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August 14, 2008Reserve, National Guard at higher risk of alcohol-related problems after returning from combat |
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From EurekAlert! - Breaking News: Younger service members and Reserve and National Guard combat personnel returning from the wars in Iraq and Afghanistan are at increased risk of new-onset heavy drinking, binge drinking and other alcohol-related problems, according to a study in the August 13 issue of JAMA, a theme issue on violence and human rights. Substance abuse is strongly associated with posttraumatic stress disorder (PTSD) and other psychological disorders that may occur after stressful and traumatic events, such as those connected with war. Because alcohol use may serve as a coping mechanism after traumatic events, it is plausible that deployment is associated with increased rates of alcohol consumption or problem drinking, according to background information in the article. High rates of alcohol misuse after deployment have been reported among personnel returning from past conflicts, but there is little information regarding alcohol misuse after return from the current wars in Iraq and Afghanistan. Of these, 5,510 deployed with combat exposures, 5,661 deployed without combat exposures, and 37,310 did not deploy. Among Reserve/Guard personnel, deployment with combat exposures was associated with increased odds of new onset of all three drinking outcomes compared with nondeployed personnel, with heavy weekly drinking (63 percent) and alcohol-related problems (63 percent) showing the strongest association. Among active-duty personnel, those deployed with combat exposures were at increased odds (31 percent) of new-onset binge drinking at follow-up. Women were 1.2 times more likely to report new-onset heavy weekly drinking, whereas they were significantly less likely to report new-onset or changes in binge drinking or alcohol-related problems. Interventions should focus on at-risk groups, including Reserve/Guard personnel, younger individuals, and those with previous or existing mental health disorders.
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