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 Misusejournal_title
Substance use & misuseauthors
van den Berk-Clark C,Balan S,Shroff MV,Widner G,Price RKdoi
10.3109/10826084.2015.1133644subject
Has Abstractpub_date
2016-01-01 00:00:00pages
625-36issue
5eissn
1082-6084issn
1532-2491journal_volume
51pub_type
杂志文章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
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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
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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
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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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...
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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doi:10.3109/10826084.2014.980954
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
pub_type: 杂志文章,评审
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826084.2015.1027928
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1997-08-01 00:00:00
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journal_title:Substance use & misuse
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更新日期:2015-01-01 00:00:00
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journal_title:Substance use & misuse
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doi:10.3109/10826084.2014.935793
更新日期:2014-12-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.1080/10826084.2016.1233565
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journal_title:Substance use & misuse
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doi:10.1080/10826084.2019.1618336
更新日期:2019-01-01 00:00:00