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首页> 外文期刊>Addiction >Substance use trends among active duty military personnel: findings from the United States Department of Defense Health Related Behavior Surveys, 1980-2005.
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Substance use trends among active duty military personnel: findings from the United States Department of Defense Health Related Behavior Surveys, 1980-2005.

机译：现役军人的物质使用趋势：美国国防部健康相关行为调查，1980-2005年。

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Aims This study was designed to assess trends in cigarette, illicit drug, and heavy alcohol use among active-duty military personnel from 1980 to 2005 and to examine the influence of socio-demographic changes within the military on patterns of substance use. Design Substance use prevalence rates were estimated from cross-sectional data obtained from nine self-report surveys administered to more than 150 000 active-duty service members world-wide over a 25-year period. Direct standardization was used to adjust for socio-demographic changes. Measurements Measures included self-reported cigarette use, illicit drug use and heavy alcohol use in the 30 days prior to the survey. Heavy alcohol use was defined as drinking five or more drinks per typical drinking occasion at least once a week in the past 30 days. Findings Cigarette and illicit drug use among military personnel declined sharply and significantly from 1980 to 1998. Heavy alcohol use decreased in the mid-1980s but was stable from 1988 to 1998. Bothcigarette smoking and heavy alcohol use increased significantly between 1998 and 2002 and remained at those levels in 2005. Illicit drug use remained low. Logistic regression analyses indicated that trends were influenced by other factors besides socio-demographic changes across survey years. Conclusions The military has made notable progress in decreasing cigarette smoking and illicit drug use, but has made less progress in reducing heavy alcohol use. Additional emphasis should be placed on understanding recent increases in substance use and on planning effective interventions and prevention programs to reduce use in this high-risk population.
机译：目的本研究旨在评估1980年至2005年现役军人的香烟，违禁药物和重度酒精使用的趋势，并研究军人内部的社会人口统计学变化对物质使用方式的影响。根据在25年期间内对全球超过15万名现役服务人员进行的9次自我报告调查所获得的横截面数据，估算了设计物质的使用率。直接标准化用于调整社会人口变化。测量方法测量包括在调查前30天内自我报告的香烟使用，非法药物使用和重度酒精使用。大量饮酒的定义是在过去30天内，每周至少一次，每次典型的饮酒次数可喝五杯或更多酒。调查结果从1980年至1998年，军事人员中的香烟和非法药物使用急剧下降。1980年代中期，重度酒精使用下降，但从1988年至1998年保持稳定。1998年至2002年期间，抽烟和重度酒精使用均显着增加，并保持2005年的水平。非法药物使用率仍然很低。 Logistic回归分析表明，趋势在整个调查年份中除受社会人口统计变化外还受其他因素的影响。结论军方在减少吸烟和非法药物使用方面取得了显着进展，但在减少重度饮酒方面却进展缓慢。应该更加重视了解近期毒品使用的增长，并计划有效的干预措施和预防计划以减少这一高风险人群的使用。

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