The Impact of Hazardous Alcohol Use on Behavioral Healthcare Utilization Among National Guard Service Members.

Abstract:

BACKGROUND:Prior research suggests that both posttraumatic stress disorder (PTSD) and alcohol abuse affect behavioral healthcare utilization among combat-exposed military populations. However, their interactive effect is not well documented, especially after experiencing psychological trauma. OBJECTIVE:This study examined the role of hazardous alcohol use (i.e. repeated patterns of drinking which lead to harmful consequences) on behavioral healthcare utilization among service members stratified by past-year combat exposure. METHOD:This study utilized a sample of National Guard service members who participated in an in-depth survey 2-4 months after returning from Operation Enduring Freedom, Operation Iraqi Freedom, or Operation New Dawn deployments (2011-2013) (n = 467). We examine the marginal effect (the change in the probability) of hazardous alcohol use on utilization while controlling for trauma exposure, PTSD and other potential covariates. RESULTS:In the unadjusted logistic model, hazardous alcohol use reduced the probability of behavioral healthcare utilization by 77% among service members who had been exposed to combat within the past year. In the adjusted model, which controlled for socio-demographics (age, gender, and race), health status (PTSD symptoms, depression and physical health), and measures of stigma (perception of services as embarrassing or harmful to one's career or social networks), hazardous alcohol use further reduced the utilization probability by 302%. CONCLUSION/IMPORTANCE: Although these findings require replication, they appear to demonstrate that when combat-exposed service members engaged in hazardous alcohol use at postdeployment, they were much less likely to utilize behavioral healthcare to manage their posttraumatic stress symptoms during this period.

journal_name

Subst Use Misuse

journal_title

Substance use & misuse

authors

van den Berk-Clark C,Balan S,Shroff MV,Widner G,Price RK

doi

10.3109/10826084.2015.1133644

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

625-36

issue

5

eissn

1082-6084

issn

1532-2491

journal_volume

51

pub_type

杂志文章
  • Associations with substance abuse treatment completion among drug court participants.

    abstract::Subjects in the study included all participants (N = 573) in drug treatment court in amid-sized U.S. city from 1996 through 2004. Administrative data from the drug court included measures of demographics and socioeconomics, substance use, and criminal justice history. Stepwise multivariate logistic regression yielded ...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.3109/10826081003682099

    authors: Brown R

    更新日期:2010-10-01 00:00:00

  • Clinician beliefs and practices related to increasing responsivity to the needs of Măori with alcohol and drug problems.

    abstract::Culturally responsive treatments are often cited as essential for successfully addressing substance use-associated problems in indigenous and other ethnic groups. However, there has been little investigation of the support for this assertion among alcohol and drug-user treatment workers, or how it might translate into...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1081/ja-100104487

    authors: Robertson PJ,Futterman-Collier A,Sellman JD,Adamson SJ,Todd FC,Deering DE,Huriwai T

    更新日期:2001-06-01 00:00:00

  • Racial/Ethnic Differences in Prevalence Trends for Heroin use and Non-Medical use of Prescription Opioids Among Entrants to Opioid Treatment Programs, 2005-2016.

    abstract::Recent data suggest an increase in use of heroin and non-medical use of prescription opioids (POs) in the United States, but it is unclear if these trends are consistent across racial/ethnic groups. In a nationwide prevalence study, 69,140 patients newly admitted to an opioid treatment program (OTP) completed a brief ...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2017.1334070

    authors: Pouget ER,Fong C,Rosenblum A

    更新日期:2018-01-28 00:00:00

  • Epidemic of HIV coupled with hepatitis C virus among injecting drug users of Himalayan West Bengal, Eastern India, Bordering Nepal, Bhutan, and Bangladesh.

    abstract::A study was conducted in June 2004 to find out the epidemiology of HIV infection among injecting drug users (IDUs) of Darjeeling District of West Bengal, eastern India. The district headquarter, Darjeeling town, also known as "Queen of Hills," is a beautiful spot situated in Himalayan West Bengal that attracts a large...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826080500410991

    authors: Sarkar K,Bal B,Mukherjee R,Chakraborty S,Niyogi SK,Saha MK,Bhattacharya SK

    更新日期:2006-01-01 00:00:00

  • Professional demeanor of chronically unemployed cocaine-dependent methadone patients in a therapeutic workplace.

    abstract::This study assesses the frequency that users of illicit drugs display unprofessional behaviors in an employment setting. This research was conducted in the therapeutic workplace, a model employment-based treatment program for chronically unemployed adults with long histories of illicit drug use in 2003. Fifty-three un...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826080701410089

    authors: Carpenedo CM,Needham M,Knealing TW,Kolodner K,Fingerhood M,Wong CJ,Silverman K

