Lande R Gregory, Marin Barbara A, Chang Audrey S, Lande Galen R
Army Substance Abuse Program, Walter Reed Army Medical Center, 6900 Georgia Avenue NW, Washington, DC 20307, USA.
J Addict Dis. 2008;27(3):115-21. doi: 10.1080/10550880802122711.
The objective of this study was to collect data that would provide information about the frequency, attitudes, and consequences of alcohol use in the U.S. Army. A questionnaire was used to assess the frequency of alcohol consumption, attitudes related to the use of alcohol, and adverse consequences experienced with alcohol use. The survey was conducted at Walter Reed Army Medical Center in Washington, D.C. Survey participants included both military employees working at Walter Reed Army Medical Center and military patients. No attempt was made to identify the medical status of the participants. The investigators distributed 1,200 questionnaires. Following distribution, the investigators received 1,010 completed questionnaires, resulting in an 84% return rate. Thirty-four percent of the survey participants (n = 335) were deployed to an area of combat operations. There was a significant difference in binge drinking between military personnel assigned to an area of combat operations and those not assigned to an area of combat operations (p = 0.023). Multiple regression results showed that age, marital status, and deployment status were correlated with four or more drinks at one time (p < 0.001). In other words, binge drinking is more likely to occur among military personnel who are younger, experiencing marital problems, and recently returned from an area of combat operations. Significant differences between the two groups also emerged in terms of other specific consequences associated with consumption. Deployment to an area of combat operations seems to influence consumption patterns, alcohol related attitudes, and behaviors. This could be a consequence of wartime experiences. This study should help guide the clinical screening of alcohol use disorders, which may complicate emotional recovery from traumatic experiences if undetected.
本研究的目的是收集能提供有关美国陆军饮酒频率、态度及后果信息的数据。采用问卷调查来评估饮酒频率、与饮酒相关的态度以及饮酒带来的不良后果。该调查在华盛顿特区的沃尔特里德陆军医疗中心进行。调查参与者包括在沃尔特里德陆军医疗中心工作的军事人员和军事患者。未尝试确定参与者的医疗状况。研究人员发放了1200份问卷。问卷发放后，研究人员收到了1010份完整问卷，回收率为84%。34%的调查参与者（n = 335）被部署到作战地区。被部署到作战地区的军事人员与未被部署到作战地区的军事人员在狂饮方面存在显著差异（p = 0.023）。多元回归结果显示，年龄、婚姻状况和部署状态与一次饮用四杯或更多酒相关（p < 0.001）。换句话说，狂饮在更年轻、有婚姻问题且刚从作战地区返回的军事人员中更有可能发生。两组在与饮酒相关的其他特定后果方面也出现了显著差异。部署到作战地区似乎会影响饮酒模式、与酒精相关的态度和行为。这可能是战时经历的结果。本研究应有助于指导酒精使用障碍的临床筛查，若未被发现，酒精使用障碍可能会使创伤经历后的情绪恢复复杂化。
