男性和女性的酒精消费和依赖风险退伍军人:轨迹和预测因素
Brittany M Mathes Winnicki1, Daniel J Lee2, Sage E Hawn3
1US Department of Veteran Affairs, VA Boston Healthcare System, Boston, MA, United States; Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, United States.
Drug and alcohol dependence
|March 2, 2024
概括
这项研究揭示了9/11后退伍军人中酒精使用和依赖风险的性别差异. 研究结果突出了男性和女性的独特预测因素,为危险饮酒提供了有针对性的干预措施.
科学领域:
- 精神病学和行为健康
- 军事和退伍军人卫生保健
- 成研究 研究成研究
背景情况:
- 以前对退伍军人危险饮酒的研究主要包括男性参与者,并专注于消费,而不是依赖风险.
- 这项研究通过检查911后退伍军人的酒精消费和依赖风险轨迹的性别差异来解决这些差距.
研究的目的:
- 在9/11后的退伍军人中调查酒精消费和酒精依赖风险的纵向轨迹中的性别差异.
- 确定这些结果变化的预测因素,包括人口因素,支持系统,精神病症状和创伤暴露.
主要方法:
- 一个由1649名9/11后退伍军人 (50%为女性) 组成的全国样本参与了一项五波纵向研究.
- 使用增长曲线建模,分析酒精消费和依赖风险的轨迹,在部署后长达16年的时间里.
- 研究了增长的预测因素,包括人口统计,心理社会因素,精神症状和创伤史.
主要成果:
- 男性退伍军人显示酒精消费和依赖风险停滞不前,与之前的非退伍军人研究形成鲜明对比.
- 退伍军人女性的酒精消费量最初出现下降,然后减缓,而他们的依赖风险持续下降.
- 创伤后应激障碍 (PTSD) 预测了男性的个体生长差异. 对于女性来说,精神症状 (PTSD,抑郁症,自杀念头) 和心理社会功能预测了减少酒精使用.
结论:
- 在9/11后退伍军人中,酒精消费和依赖风险变化的模式和预测因素存在显著的性别差异.
- 研究结果强调,在查危险饮酒时,需要采用特定性别的方法,并为这一群体制定量身定制的干预策略.
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