Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Champaign, IL, USA.
Department of Community Health and Health Behavior, University at Buffalo, The State University of New York, Buffalo, NY, USA.
Stress Health. 2022 Dec;38(5):1045-1057. doi: 10.1002/smi.3156. Epub 2022 May 8.
Some US military service members who have never been deployed experience negative emotions related to never having been deployed, and some work shows these non-deployment emotions (NDE) are cross-sectionally associated with hazardous drinking for male, but not female, US Army Reserve/National Guard (USAR/NG) soldiers. However, it is not known if these effects extend to drug use or persist longitudinally, which is the focus of the current study. We conducted a longitudinal residual change analysis of a subset of data (N = 182 never-deployed soldiers) from Operation: SAFETY, an ongoing survey-based study of USAR/NG soldiers recruited from units across New York State. Outcome measures included current tobacco use, non-medical use of prescription drugs (NMUPD), current cannabis use, and other current illicit drug use (excluding cannabis) at four time points over a 3-year period. Results from bootstrapped residual change generalized estimating equation (GEE) models show that more negative NDE were longitudinally associated with a greater likelihood of current NMUPD among male, but not female, soldiers (p < 0.05). NDE were not longitudinally associated with current tobacco use, cannabis use, or other illicit drug use among male or female soldiers (ps > 0.05). NDE may contribute to ongoing NMUPD among male USAR/NG soldiers who have never been deployed. Never-deployed soldiers, especially those with negative emotions related to never having been deployed, should not be overlooked in military screening and intervention efforts.
一些从未部署过的美国军人会经历与从未部署过相关的负面情绪，一些研究表明，这些非部署情绪（NDE）与男性美国陆军预备役/国民警卫队（USAR/NG）士兵的危险饮酒行为呈横断面相关，但女性士兵则没有。然而，目前还不清楚这些影响是否会延伸到吸毒行为，或者是否会持续存在，这正是当前研究的重点。我们对来自“安全行动”（Operation: SAFETY）的部分数据（N=182 名从未部署过的士兵）进行了纵向剩余变化分析，这是一项正在进行的基于调查的研究，对象是从纽约州各地的部队招募的 USAR/NG 士兵。在 3 年期间的 4 个时间点上，对当前吸烟、非医疗用途处方药物（NMUPD）、当前大麻使用以及其他当前非法药物使用（不包括大麻）进行了评估。来自 bootstrapped residual change generalized estimating equation (GEE) 模型的结果显示，更多的负性 NDE 与男性士兵（p<0.05）当前 NMUPD 的可能性更大呈纵向相关，但与女性士兵无关（p>0.05）。NDE 与男性或女性士兵的当前吸烟、大麻使用或其他非法药物使用无关（p>0.05）。NDE 可能会导致从未部署过的男性 USAR/NG 士兵持续出现 NMUPD。在军事筛查和干预工作中，不应忽视从未部署过的士兵，尤其是那些与从未部署过相关的负面情绪的士兵。