    更新日期:2007-01-01 00:00:00

  • Daily-level Associations between Negative Mood, Perceived Stress, and College Drinking: Do Associations Differ by Sex and Fraternity/Sorority Affiliation?

    abstract:BACKGROUND:Individuals experiencing elevated negative mood and stress may drink to self-medicate, yet daily-level evidence for these associations is mixed. OBJECTIVE:To clarify daily associations between negative mood and perceived stress with alcohol use among high-risk college students and test whether these associa...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2017.1392980

    authors: Luk JW,Fairlie AM,Lee CM

    更新日期:2018-05-12 00:00:00

  • Smoking Status and Cost of Illness in Patients with Depressive Disorder Based on the National Health Survey in Spain.

    abstract:BACKGROUND:Twenty-one percent of subjects with depressive disorder (DD) smoke. This prevalence is expected to be related to healthcare resources utilization (HRU) and sick leave, thereby accounting for substantial costs to the National Health System (NHS) and to society that still need to be characterized. The objectiv...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2018.1536717

    authors: López Ibáñez de Aldecoa A,Cedillo Gómez S,Bruguera E,García-Portilla MP,Bobes J

    更新日期:2019-01-01 00:00:00

  • Associations between ethnic labels and substance use among Hispanic/Latino adolescents in Los Angeles.

    abstract::Self-identification with ethnic-specific labels may indicate successful ethnic identity formation, which could protect against substance use. Alternatively, it might indicate affiliation with oppositional subcultures, a potential risk factor. This study examined longitudinal associations between ethnic labels and subs...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.3109/10826084.2013.795172

    authors: Unger JB,Thing J,Soto DW,Baezconde-Garbanati L

    更新日期:2014-06-01 00:00:00

  • Pharmaceutical Cognitive Enhancement in Greek University Students: Differences Between Users and Non-Users in Social Cognitive Variables, Burnout, and Engagement.

    abstract::Pharmaceutical cognitive enhancement (PCE) represents the non-medical use of prescribed medication for the improvement of cognitive functioning and academic performance. Although there are some studies about PCE prevalence, it is less clear how users and non-users of PCE substances differ with respect to their positiv...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2016.1267223

    authors: Lazuras L,Ypsilanti A,Lamprou E,Kontogiorgis C

    更新日期:2017-06-07 00:00:00

  • A Novel Approach for Streamlining Delivery of Brief Motivational Interventions to Mandated College Students: Using Group and Individual Sessions Matched to Level of Risk.

    abstract:BACKGROUND:Mandated college students (those in violation of a campus alcohol policy) are heterogenous with respect to alcohol consumption. Thus, when universities consider required treatment for mandated students, one promising option is to match treatment intensity according to level of alcohol involvement. The presen...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2017.1318148

    authors: Bernstein MH,Baird GL,Yusufov M,Mastroleo NR,Carey KB,Graney DD,Wood MD

    更新日期:2017-12-06 00:00:00

  • A Comprehensive Examination of the Links between Cannabis Use and Motivation.

    abstract::Background: Cannabis use is widely perceived to produce an "amotivational syndrome" characterized by reduced desire to work or compete, passivity, and lower achievement orientation. The notion that cannabis diminishes motivation has been perpetuated in popular culture, despite the equivocal results of past research. M...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2020.1729203

    authors: Petrucci AS,LaFrance EM,Cuttler C

    更新日期:2020-01-01 00:00:00

  • Revision of the Self-Administered Alcoholism Screening Test (SAAST-R): a pilot study.

    abstract::The original Self-Administered Alcoholism Screening Test (SAAST; Swenson and Morse, 1975) is a self-report alcoholism screening measure intended for use with adult medical patients. However, the SAAST does not indicate the recency of alcohol use-related problems, not all items use the appropriate verb tense for assess...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1081/ja-200030662

    authors: Vickers-Douglas KS,Patten CA,Decker PA,Offord KP,Colligan RC,Islam-Zwart KA,Wolter TD,Croghan IT,Hall-Flavin D,Hurt RD

    更新日期:2005-01-01 00:00:00

  • Legal highs on the Internet.

    abstract::This article describes the findings of a descriptive analysis of 27 online drug retailers selling legal alternatives to illegal drugs, commonly referred to as "herbal highs" and "legal highs" in 2008 . The study attempted to quantify the online availability of drug retailers, to describe common products and characteri...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.3109/10826080903443628

    authors: Hillebrand J,Olszewski D,Sedefov R

    更新日期:2010-02-01 00:00:00

  • Development and longitudinal test of an instrument to measure behavioral stages of smoking initiation.

