scholarly journals Binge Drinking and Heavy Drinking Among Older Military Veterans: Applying the Theory of Intersectionality

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 272-272
Author(s):  
David Albright ◽  
Justin McDaniel ◽  
Zainab Suntai ◽  
Julianne Wallace
Keyword(s):  
Binge Drinking ◽  
Alcohol Misuse ◽  
Military Veterans ◽  
Heavy Drinking ◽  
Adverse Outcomes ◽  
Post Traumatic Stress ◽  
Logistic Regression Models ◽  
Annual Survey ◽  
Veteran Status ◽  
Systemic Factors

Abstract The post-service impact of military experiences include post-traumatic stress disorder, depression, substance misuse and several other adverse outcomes that persist well into older adulthood. As such, older military veterans are at risk of developing alcohol dependency and those with existing stressors from other identities are at the highest risk of engaging in binge drinking or heavy drinking. This study used the theory of intersectionality to examine alcohol misuse by veteran status and age, veteran status and race and veteran status and sex. Data were derived from the 2016, 2017 and 2018 Brief Risk Factor Surveillance System (BRFSS) from the Centers for Disease Control and Prevention (CDC). The BRFSS is an annual survey conducted over the phone in all 50 states and territories. Survey-weighted logistic regression models were used to examine alcohol misuse among adults aged 65+ by veteran status and the intersection between age, race, and sex. Results showed no interaction between veteran status and age, and no interaction between veteran status and sex. However, there was a significant interaction between veteran status and race, in that Black/Other race veterans were more likely to engage in both binge drinking and heavy drinking compared to White veterans, White nonveterans and nonveterans of the same race. Interventions geared towards this population should therefore engage culturally sensitive approaches that consider the historical and systemic factors that contribute to these disparities in rates of alcohol misuse among older military veterans.

scholarly journals The association between alcohol consumption and self-reported current depression among adults residing in Brazil

2020 ◽  
Author(s):  
S C Oancea ◽  
G D de Oliveira ◽  
P Sukumaran ◽  
N Vogeltanz-Holm ◽  
L B Nucci
Keyword(s):  
Binge Drinking ◽  
Protective Factor ◽  
Longitudinal Research ◽  
Middle Age ◽  
Heavy Drinking ◽  
Population Based ◽  
National Health Survey ◽  
Logistic Regression Models ◽  
Final Study ◽  
Patient Health

Abstract Background The purpose of the current study was to investigate the association between binge and heavy drinking and self-reported current depression (SRCD) in a representative population-based sample of adults residing in Brazil. Methods The sample for this study was based on the 2013 Brazilian National Health Survey. SRCD was accessed using the Patient Health Questionnaire (PHQ-8), a valid eight-item depression measure for population-based studies instrument. The association between binge/heavy drinking and SRCD was investigated using weighted and adjusted multivariable logistic regression models. Results Out of the final study sample of 59 399 Brazilians, 47.2% were young adults, 34.6% were middle age adults and 52.4% were females. The prevalence of binge drinking was 13.8%, of heavy drinking was 3.2% and SRCD was 7.6%. There was a significant weighted and adjusted association between binge drinking and SRCD among young and middle age females (OR = 1.5, 95% CI:1.1–2.0 and OR = 0.6, 95% CI:0.4–0.8, respectively) and between heavy drinking and SRCD among young and middle age males (OR = 1.8, 95% CI:1.2–2.8 and OR = 2.5, 95% CI:1.5–4.1, respectively). Conclusions The possible protective factor of binge drinking for SRCD among middle-aged Brazilian females needs to be further investigated and understood. Longitudinal research is needed to provide further evidence of associations found in this study.

