Alcohol use and negative consequences among active duty military personnel

Abstract Aims An examination of alcohol use patterns in the active duty military to determine the relations of drinking levels and self-reported negative outcomes. Design A population-based cross-sectional study design using two-stage complex sampling methodology. Setting Paper and pencil surveys we...

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Veröffentlicht in:Addictive behaviors 2011-06, Vol.36 (6), p.608-614
Hauptverfasser: Mattiko, Mark J, Olmsted, Kristine L. Rae, Brown, Janice M, Bray, Robert M
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container_end_page 614
container_issue 6
container_start_page 608
container_title Addictive behaviors
container_volume 36
creator Mattiko, Mark J
Olmsted, Kristine L. Rae
Brown, Janice M
Bray, Robert M
description Abstract Aims An examination of alcohol use patterns in the active duty military to determine the relations of drinking levels and self-reported negative outcomes. Design A population-based cross-sectional study design using two-stage complex sampling methodology. Setting Paper and pencil surveys were administered anonymously in groups at 64 U.S. military installations worldwide. Participants Randomly selected active duty members (28,546) at major military installations representing the total active force, with the exception of recruits, cadets, and incarcerated personnel. Measures Personnel were classified into five drinking levels ranging from abstainer to heavy drinker based on quantity and frequency of alcohol intake. Negative outcomes were measured as self-reported serious consequences of alcohol use and alcohol-related productivity loss. Risk for other alcohol related problems was assessed by the Alcohol Use Disorders Identification Test (AUDIT). Findings Alcohol negative outcomes showed a curvilinear dose–response relationship with drinking levels. Higher levels of drinking were associated with higher rates of alcohol problems, but problem rates were notably higher for heavy drinkers. Heavy alcohol users showed nearly three times the rate of self-reported serious consequences and over twice the rate of self-reported productivity loss than moderate/heavy drinkers. Heavy drinkers also had the highest risk for alcohol problems on the AUDIT. One fifth of military personnel were heavy drinkers and were most likely aged 18 to 35. Conclusions Prevention and clinical interventions should include a major focus on heavy drinkers. Commanders and peers should be trained in recognizing signs of heavy alcohol use and in approaching heavy alcohol users in a way that will foster positive attitudes as opposed to defensiveness and stigma.
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Rae ; Brown, Janice M ; Bray, Robert M</creator><creatorcontrib>Mattiko, Mark J ; Olmsted, Kristine L. Rae ; Brown, Janice M ; Bray, Robert M</creatorcontrib><description>Abstract Aims An examination of alcohol use patterns in the active duty military to determine the relations of drinking levels and self-reported negative outcomes. Design A population-based cross-sectional study design using two-stage complex sampling methodology. Setting Paper and pencil surveys were administered anonymously in groups at 64 U.S. military installations worldwide. Participants Randomly selected active duty members (28,546) at major military installations representing the total active force, with the exception of recruits, cadets, and incarcerated personnel. Measures Personnel were classified into five drinking levels ranging from abstainer to heavy drinker based on quantity and frequency of alcohol intake. Negative outcomes were measured as self-reported serious consequences of alcohol use and alcohol-related productivity loss. Risk for other alcohol related problems was assessed by the Alcohol Use Disorders Identification Test (AUDIT). Findings Alcohol negative outcomes showed a curvilinear dose–response relationship with drinking levels. Higher levels of drinking were associated with higher rates of alcohol problems, but problem rates were notably higher for heavy drinkers. Heavy alcohol users showed nearly three times the rate of self-reported serious consequences and over twice the rate of self-reported productivity loss than moderate/heavy drinkers. Heavy drinkers also had the highest risk for alcohol problems on the AUDIT. One fifth of military personnel were heavy drinkers and were most likely aged 18 to 35. Conclusions Prevention and clinical interventions should include a major focus on heavy drinkers. Commanders and peers should be trained in recognizing signs of heavy alcohol use and in approaching heavy alcohol users in a way that will foster positive attitudes as opposed to defensiveness and stigma.