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Mental health outcomes in US and UK military personnel returning from Iraq

机译：从伊拉克返回的美国和英国军事人员的心理健康状况

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Background Research of military personnel who deployed to the conflicts in Iraq or Afghanistan has suggested that there are differences in mental health outcomes between UK and US military personnel. Aims To compare the prevalence of post-traumatic stress disorder (PTSD), hazardous alcohol consumption, aggressive behaviour and multiple physical symptoms in US and UK military personnel deployed to Iraq. Method Data were from one US ( n = 1560) and one UK ( n = 313) study of post-deployment military health of army personnel who had deployed to Iraq during 2007-2008. Analyses were stratified by high- and low-combat exposure. Results Significant differences in combat exposure and sociodemographics were observed between US and UK personnel; controlling for these variables accounted for the difference in prevalence of PTSD, but not in the total symptom level scores. Levels of hazardous alcohol consumption (low-combat exposure: odds ratio (OR) = 0.13, 95% CI 0.07-0.21; high-combat exposure: OR = 0.23, 95% CI 0.14-0.39) and aggression (low-combat exposure: OR = 0.36, 95% CI 0.19-0.68) were significantly lower in US compared with UK personnel. There was no difference in multiple physical symptoms. Conclusions Differences in self-reported combat exposures explain most of the differences in reported prevalence of PTSD. Adjusting for self-reported combat exposures and sociodemographics did not explain differences in hazardous alcohol consumption or aggression.
机译：背景研究部署到伊拉克或阿富汗冲突中的军事人员的研究表明，英美军事人员在心理健康结局方面存在差异。目的比较部署在伊拉克的美英两国军事人员的创伤后应激障碍（PTSD），有害酒精消费，攻击行为和多种身体症状的患病率。方法数据来自一项美国（n = 1560）和一项英国（n = 313）研究，研究对象是2007-2008年间部署到伊拉克的陆军人员的部署后军事健康状况。根据高和低战斗暴露情况对分析进行分层。结果美英两国人员在战斗暴露和社会人口统计学上存在显着差异;控制这些变量可解释PTSD患病率的差异，而不是总症状水平评分的差异。有害酒精消费水平（低度接触：优势比（OR）= 0.13，95％CI 0.07-0.21;高度接触：OR = 0.23，95％CI 0.14-0.39）和攻击性（低度接触：与英国人员相比，美国的OR = 0.36，95％CI（0.19-0.68）显着降低。多种身体症状没有差异。结论自我报告的战斗暴露差异解释了PTSD患病率的大部分差异。调整自我报告的战斗暴露和社会人口统计学资料并不能解释危险酒精消费或侵略的差异。

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