A prospective study to determine the clinical utility of pharmacogenetic testing of veterans with treatment-resistant depression

2021 ◽  
pp. 026988112110152
Author(s):  
Michael J McCarthy ◽  
Yucui Chen ◽  
Anna Demodena ◽  
Susan G Leckband ◽  
Eileen Fischer ◽  
...  
Keyword(s):  
Social Stress ◽  
Risk Groups ◽  
Adverse Outcomes ◽  
Treatment Resistant Depression ◽  
Post Traumatic Stress ◽  
Treatment Resistant ◽  
Treatment As Usual ◽  
Resistant Depression ◽  
The Difference ◽  
A Prospective Study

Background: Pharmacotherapies for depression are often ineffective and treatment-resistant depression (TRD) is common across bipolar disorder (BD), major depressive disorder (MDD), and post-traumatic stress disorder (PTSD). Patient genetic information can be used to predict treatment outcomes. Prospective studies indicate that pharmacogenetic (PGX) tests have utility in the treatment of depression. However, few studies have examined the utility of PGX in other diagnoses typified by depression, or in veterans, a cohort with high rates of medical comorbidity, social stress, and suicide. Aim: To determine the efficacy of genetically guided pharmacological treatment of TRD. Methods: We conducted an 8-week, prospective, multisite, single-blind study in 182 veterans with TRD including patients with BD, MDD, and PTSD. Subjects were randomly assigned to PGX-guided treatment in which the clinician incorporated PGX information into decision-making, or treatment as usual (TAU). Results: Overall, the PGX group improved marginally faster compared to TAU, but the difference was not statistically significant. Secondary analyses revealed that only PTSD patients showed a potential benefit from PGX testing. Patients predicted by PGX testing to have moderate levels of genetic risk showed a significant benefit from the PGX-guided treatment, whereas other risk groups demonstrated no benefit. Clinicians generally found the PGX test was useful, particularly in more depressed patients and/or those with more warnings for significant or serious adverse outcomes. Clinicians more often used the results to select a drug, but only rarely to adjust dosing. Conclusions: The data reveal possible group differences in the utility of PGX testing in veterans with TRD. ClinicalTrials.gov Identifier: NCT04469322.

Mental Health Outcomes of Peer-led Therapeutic Adventure for Military Veterans

2021 ◽  
pp. 105382592110495
Author(s):  
Joanna Ellen Bettmann ◽  
Ileana Anderson ◽  
Joe Makouske ◽  
Adam Hanley
Keyword(s):  
Mental Health ◽  
Military Veterans ◽  
Well Being ◽  
Group Model ◽  
Health Issues ◽  
Post Traumatic Stress ◽  
Community Based Interventions ◽  
Community Based ◽  
Post Traumatic ◽  
Adventure Program

Background: Skepticism of therapy and stigma are significant barriers for veterans with mental health issues. Therapeutic adventure shows promise in addressing veterans’ mental health needs while circumventing the stigma many veterans face in initiating treatment. Purpose: Given the small group model of therapeutic adventure programs, such programs may be ideal to provide social support for veterans and reduce mental health symptomology. The present study investigated: can a brief peer-led therapeutic adventure program modify veterans’ mental health symptoms? Methodology/Approach: The study's sample included 56 participants attending one Sierra Club Military Outdoors trip lasting at least three days and two nights and involving camping. Participants completed study measurements assessing depression, anxiety, stress, Post-Traumatic Stress Disorder symptoms, substance misuse symptoms, and suicidality at pre-trip, post-trip, one-month post trip, six-months post trip, and 12-months post trip. Six-month and 12-month post-trip data was collected during the COVID-19 pandemic. Findings/Conclusions: Results indicated significant reduction in mental health symptomology from pre-trip to post-trip, but showed few longer-term changes in mental health symptomology. Implications: The present study's findings are consistent with research suggesting improvements in overall psychological well-being immediately following a nature-based intervention and suggest the need for on-going, community-based interventions to support optimally military veterans’ mental health.