</description><identifier>ISSN: 0306-4603</identifier><identifier>EISSN: 1873-6327</identifier><identifier>DOI: 10.1016/j.addbeh.2011.01.023</identifier><identifier>PMID: 21376475</identifier><identifier>CODEN: ADBED9</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Addictive behaviors ; Adolescent ; Adult ; Alcohol Drinking - epidemiology ; Alcohol Drinking - psychology ; Alcohol use ; AUDIT ; Consequences ; Cross-Sectional Studies ; Dose-Response Relationship, Drug ; Female ; Heavy drinking ; Humans ; Intervention ; Male ; Military medicine ; Military personnel ; Military Personnel - psychology ; Military Personnel - statistics &amp; numerical data ; Prevention ; Productivity loss ; Psychiatry ; Risk Factors ; Substance abuse ; Substance abuse treatment ; Surveys and Questionnaires ; Temperance ; United States - epidemiology ; Young Adult</subject><ispartof>Addictive behaviors, 2011-06, Vol.36 (6), p.608-614</ispartof><rights>2011</rights><rights>Published by Elsevier Ltd.</rights><rights>Copyright Pergamon Press Inc. 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Rae</creatorcontrib><creatorcontrib>Brown, Janice M</creatorcontrib><creatorcontrib>Bray, Robert M</creatorcontrib><title>Alcohol use and negative consequences among active duty military personnel</title><title>Addictive behaviors</title><addtitle>Addict Behav</addtitle><description>Abstract Aims An examination of alcohol use patterns in the active duty military to determine the relations of drinking levels and self-reported negative outcomes. Design A population-based cross-sectional study design using two-stage complex sampling methodology. Setting Paper and pencil surveys were administered anonymously in groups at 64 U.S. military installations worldwide. Participants Randomly selected active duty members (28,546) at major military installations representing the total active force, with the exception of recruits, cadets, and incarcerated personnel. Measures Personnel were classified into five drinking levels ranging from abstainer to heavy drinker based on quantity and frequency of alcohol intake. Negative outcomes were measured as self-reported serious consequences of alcohol use and alcohol-related productivity loss. Risk for other alcohol related problems was assessed by the Alcohol Use Disorders Identification Test (AUDIT). Findings Alcohol negative outcomes showed a curvilinear dose–response relationship with drinking levels. Higher levels of drinking were associated with higher rates of alcohol problems, but problem rates were notably higher for heavy drinkers. Heavy alcohol users showed nearly three times the rate of self-reported serious consequences and over twice the rate of self-reported productivity loss than moderate/heavy drinkers. Heavy drinkers also had the highest risk for alcohol problems on the AUDIT. One fifth of military personnel were heavy drinkers and were most likely aged 18 to 35. 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Commanders and peers should be trained in recognizing signs of heavy alcohol use and in approaching heavy alcohol users in a way that will foster positive attitudes as opposed to defensiveness and stigma.</description><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Alcohol Drinking - psychology</subject><subject>Alcohol use</subject><subject>AUDIT</subject><subject>Consequences</subject><subject>Cross-Sectional Studies</subject><subject>Dose-Response Relationship, Drug</subject><subject>Female</subject><subject>Heavy drinking</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Military medicine</subject><subject>Military personnel</subject><subject>Military Personnel - psychology</subject><subject>Military Personnel - statistics &amp; numerical data</subject><subject>Prevention</subject><subject>Productivity loss</subject><subject>Psychiatry</subject><subject>Risk Factors</subject><subject>Substance abuse</subject><subject>Substance abuse treatment</subject><subject>Surveys and Questionnaires</subject><subject>Temperance</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0306-4603</issn><issn>1873-6327</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk1v1DAQhi0EokvhHyAUceGU7fgjdnJBqiq-qkocWs6WY09aL4m92Eml_fc4bOmhl0oj-eBn3vl4h5D3FLYUqDzbbY1zPd5tGVC6hRKMvyAb2ipeS87US7IBDrIWEvgJeZPzDoAy1YjX5IRRrqRQzYZcno823sWxWjJWJrgq4K2Z_T1WNoaMfxYMFnNlphhuK2P__bhlPlSTH_1s0qHaY8oxBBzfkleDGTO-e3hPya-vX24uvtdXP7_9uDi_qm2pONe97USnWip6qpThpqPYmKZ1rDHGCBhMr8CZVgz9IEzX9a6BoXVClaELJICfkk9H3X2Kpb8868lni-NoAsYl61YJ2ikh2fOkLJpKKFHIj0_IXVxSKGMUSHIuBesKJI6QTTHnhIPeJz-VHWgKevVE7_TRE716oqEE4yXtw4P20k_oHpP-m1CAz0cAy9buPSadrV_37nxCO2sX_XMVngrY0QdvzfgbD5gfR6E6Mw36er2L9SwoBQDBW_4Xs-Gyog</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Mattiko, Mark J</creator><creator>Olmsted, Kristine L. 