    abstract::A dearth of longitudinal research has been observed regarding the measurement of the behavioral process of adolescent smoking initiation. The present study operationalizes the leading model on the process of smoking initiation, including two stages of nonpersistent smoking behavior that were previously unlabelled. An ...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1081/ja-120028489

    authors: Kremers SP,Mudde AN,de Vries H

    更新日期:2004-01-01 00:00:00

  • Differences in Psychoactive Substance Abuse Between Youths Residing in and Outside Conflict Zones as a Function of Level of Religiosity and Political Commitment.

    abstract::The aim of the present study was to examine the effect of the unique characteristics of residing in security and political conflict zones on the willingness to use and on the actual abuse of psychoactive substances. The study focuses on the differences between youths residing in and outside conflict zones in Israel. T...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2016.1245344

    authors: Ne'eman-Haviv V,Wilchek-Aviad Y

    更新日期:2017-08-24 00:00:00

  • Youth Participatory Action Research for Youth Substance Use Prevention: A Systematic Review.

    abstract::Background: A growing body of research points to the efficacy of participatory methods in decreasing rates of alcohol, tobacco, and other drug use and other risky behaviors among youth. However, to date, no systematic review of the literature has been conducted on Youth Participatory Action Research (YPAR) for youth s...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2019.1668014

    authors: Valdez ES,Skobic I,Valdez L,O Garcia D,Korchmaros J,Stevens S,Sabo S,Carvajal S

    更新日期:2020-01-01 00:00:00

  • An alcohol, tobacco, and other drug use comparison of lesbian, bisexual, and heterosexual undergraduate women.

    abstract:BACKGROUND:Little research has focused specifically on alcohol, tobacco, and other drug (ATOD) use of lesbian and bisexual women in general or the college subgroup specifically. Previous research shows sexual minority women at increased risk when compared to their heterosexual counterparts. OBJECTIVES:The purpose of t...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.3109/10826084.2014.980954

    authors: Kerr D,Ding K,Burke A,Ott-Walter K

    更新日期:2015-02-01 00:00:00

  • Contextual factors influencing U.S. college students' decisions to drink responsibly.

    abstract::This mixed-methods study qualitatively (n = 13-convenience) explored contextual factors influencing decisions to drink responsibly, and quantitatively (n = 729-random) assessed the prevalence of these factors and whether they varied as a function of sex and binge-drinking status. Data were collected in 2007 among Texa...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.3109/10826084.2012.690811

    authors: Barry AE,Goodson P

    更新日期:2012-08-01 00:00:00

  • Relational Skills and Client Language Predict Outcome in Smoking Cessation Treatment.

    abstract:BACKGROUND:We currently lack insight into the predictive processes of Motivational Interviewing (MI) in smoking cessation treatment. More knowledge is necessary to be able to further enhance the treatment effect in smoking cessation interventions. OBJECTIVES:To examine certain hypothesized active components of MI in s...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2016.1212892

    authors: Lindqvist H,Forsberg L,Enebrink P,Andersson G,Rosendahl I

    更新日期:2017-01-02 00:00:00

  • Time-Series Analysis of the Impact of Prescription Drug Monitoring Programs on Heroin Treatment Admissions.

    abstract:BACKGROUND:Prescription drug abuse has become a major issue in the United States in recent years. Prescription drug monitoring programs (PDMPs) are designed to help health care providers to prevent such abuses. There may be unintended effects of these programs. Specifically, PDMPs may move prescription opioid users to ...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2017.1363232

    authors: Branham DK

    更新日期:2018-03-21 00:00:00

  • Programmatic, counselor, and client-level comparison of rural versus urban drug court treatment.

    abstract::Despite a number of recent evaluations demonstrating the effectiveness of "drug court" programs for reducing both substance abuse and criminal behavior, some authors have recently called for more thorough process evaluations (inside the "black box" of treatment) of these programs. Specifically, this article describes ...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1081/ja-200049340

    authors: Bouffard JA,Smith S

    更新日期:2005-01-01 00:00:00

  • Introduction: Progress and issues in drug treatment courts.

    abstract::The first drug treatment court began in Miami, Florida in 1989, in direct response to the backlog of court cases for drug possession and trafficking. By mid-2001, there were 700 operational drug treatment courts and 400 more in the planning stages in the United States. In addition to providing an overview of the growt...

    journal_title:Substance use & misuse

    pub_type: 杂志文章,评审

    doi:10.1081/ja-120014418

    authors: Harrison LD,Scarpitti FR

    更新日期:2002-01-01 00:00:00

  • Cannabis Use as Determined by Biologic Testing in Maternal and Newborn Urines during a Period of Drug Liberalization.

