Center for Health Care Evaluation , Veterans Affairs Palo Alto Health Care System, Menlo Park, CA 94025, USA.
J Addict Dis. 2013;32(2):119-39. doi: 10.1080/10550887.2013.795465.
An increasing percentage of women are U.S. Military Veterans. We review the substance misuse rates and comorbidities and the risk factors for and consequences of substance use among women Veterans. Women Veterans may have higher rates of substance misuse and comorbid psychiatric and medical disorders than male Veterans and women who are not Veterans. Studies support the AUDIT-C as a scaled marker of alcohol-related risk among female Veterans, but validated drug screening instruments are needed. We discuss evidence-based approaches in terms of treating women Veterans' substance misuse in primary and specialty care settings, along with knowledge gaps and potential research priorities to improve care in this special population.
越来越多的女性是美国退伍军人。我们回顾了女性退伍军人的物质滥用率和合并症，以及物质使用的风险因素和后果。女性退伍军人的物质滥用和合并精神及医学疾病的发生率可能高于男性退伍军人和非退伍军人的女性。研究支持 AUDIT-C 作为女性退伍军人酒精相关风险的比例标记，但需要经过验证的药物筛选工具。我们讨论了在初级和专科保健环境中治疗女性退伍军人物质滥用的循证方法，以及知识空白和潜在的研究重点，以改善这一特殊人群的护理。
