VA Ann Arbor Healthcare System, VA Serious Mental Illness Treatment Research and Evaluation Center/Health Services Research and Development, Ann Arbor, MI 48105, USA.
Addict Behav. 2011 Aug;36(8):801-6. doi: 10.1016/j.addbeh.2010.12.032. Epub 2011 Jan 13.
Several studies have reported high rates of alcohol misuse and low rates of substance use treatment among OEF/OIF military service members. This study assessed the prevalence and correlates of alcohol misuse and the factors associated with treatment utilization among recently returned National Guard service members.
The sample included 585 members of the National Guard who volunteered to complete an anonymous survey assessing mental health and substance use problems, functional status, and past treatment experiences. Bivariate and multivariate logistic regression analyses were performed examining the significance of associations between alcohol misuse and mental health service use as outcomes and demographic variables, mental health symptoms, and military service characteristics as predictors. Barriers to treatment and factors facilitating treatment were also examined.
Thirty-six percent of the service members met criteria for alcohol misuse. Of those misusing alcohol, 31% reported receiving any mental health treatment and 2.5% reported receiving specific substance use treatment in the past year. The barrier to treatment most commonly endorsed by those misusing alcohol was concern that the information about treatment would appear in their records. Among those misusing alcohol who had received services, spouses were most commonly endorsed as facilitating the pursuit of care.
Rates of alcohol misuse are high and rates of substance use treatment are low among National Guard service members. Additional research is needed to identify means of overcoming barriers to care and establish more effective approaches to facilitate linkage to care and receipt of appropriate interventions.
多项研究报告称，在 OEF/OIF 军队服役人员中，酒精滥用率较高，而药物滥用治疗率较低。本研究评估了最近退伍的国民警卫队队员中酒精滥用的流行率和相关因素，以及与治疗利用相关的因素。
该样本包括 585 名自愿完成匿名调查的国民警卫队队员，该调查评估了心理健康和药物使用问题、功能状态和过去的治疗经验。进行了双变量和多变量逻辑回归分析，以研究酒精滥用与心理健康服务使用作为结果之间的关联的显著性，以及人口统计学变量、心理健康症状和军事服务特征作为预测因素。还检查了治疗的障碍和促进治疗的因素。
36%的服务人员符合酒精滥用的标准。在那些滥用酒精的人中，31%的人报告接受过任何心理健康治疗，2.5%的人报告在过去一年中接受过特定的药物使用治疗。那些滥用酒精的人最常认可的治疗障碍是担心治疗信息会出现在他们的记录中。在那些接受过服务的滥用酒精者中，配偶最常被认为是促进护理的因素。
国民警卫队队员中酒精滥用率较高，药物滥用治疗率较低。需要进一步研究，以确定克服护理障碍的方法，并建立更有效的方法，促进与护理的联系，并获得适当的干预措施。