    abstract::Introduction: Cannabis use is common in pregnancy and prevalence of reported past month use have been increasing despite recommendations of abstinence. Our study aimed to evaluate the prevalence of cannabis use in pregnancy using urine drug screens obtained at the time of admission to Labor and Delivery. Methods: De-i...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2020.1741634

    authors: Mark K,Khan A,Terplan M

    更新日期:2020-01-01 00:00:00

  • Patterns of, and Factors Associated With, Illicit Pharmaceutical Opioid Analgesic Use in a Prospective Cohort of People Who Inject Drugs in Melbourne, Australia.

    abstract:BACKGROUND:People who inject drugs (PWID) are a key population engaging in pharmaceutical opioid analgesic (PO) use, yet little is known about patterns of illicit PO use among this group. OBJECTIVES:The aims of this research were to measure the prevalence and frequency of lifetime and past-month illicit PO use and inj...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.3109/10826084.2015.1027928

    authors: Horyniak D,Agius PA,Degenhardt L,Reddel S,Higgs P,Aitken C,Stoové M,Dietze P

    更新日期:2015-01-01 00:00:00

  • "If it burns going down... ": how focus groups can shape fetal alcohol syndrome (FAS) prevention.

    abstract::Despite public health campaigns and clinical interventions that encourage women to abstain from alcohol during pregnancy, some women continue to drink while pregnant. To provide a more in-depth understanding of how at-risk women regard--and emotionally react to--warnings about drinking alcohol during pregnancy, we con...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1081/ja-100102629

    authors: Branco EI,Kaskutas LA

    更新日期:2001-02-01 00:00:00

  • Relationships among alcohol availability, drinking location, alcohol consumption, and drinking problems in adolescents.

    abstract::We examined relationships among perceived alcohol availability, drinking location, alcohol consumption, and drinking problems. Subjects were 3,372 adolescent drinkers, ages 16-18, who participated in the Communities Mobilizing for Change on Alcohol Project baseline survey. Mixed-model regression was employed to identi...

    journal_title:Substance use & misuse

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3109/10826089709039378

    authors: Jones-Webb R,Toomey TL,Short B,Murray DM,Wagenaar A,Wolfson M

    更新日期:1997-08-01 00:00:00

  • Exploring Prospective Predictors of Illicit Drug-Toxicity Deaths: Evidence From the General Social Survey.

    abstract:BACKGROUND:This study was based on over 30,000 U.S. respondents who completed General Social Surveys between 1978 and 2002. AIMS:We approached these respondents prospectively, comparing and contrasting the responses of those who subsequently died from drug-poisonings (N = 135) with all respondents who were still livin...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.3109/10826084.2015.1018548

    authors: Feigelman W,Rosen Z

    更新日期:2015-01-01 00:00:00

  • A signal detection analysis of executive control performance among adolescent inhalant and cannabis users.

    abstract:BACKGROUND:Inhalant users have multiple comorbid issues (e.g., polydrug use) that complicate identifying inhalant-specific cognitive deficits. OBJECTIVES:The aim of the present study was to use signal detection theory to identify inhalant-specific differences in executive control. METHODS:We examined three well-match...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.3109/10826084.2014.935793

    authors: Takagi MJ,Lubman DI,Cotton SM,Verdejo-García A,Vilar-López R,Yücel M

    更新日期:2014-12-01 00:00:00

  • The Normalization of Cannabis Use Among Bangladeshi and Pakistani Youth: A New Frontier for the Normalization Thesis?

    abstract:BACKGROUND:The Asian population in Britain has grown, representing the second largest ethnic group; Bangladeshi, Pakistani, and Indian nationalities are prevalent (Jivraj, 2012 ; Office for National Statistics, 2013 ). Yet, we know relatively little about the nature and extent of their substance use. Jayakody et al. ( ...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2016.1233565

    authors: Williams L,Ralphs R,Gray P

    更新日期:2017-03-21 00:00:00

  • Marijuana as a Substitute for Prescription Medications: A Qualitative Study.

    abstract::Background: Over the past few decades in the United States, marijuana for medical purposes has become increasingly prevalent. Initial qualitative and epidemiological research suggests that marijuana may be a promising substitute for traditional pharmacotherapies. Objectives: This qualitative study examined perceptions...

    journal_title:Substance use & misuse

    pub_type: 杂志文章

    doi:10.1080/10826084.2019.1618336

    authors: Mercurio A,Aston ER,Claborn KR,Waye K,Rosen RK

    更新日期:2019-01-01 00:00:00