Jeffery Diana D, Mattiko Mark
Department of Defense, Defense Health Agency, 7700 Arlington Boulevard, Suite 5101, Falls Church, VA 22042-5101.
Health, Safety & Work-Life Directorate, Behavioral Health Division, U.S. Coast Guard, 2703 Martin Luther King Jr. Avenue, SE Stop 7907, Washington, DC 20593-7907.
Mil Med. 2016 Jan;181(1 Suppl):99-108. doi: 10.7205/MILMED-D-15-00222.
Numerous studies document higher substance use among military men after deployment; similar studies focused on military women are limited.
This study examines alcohol use of active duty women and deployment factors, social/environmental/attitudinal factors, and psychological/intrapersonal factors.
Secondary data analysis of the 2011 Survey of Health-Related Behavior of active duty military personnel was conducted using bivariate statistics and multiple regression analyses with Alcohol Use Disorders Identification Test scores as the dependent variable.
Nearly 94% had low risk for alcohol use disorders. Length of combat experience and extent of combat exposure were unrelated to Alcohol Use Disorders Identification Test scores; noncombat deployment was unrelated after controlling for marital status, age of first drink, pay grade, and branch of service. Significant motivators (p < 0.001) for drinking were "like/enjoy drinking," "drink to cheer up," "drink to forget problems," and significant deterrents were "cost of alcohol" and "fear of upsetting family/friends if used alcohol." Anger propensity, risk propensity, lifetime prevalence of suicidal ideation, and depressed mood were significant predictors in the regression model after controlling for covariates.
Findings suggest that some active duty women use alcohol to cope with adverse emotional states, whereas others use alcohol consistent with propensity for high-risk behaviors.
大量研究表明，军人在部署后物质使用情况更为严重；但针对军事女性的类似研究较少。
本研究调查现役女性的饮酒情况以及部署因素、社会/环境/态度因素和心理/个人因素。
对2011年现役军事人员健康相关行为调查的二手数据进行分析，使用双变量统计和多元回归分析，将酒精使用障碍识别测试分数作为因变量。
近94%的人酒精使用障碍风险较低。战斗经历时长和战斗暴露程度与酒精使用障碍识别测试分数无关；在控制婚姻状况、首次饮酒年龄、薪资等级和军种后，非战斗部署与之无关。饮酒的重要动机（p < 0.001）包括“喜欢/享受饮酒”“借酒消愁”“借酒忘却烦恼”，重要阻碍因素包括“酒的成本”和“担心饮酒会让家人/朋友不悦”。在控制协变量后，愤怒倾向、风险倾向、自杀意念终生患病率和抑郁情绪在回归模型中是显著预测因素。
研究结果表明，一些现役女性饮酒是为了应对不良情绪状态，而另一些女性饮酒则与高危行为倾向相符。
