题和疼痛的同时发生显著增加了风险.
- 需要针对军事人口中不同多病症类别的有针对性,个性化的护理策略.
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