VA Puget Sound Health Services Research & Development, Denver-Seattle Center of Innovation for Veteran-Centered Value-Driven Care, Seattle, Washington; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington; Department of Health Services, University of Washington, Seattle, Washington.
VA Puget Sound Health Services Research & Development, Denver-Seattle Center of Innovation for Veteran-Centered Value-Driven Care, Seattle, Washington; Department of Health Services, University of Washington, Seattle, Washington.
Am J Prev Med. 2018 Jan;54(1):e1-e9. doi: 10.1016/j.amepre.2017.09.008.
Population-based data on the prevalence, correlates, and treatment utilization of post-traumatic stress disorder by gender and veteran status are limited. With changes in post-traumatic stress disorder diagnostic criteria in 2013, current information from a uniform data source is needed.
This was a secondary analysis of the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions-III, which consisted of in-person interviews that were conducted with a representative sample of U.S. adults. The Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-5 Version was used to assess past-year and lifetime post-traumatic stress disorder among veterans (n=3,119) and civilians (n=32,982). Data were analyzed from January to March 2017.
Adjusting for age and race/ethnicity, women veterans reported the highest rates of lifetime and past-year post-traumatic stress disorder (13.4%, 95% CI=8.8%, 17.9%, and 11.7%, 95% CI=7.1%, 16.4%) compared with women civilians (8.0%, 95% CI=7.4%, 8.6%, and 6.0%, 95% CI=5.5%, 6.6%); men veterans (7.7%, 95% CI=6.5%, 8.8%, and 6.7%, 95% CI=5.7%, 7.8%); and men civilians (3.4%, 95% CI=3.0%, 3.9%, and 2.6%, 95% CI=2.2%, 2.9%). Traumatic event exposure, correlates of lifetime post-traumatic stress disorder, and treatment seeking varied across subgroups. Men and women veterans were more likely than civilians to use a variety of treatment sources, with men civilians being least likely to seek treatment and men veterans exhibiting the longest delay in seeking treatment.
Post-traumatic stress disorder is a common mental health disorder that varies by gender and veteran status. Women veterans' high rates of post-traumatic stress disorder highlight a critical target for prevention and intervention, whereas understanding treatment barriers for men veterans and civilians is necessary.
关于创伤后应激障碍的患病率、相关因素和治疗利用情况，基于人群的研究数据因性别和退伍军人身份而异，且十分有限。2013 年创伤后应激障碍的诊断标准发生变化后，我们需要来自统一数据源的最新信息。
这是对 2012-2013 年全国酒精相关情况和障碍流行病学调查-III 的二次分析，该调查包括对美国成年人的代表性样本进行的面对面访谈。使用酒精使用障碍和相关障碍访谈表-DSM-5 版本评估退伍军人（n=3119）和平民（n=32982）的过去一年和终身创伤后应激障碍。数据于 2017 年 1 月至 3 月进行分析。
调整年龄和种族/民族因素后，与女性平民（8.0%，95%CI=7.4%，8.6%，6.0%，95%CI=5.5%，6.6%）相比，女性退伍军人报告终生和过去一年创伤后应激障碍的比例最高（13.4%，95%CI=8.8%，17.9%，11.7%，95%CI=7.1%，16.4%）；男性退伍军人（7.7%，95%CI=6.5%，8.8%，6.7%，95%CI=5.7%，7.8%）；男性平民（3.4%，95%CI=3.0%，3.9%，2.6%，95%CI=2.2%，2.9%）。创伤事件暴露、终生创伤后应激障碍的相关因素和治疗的寻求因亚组而异。男性和女性退伍军人比平民更有可能使用多种治疗来源，而男性平民最不可能寻求治疗，男性退伍军人寻求治疗的时间最长。
创伤后应激障碍是一种常见的精神健康障碍，其发病率因性别和退伍军人身份而异。女性退伍军人的高创伤后应激障碍发生率突出表明需要预防和干预的关键目标，而了解男性退伍军人和平民的治疗障碍是必要的。