Child awareness of and access to cigarettes: impacts of the point-of-sale display ban in England

2018 ◽  
Vol 28 (5) ◽  
pp. 526-531 ◽  
Author(s):  
Anthony A Laverty ◽  
Eszter Panna Vamos ◽  
Christopher Millett ◽  
Kiara C-M Chang ◽  
Filippos T Filippidis ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Drug Use ◽  
Regression Models ◽  
Multivariate Logistic Regression ◽  
Tobacco Advertising ◽  
Point Of Sale ◽  
Logistic Regression Models ◽  
Annual Survey ◽  
Perceived Difficulty ◽  
Ease Of Access

IntroductionEngland introduced a tobacco display ban for shops with >280 m2 floor area (‘partial ban’) in 2012, then a total ban in 2015. This study assessed whether these were linked to child awareness of and access to cigarettes.MethodsData come from the Smoking, Drinking and Drug Use survey, an annual survey of children aged 11–15 years for 2010–2014 and 2016. Multivariate logistic regression models assessed changes in having seen cigarettes on display, usual sources and ease of access to cigarettes in shopsResultsDuring the partial display ban in 2012, 89.9% of children reported seeing cigarettes on display in the last year, which was reduced to 86.0% in 2016 after the total ban (adjusted OR 0.58, 95% CI 0.50 to 0.66). Reductions were similar in small shops (84.1% to 79.3%)%) and supermarkets (62.6% to 57.3%)%). Although the ban was associated with a reduction in the proportion of regular child smokers reporting that they bought cigarettes in shops (57.0% in 2010 to 39.8% in 2016), we did not find evidence of changes in perceived difficulty or being refused sale among those who still did.DiscussionTobacco point-of-sale display bans in England reduced the exposure of children to cigarettes in shops and coincided with a decrease in buying cigarettes in shops. However, children do not report increased difficulty in obtaining cigarettes from shops, highlighting the need for additional measures to tackle tobacco advertising, stronger enforcement of existing laws and measures such as licencing for tobacco retailers.

Prevention of Alcohol Misuse: A Review of Health Promotion Efforts among American Indians

1995 ◽  
Vol 9 (4) ◽  
pp. 288-299 ◽  
Author(s):  
Philip A. May ◽  
James R. Moran
Keyword(s):  
Health Promotion ◽  
Native American ◽  
American Indian ◽  
American Indians ◽  
Local Community ◽  
Alcohol Misuse ◽  
Heavy Drinking ◽  
Community Empowerment ◽  
Negative Consequences ◽  
Wide Range

Purpose. The purpose of this review is to provide an overview of a wide range of potentially useful strategies to address the prevention of alcohol misuse among American Indians. This broad approach to the review is useful because the extreme heterogeneity of the American Indian population requires that health promotion professionals explore many options and tailor their activities to specific communities. Search Method. A literature search was initiated through MEDLINE using the following key words: prevention, alcohol, substance abuse, American Indian, and Native American. The search yielded 29 articles from the years 1982 through 1994. These articles, along with 45 previously identified in three overview articles, form the basis of the review and discussion in this paper. Summary of findings. As a group, American Indians experience many health problems that are related to alcohol misuse. Comparison of Indians to non-Indians shows that the age of first involvement with alcohol is younger, the frequency and amount of drinking is greater, and negative consequences are more common. Health promotion programs that address these issues must take into account American Indian heterogeneity and should use a comprehensive approach that addresses both heavy drinking and the sequelae of problems related to alcohol misuse. Major Conclusions. Important concepts for providing health promotion services to this population are: cultural relevance must be carefully planned and monitored; individuals in the local community must be involved; the drunken Indian stereotype must be addressed; and community empowerment should be an important goal.

scholarly journals Alcohol consumption and pregnancy in the Mexican national addiction survey

1997 ◽  
Vol 13 (2) ◽  
pp. 205-211 ◽  
Author(s):  
Guilherme Borges ◽  
Roberto Tapia-Conyer ◽  
Malaquías López-Cervantes ◽  
María Elena Medina-Mora ◽  
Blanca Pelcastre ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Spontaneous Abortion ◽  
Regression Models ◽  
Congenital Abnormalities ◽  
Adverse Outcomes ◽  
Multiple Logistic Regression ◽  
National Data ◽  
Logistic Regression Models ◽  
Important Relationship

In 1988, the General Directorate of Epidemiology and the Mexican Institute of Psychiatry conducted the first National Addiction Survey (ENA), providing regional and national data on alcohol, tobacco, and drug use. The ENA providing a subsample of women who have been pregnant at some time in their lives. There were 5,234 affirmative responses. Women were asked if they had suffered any of three adverse outcomes during their last pregnancy: spontaneous abortion, stillbirth, and congenital abnormalities. Prevalence of spontaneous abortion was 3.8%, stillbirth 1.2%, and congenital abnormalities 1.1 %. Multiple logistic-regression models were used to analyze the effect of alcohol consumption on these problems. Consumption during pregnancy was related only with the prevalence of congenital abnormalities, with prevalence odds of 3.4. Among habitual users during the last 12 months, oniy women in the highest use category showed an important relationship with the three problems mentioned. Follow-up studies on the Mexican population are recommended in order to obtain more conclusive findings.

