Aging Studies Institute, Syracuse University, Syracuse, NY, USA.
Department of Sociology, Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, NY, USA.
Subst Use Misuse. 2020;55(8):1288-1299. doi: 10.1080/10826084.2020.1735438. Epub 2020 Mar 13.
: An extensive public health literature associates military service with increased alcohol consumption and problematic drinking. However, few well-controlled population-based studies compare alcohol use among nonveterans and veterans with diverse military service experiences, and no such study examines everyday drinking. : We use population-representative data from the 2010 and 2011 Behavioral Risk Factor Surveillance System and distinguish four groups of men: nonveterans; non-combat veterans without a psychiatric disorder (PD) or traumatic brain injury (TBI); combat veterans without a PD or TBI; and veterans (non-combat and combat combined) with a PD and/or TBI. We estimate hierarchical multivariate logistic regression models of current drinking (=21,947) and daily drinking (among current drinkers; =11,491). Results from supplemental analyses are discussed. : Relative to nonveterans, non-combat veterans with no PD or TBI and veterans with a PD and/or TBI, respectively, but not combat veterans with no PD or TBI, are more likely to be current drinkers. Among current drinkers, non-combat and combat veterans with no PD or TBI, respectively, are likely than nonveterans to be daily drinkers. Conversely, among current drinkers, veterans with a PD and/or TBI are likely to be daily drinkers than nonveterans, non-combat veterans with no PD or TBI, and combat veterans with no PD or TBI. : We document heterogeneous and countervailing influences of military service experiences on current and daily drinking. Results indicate that harmful military service experience may be associated with an increased risk of current, moderate daily drinking, which may represent a form of self-medication.
:大量的公共卫生文献将兵役与饮酒量增加和饮酒问题联系起来。然而,很少有经过良好控制的基于人群的研究比较了不同兵役经历的非退伍军人和退伍军人的饮酒情况,也没有这样的研究检查日常饮酒情况。
:我们使用 2010 年和 2011 年行为风险因素监测系统的代表性人群数据,并区分了四类男性:非退伍军人;无精神障碍(PD)或创伤性脑损伤(TBI)的非战斗退伍军人;无 PD 或 TBI 的战斗退伍军人;以及患有 PD 和/或 TBI 的退伍军人(非战斗和战斗退伍军人合并)。我们估计了当前饮酒(=21,947)和每日饮酒(在当前饮酒者中;=11,491)的分层多变量逻辑回归模型。讨论了补充分析的结果。
:与非退伍军人相比,无 PD 或 TBI 的非战斗退伍军人和患有 PD 和/或 TBI 的退伍军人分别更有可能成为当前饮酒者。在当前饮酒者中,无 PD 或 TBI 的非战斗和战斗退伍军人分别比非退伍军人更有可能成为每日饮酒者。相反,在当前饮酒者中,患有 PD 和/或 TBI 的退伍军人比非退伍军人、无 PD 或 TBI 的非战斗退伍军人和无 PD 或 TBI 的战斗退伍军人更有可能成为每日饮酒者。
:我们记录了兵役经历对当前和每日饮酒的异质和相反的影响。结果表明,有害的兵役经历可能与当前、中度每日饮酒的风险增加有关,这可能代表一种自我治疗的形式。