Shaffer Sarah E, Shaffer Kristin J, Perryman Kenzie D, Patterson Jasey K, Hartos Jessica L
University of North Texas Health Science Center, Fort Worth, USA.
Gerontol Geriatr Med. 2019 Apr 4;5:2333721419837803. doi: 10.1177/2333721419837803. eCollection 2019 Jan-Dec.
With limited research for mental health and alcohol use among veterans in the general population and none for elderly male veterans only, the purpose is to assess whether mental health differs by alcohol use in elderly male veterans in the general population. This cross-sectional analysis uses 2017 Behavioral Risk Factor Surveillance System data for male veterans aged 65 and older in general population samples from Florida ( = 1,700), Maryland ( = 1,060), New York ( = 552), and Washington ( = 1,031). Multiple logistic regression by state assessed the relationship between mental health and alcohol use, after controlling for health-related, demographic, and socioeconomic factors. Across states, most participants reported good mental health (80%-84%) and more than half reported drinking (53%-63%). Adjusted results indicated that mental health did not differ by alcohol use in any state; however, it was related to physical health and activity limitations across states. Overall, alcohol use was not related to mental health in elderly male veterans in the general population; however, physical health status and activity limitations were. Practitioners should always screen for alcohol use and should automatically screen for mental health, physical health, and activity limitations when symptoms present for any and assess concurrent treatment and management strategies.
在普通人群中针对退伍军人的心理健康与饮酒情况的研究有限,且仅针对老年男性退伍军人的研究尚无,本研究旨在评估普通人群中老年男性退伍军人的心理健康状况是否因饮酒情况而异。这项横断面分析使用了2017年行为风险因素监测系统的数据,这些数据来自佛罗里达州(n = 1700)、马里兰州(n = 1060)、纽约州(n = 552)和华盛顿州(n = 1031)普通人群样本中65岁及以上的男性退伍军人。在控制了与健康相关、人口统计学和社会经济因素后,按州进行的多元逻辑回归分析评估了心理健康与饮酒之间的关系。在各个州,大多数参与者报告心理健康状况良好(80%-84%),超过一半的人报告饮酒(53%-63%)。调整后的结果表明,在任何一个州,心理健康状况都不因饮酒情况而异;然而,它与各州的身体健康和活动受限情况有关。总体而言,普通人群中老年男性退伍军人的心理健康与饮酒无关;然而,与身体健康状况和活动受限情况有关。从业者应始终筛查饮酒情况,并且当出现任何症状时,应自动筛查心理健康、身体健康和活动受限情况,并评估同时进行的治疗和管理策略。