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Rae ; Brown, Janice M ; Bray, Robert M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-bc9497814b177a3a91e5a58d25aaa40fab70da84fbf4a99bd50f8d471018d2403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Addictive behaviors</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Alcohol Drinking - psychology</topic><topic>Alcohol use</topic><topic>AUDIT</topic><topic>Consequences</topic><topic>Cross-Sectional Studies</topic><topic>Dose-Response Relationship, Drug</topic><topic>Female</topic><topic>Heavy drinking</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Military medicine</topic><topic>Military personnel</topic><topic>Military Personnel - psychology</topic><topic>Military Personnel - statistics &amp; numerical data</topic><topic>Prevention</topic><topic>Productivity loss</topic><topic>Psychiatry</topic><topic>Risk Factors</topic><topic>Substance abuse</topic><topic>Substance abuse treatment</topic><topic>Surveys and Questionnaires</topic><topic>Temperance</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mattiko, Mark J</creatorcontrib><creatorcontrib>Olmsted, Kristine L. Rae</creatorcontrib><creatorcontrib>Brown, Janice M</creatorcontrib><creatorcontrib>Bray, Robert M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Addictive behaviors</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mattiko, Mark J</au><au>Olmsted, Kristine L. Rae</au><au>Brown, Janice M</au><au>Bray, Robert M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alcohol use and negative consequences among active duty military personnel</atitle><jtitle>Addictive behaviors</jtitle><addtitle>Addict Behav</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>36</volume><issue>6</issue><spage>608</spage><epage>614</epage><pages>608-614</pages><issn>0306-4603</issn><eissn>1873-6327</eissn><coden>ADBED9</coden><abstract>Abstract Aims An examination of alcohol use patterns in the active duty military to determine the relations of drinking levels and self-reported negative outcomes. Design A population-based cross-sectional study design using two-stage complex sampling methodology. Setting Paper and pencil surveys were administered anonymously in groups at 64 U.S. military installations worldwide. Participants Randomly selected active duty members (28,546) at major military installations representing the total active force, with the exception of recruits, cadets, and incarcerated personnel. Measures Personnel were classified into five drinking levels ranging from abstainer to heavy drinker based on quantity and frequency of alcohol intake. Negative outcomes were measured as self-reported serious consequences of alcohol use and alcohol-related productivity loss. Risk for other alcohol related problems was assessed by the Alcohol Use Disorders Identification Test (AUDIT). Findings Alcohol negative outcomes showed a curvilinear dose–response relationship with drinking levels. Higher levels of drinking were associated with higher rates of alcohol problems, but problem rates were notably higher for heavy drinkers. Heavy alcohol users showed nearly three times the rate of self-reported serious consequences and over twice the rate of self-reported productivity loss than moderate/heavy drinkers. Heavy drinkers also had the highest risk for alcohol problems on the AUDIT. One fifth of military personnel were heavy drinkers and were most likely aged 18 to 35. Conclusions Prevention and clinical interventions should include a major focus on heavy drinkers. Commanders and peers should be trained in recognizing signs of heavy alcohol use and in approaching heavy alcohol users in a way that will foster positive attitudes as opposed to defensiveness and stigma.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>21376475</pmid><doi>10.1016/j.addbeh.2011.01.023</doi><tpages>7</tpages></addata></record>
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subjects Addictive behaviors
Adolescent
Adult
Alcohol Drinking - epidemiology
Alcohol Drinking - psychology
Alcohol use
AUDIT
Consequences
Cross-Sectional Studies
Dose-Response Relationship, Drug
Female
Heavy drinking
Humans
Intervention
Male
Military medicine
Military personnel
Military Personnel - psychology
Military Personnel - statistics & numerical data
Prevention
Productivity loss
Psychiatry
Risk Factors
Substance abuse
Substance abuse treatment
Surveys and Questionnaires
Temperance
United States - epidemiology
Young Adult
title Alcohol use and negative consequences among active duty military personnel
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