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 |
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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. |
doi_str_mv | 10.1016/j.addbeh.2011.01.023 |
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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 & 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. Jun 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-bc9497814b177a3a91e5a58d25aaa40fab70da84fbf4a99bd50f8d471018d2403</citedby><cites>FETCH-LOGICAL-c475t-bc9497814b177a3a91e5a58d25aaa40fab70da84fbf4a99bd50f8d471018d2403</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0306460311000438$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21376475$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mattiko, Mark J</creatorcontrib><creatorcontrib>Olmsted, Kristine L. 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. 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><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 & 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. Rae</creator><creator>Brown, Janice M</creator><creator>Bray, Robert M</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7TK</scope><scope>K7.</scope><scope>K9.</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>20110601</creationdate><title>Alcohol use and negative consequences among active duty military personnel</title><author>Mattiko, Mark J ; Olmsted, Kristine L. 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 & 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 & 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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