TY - JOUR
T1 - Substance use and dependence among current reserve and former military members
T2 - Cross-sectional findings from the National Survey on Drug Use and Health, 2010–2014
AU - Hoopsick, Rachel A.
AU - Fillo, Jennifer
AU - Vest, Bonnie M.
AU - Homish, D. Lynn
AU - Homish, Gregory G.
N1 - Funding Information:
This work was supported by the United States Department of Health and Human Services National Institute on Drug Abuse under Grant: R01-DA034072 to Gregory G. Homish and by the National Institute on Alcohol Abuse and Alcoholism under Grant: T32-AA00758 to Kenneth E. Leonard in support of Jen-nifer Fillo.
Publisher Copyright:
© 2017 Taylor & Francis Group, LLC.
PY - 2017/10/2
Y1 - 2017/10/2
N2 - Maladjustment after leaving the military may contribute to poor health outcomes, including increased risk for substance use and dependence. The authors examined differences in substance use and dependence on the basis of military involvement in a large nationally representative sample. Data are from a subset of the 2010–2014 waves of the National Survey on Drug Use and Health (n = 5,608). The sample included men (81.9%) and women (18.1%) aged 20–49 years who had either separated/retired from the military (n = 4,862) or were a current reserve service member (n = 746). The sample was 70.8% Non-Hispanic White with a median family income between $50,000 and $74,999. Those who were separated/retired from the military had a higher odds of past month smoking (adjusted odds ratio [AOR] = 1.73, 95% confidence interval [CI]: 1.27, 2.36; p = 0.001), nonmedical use of prescription painkillers (AOR = 4.07, 95% CI: 1.88, 8.83; p < 0.001), illicit drug use (AOR = 2.75, 95% CI: 1.79, 4.24; p < 0.001), alcohol dependence (AOR = 2.17, 95% CI: 1.20, 3.93; p = 0.011), nicotine dependence (AOR = 2.03, 95% CI: 1.25, 3.28; p = 0.004), and illicit drug dependence (AOR = 5.89; 95% CI: 2.19, 15.85; p = 0.001), compared to current reserve service members, controlling for sex, age, race, and income. Service members are leaving the military at an increasing rate and substance use may increase after separation. Across a range of substances, those who are separated/retired from the military have a higher likelihood of substance use/dependence than current reserve service members. Care models that assist in the transition from discharge to civilian life should be considered.
AB - Maladjustment after leaving the military may contribute to poor health outcomes, including increased risk for substance use and dependence. The authors examined differences in substance use and dependence on the basis of military involvement in a large nationally representative sample. Data are from a subset of the 2010–2014 waves of the National Survey on Drug Use and Health (n = 5,608). The sample included men (81.9%) and women (18.1%) aged 20–49 years who had either separated/retired from the military (n = 4,862) or were a current reserve service member (n = 746). The sample was 70.8% Non-Hispanic White with a median family income between $50,000 and $74,999. Those who were separated/retired from the military had a higher odds of past month smoking (adjusted odds ratio [AOR] = 1.73, 95% confidence interval [CI]: 1.27, 2.36; p = 0.001), nonmedical use of prescription painkillers (AOR = 4.07, 95% CI: 1.88, 8.83; p < 0.001), illicit drug use (AOR = 2.75, 95% CI: 1.79, 4.24; p < 0.001), alcohol dependence (AOR = 2.17, 95% CI: 1.20, 3.93; p = 0.011), nicotine dependence (AOR = 2.03, 95% CI: 1.25, 3.28; p = 0.004), and illicit drug dependence (AOR = 5.89; 95% CI: 2.19, 15.85; p = 0.001), compared to current reserve service members, controlling for sex, age, race, and income. Service members are leaving the military at an increasing rate and substance use may increase after separation. Across a range of substances, those who are separated/retired from the military have a higher likelihood of substance use/dependence than current reserve service members. Care models that assist in the transition from discharge to civilian life should be considered.
KW - Alcohol
KW - illicit drugs
KW - military
KW - prescription painkillers
KW - tobacco
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U2 - 10.1080/10550887.2017.1366735
DO - 10.1080/10550887.2017.1366735
M3 - Article
C2 - 28813208
AN - SCOPUS:85029586290
SN - 1055-0887
VL - 36
SP - 243
EP - 251
JO - Journal of Addictive Diseases
JF - Journal of Addictive Diseases
IS - 4
ER -