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首页> 外文期刊>Journal of women’s health >Women, alcohol, and the military: cultural changes and reductions in later alcohol problems among female veterans.
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Women, alcohol, and the military: cultural changes and reductions in later alcohol problems among female veterans.

机译:妇女,酒精和军事:文化变化和减少女性退伍军人的后期酒精问题。

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OBJECTIVE: Women working in traditionally male-dominated environments are at higher risk for alcohol use disorders (AUDs). The male-dominated U.S. military has additional risk factors associated with problem drinking, including isolation from family and exposure to life-threatening stressors. In the 1980s, the military conformed to all U.S. states' 21-year minimum legal drinking age (MLDA), and established prevention and intervention policies for abusive drinking. METHODS: Using a serial cross-sectional design, we explored trends in annual alcohol treatment rates among female veterans versus civilians. From the Department of Health's Treatment Episode Data Set, we extracted AUD admissions from years 1992-2003 for female veterans and civilians in four age categories. Using age-specific population figures, we calculated annual AUD treatment rates and odds ratios for female veterans versus civilians. We used time-series analyses to examine trends in annual AUD treatment for female veterans and civilians across the years examined. RESULTS: In 1992, odds ratios of alcohol treatment episodes for female veterans compared to civilians ranged from 1.9 for 25-29-year-olds to 4.2 for 40-44-year-olds (all p < 0.01). Female veterans' annual alcohol treatment rates dropped substantially from 1992 to 2003, while rates for female civilians ages 25-34 dropped marginally and those for civilians ages 35-44 increased. Time-series analysis showed a statistically significant drop in rates for veterans from 1992 to 2003 and a significant difference between veterans' and civilians' rates, but demonstrated that female civilian annual treatment rates remained static from 1992 to 2003. CONCLUSIONS: Prior to the military's efforts to reduce underage and problem drinking, female veterans' alcohol treatment rates exceeded those of same-age civilians. However, with increasing exposure to an environment that discourages abusive drinking, female veterans' annual rates of alcohol treatment fell to below those for same-age civilians.
机译:目的:在传统上男性主导的环境中工作的女性均具有更高的酒精使用障碍(AUDS)的风险。男性主导的美国军队具有与饮酒相关的额外风险因素,包括从家庭中孤立和暴露于危及生命的压力源。在20世纪80年代,军方符合美国的所有21年的21年的最低法律饮酒年龄(MLDA),并确定辱骂饮酒的预防和干预政策。方法:采用串行横截面设计,我们探讨了女老兵与平民的年度酒精治疗率的趋势。从卫生部的待遇系数据集中,我们从1992 - 2003年从四年龄类别中提取了1992 - 2003年的账面录取。使用年龄特异性人口数字,我们计算了女性退伍军人与平民的年度AUD治疗率和差距。我们使用时间序列分析来研究审查年度女子退伍军人和平民的年度澳元治疗的趋势。结果:1992年,女退伍军人的酒精治疗剧集赔率与平民为4.9岁的平民,为40-44岁的4.2人(所有P <0.01)。女性退伍军人的年龄酒精治疗率大幅下降至2003年,而女性平民年龄在25-34岁的女性平民的率略微下降,平民年龄在35-44岁的平民增加。时间序列分析表明,从1992年到2003年的退伍军人的速度下降,以及退伍军人和平民率之间的显着差异,但证明了女性平民年度处理率从1992年到2003年仍然存在静态。结论:在军方之前减少未成年人和问题饮酒的努力,女退伍军人的酒精治疗率超过了同类平民的酗酒率。然而,随着越来越多地劝阻滥用饮酒的环境,女子退伍军人的酒精治疗率下降到同龄平民的下方。

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