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- Title
Missed Opportunity for Alcohol Problem Prevention Among Army Active Duty Service Members Postdeployment.
- Authors
Larson, Mary Jo; Mohr, Beth A.; Adams, Rachel Sayko; Wooten, Nikki R.; Williams, Thomas V.
- Abstract
Objectives. We identified to what extent the Department of Defense post-deployment health surveillance program identifies at-risk drinking, alone or in conjunction with psychological comorbidities, and refers service members who screen positive for additional assessment or care. Methods. We completed a cross-sectional analysis of 333 803 US Army active duty members returning from Iraq or Afghanistan deployments in fiscal years 2008 to 2011 with a postdeployment health assessment. Alcohol measures included 2 based on self-report quantity-frequency items-at-risk drinking (positive Alcohol Use Disorders Identification Test alcohol consumption questions [AUDIT-C] screen) and severe alcohol problems (AUDIT-C score of 8 or higher)-and another based on the interviewing provider's assessment. Results. Nearly 29% of US Army active duty members screened positive for at-risk drinking, and 5.6% had an AUDIT-C score of 8 or higher. Interviewing providers identified potential alcohol problems among only 61.8% of those screening positive for at-risk drinking and only 74.9% of those with AUDIT-C scores of 8 or higher. They referred for a follow-up visit to primary care or another setting only 29.2% of at-risk drinkers and only 35.9% of those with AUDIT-C scores of 8 or higher. Conclusions. This study identified missed opportunities for early intervention for at-risk drinking. Future research should evaluate the effect of early intervention on long-term outcomes.
- Subjects
PREVENTION of alcoholism; ALCOHOLISM treatment; ALCOHOLISM; ARMED Forces in foreign countries; CONFIDENCE intervals; MENTAL depression; LONGITUDINAL method; MEDICAL referrals; MULTIVARIATE analysis; SCIENTIFIC observation; POST-traumatic stress disorder; PRIMARY health care; PSYCHOLOGICAL tests; QUESTIONNAIRES; RESEARCH funding; RISK assessment; SELF-evaluation; MILITARY personnel; SUBSTANCE abuse; UNITED States. Army; COMORBIDITY; LOGISTIC regression analysis; UNITED States. Dept. of Homeland Security; BINGE drinking; CROSS-sectional method; EARLY medical intervention; DATA analysis software; ODDS ratio; THERAPEUTICS
- Publication
American Journal of Public Health, 2014, Vol 104, Issue 8, p1402
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2014.301901