Calhoun Patrick S, Schry Amie R, Wagner H Ryan, Kimbrel Nathan A, Dennis Paul, McDonald Scott D, Beckham Jean C, Dedert Eric A, Kudler Harold, Straits-Troster Kristy
a VA Mid-Atlantic Mental Illness Research, Education and Clinical Center (MIRECC) , Durham , NC , USA.
b Durham VA Medical Center , Durham , NC , USA.
Am J Drug Alcohol Abuse. 2016 May;42(3):269-78. doi: 10.3109/00952990.2015.1051185. Epub 2015 Jul 8.
Binge drinking is a significant public health concern linked to a number of health and psychosocial problems. Military service in Afghanistan (OEF) and Iraq (OIF) has been associated with posttraumatic stress disorder (PTSD) and increased hazardous drinking. Brief alcohol interventions may reduce hazardous drinking but are infrequently provided to at-risk drinkers.
This study examined the association of combat exposure, PTSD symptoms, binge drinking, use of VA and non-VA healthcare services, and the incidence of provider drinking advice.
OEF/OIF veterans (n = 1087) completed measures of demographics, military history, combat exposure, PTSD symptoms, and binge drinking as part of a confidential mail survey study conducted in 2009 and 2010 (response rate = 29%). Patient report of receiving advice in the past year from a provider about their drinking was queried for frequent binge drinkers. The association of demographic variables, combat exposure, PTSD, and use of healthcare services with binge drinking and receipt of provider drinking advice was estimated using logistic regression.
Overall, 51% of the sample reported at least one episode of binge drinking in the past year and 19% were identified as frequent binge drinkers. PTSD was related to frequent binge drinking. At-risk veterans using VA healthcare services were significantly more likely to receive provider drinking advice (50%) than veterans not using VA (13.4%).
There is a need for increased vigilance and action to identify and counsel at-risk veterans about alcohol misuse in this population.
暴饮是一个重大的公共卫生问题，与一系列健康和心理社会问题相关。在阿富汗（持久自由行动，OEF）和伊拉克（伊拉克自由行动，OIF）服役与创伤后应激障碍（PTSD）及危险饮酒增加有关。简短的酒精干预可能会减少危险饮酒，但很少提供给高危饮酒者。
本研究考察了战斗暴露、PTSD症状、暴饮、退伍军人事务部（VA）和非VA医疗服务的使用，以及提供者饮酒建议的发生率之间的关联。
作为2009年和2010年进行的一项保密邮件调查研究的一部分，OEF/OIF退伍军人（n = 1087）完成了人口统计学、军事历史、战斗暴露、PTSD症状和暴饮的测量（回复率 = 29%）。对于频繁暴饮者，询问其在过去一年中是否从提供者那里得到过关于饮酒的建议。使用逻辑回归估计人口统计学变量、战斗暴露、PTSD和医疗服务使用与暴饮及接受提供者饮酒建议之间的关联。
总体而言，51%的样本报告在过去一年中至少有一次暴饮，19%被确定为频繁暴饮者。PTSD与频繁暴饮有关。使用VA医疗服务的高危退伍军人比未使用VA的退伍军人更有可能接受提供者的饮酒建议（50%对13.4%）。
有必要提高警惕并采取行动，识别该人群中存在酒精滥用风险的退伍军人并为其提供咨询。