Impact of comorbid post traumatic stress disorder on multiple sclerosis in military veterans: A population-based cohort study

2021 ◽  
pp. 135245852110583
Author(s):  
Mark Leekoff ◽  
William Culpepper ◽  
Shan Jin ◽  
Terry Lee-Wilk ◽  
Mitchell Wallin
Keyword(s):  
Multiple Sclerosis ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Military Veterans ◽  
Brain Mri ◽  
Population Based ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Impact

Background: Very little is known regarding the impact of post traumatic stress disorder (PTSD) on the course of multiple sclerosis (MS). Objectives: To explore the impact of pre-existing PTSD on MS relapses, magnetic resonance imaging (MRI) activity, and disability in a large population-based cohort. Methods: Military Veterans with MS and PTSD prior to symptom onset (MSPTSD, n = 96) were identified using the Department of Veterans Affairs MS databases. MSPTSD cases were matched to MS controls without PTSD ( n = 95). Number of relapses, number of new T2 lesions and new gadolinium lesions on brain MRI, and neurological disability were abstracted between 2015 and 2019. Results: The mean annualized relapse rate was greater in the MSPTSD group versus controls (0.23 vs 0.06, respectively; p < 0.05), as was the annualized mean number of new T2 and gadolinium-enhancing lesions on brain MRI (0.52 vs 0.16 and 0.29 vs 0.08, respectively; p < 0.05). Disability accrual (time to Disability Status Scale 6.0) was more rapid (23.7 vs 29.5 years, p < 0.05) in relapsing MS patients with PTSD. Conclusion: Patients with MSPTSD have higher disease activity and reach disability endpoints more rapidly than controls. This is the first study to show PTSD as a potentially modifiable risk factor for MS relapses, MRI activity, and disability.

Abstract P375: Prospective Associations of Accelerometer-measured Physical Activity and Sedentary Time With Cardiometabolic Multimorbidity in the CARDIA Study

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Kelsie M Full ◽  
Kelley Gabriel ◽  
Kara M Whitaker ◽  
Cora E Lewis ◽  
Barbara Sternfeld ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Time ◽  
Adverse Outcomes ◽  
Uncontrolled Hypertension ◽  
P Value ◽  
Lower Odds ◽  
Logistic Regression Models ◽  
Health Care Burden ◽  
The Us ◽  
Intensity Physical Activity

Background: Cardiometabolic multimorbidity is rising rapidly in the US. This condition is associated with greater health care burden and risk for adverse outcomes, including mortality. We investigated the relations of sedentary time (ST), light intensity physical activity (LPA), and moderate to vigorous intensity physical activity (MVPA) with future cardiometabolic multimorbidity in mid-life. Methods: Participants were 1,863 adults (mean ± SD age=45±4 years, 58% female, 39% Black) from the Coronary Artery Risk Development in Young Adults (CARDIA) study who wore an ActiGraph 7164 accelerometer in 2005-2006 (baseline). Cardiometabolic multimorbidity was defined as ≥2 measured cardiometabolic conditions (untreated/uncontrolled hypertension and hyperlipidemia, diabetes mellitus, chronic kidney disease, and clinical cardiovascular outcomes). Separate logistic regression models provided estimates of prospective associations of accelerometer-measured ST, LPA, and MVPA with cardiometabolic multimorbidity 10 years later in participants with <2 cardiometabolic conditions at baseline. Interactions by age, sex, and race were explored. Results: The highest (>47.3 min/d) vs. lowest (<17.5 min/d) quartile of MVPA was associated with lower odds of cardiometabolic multimorbidity (OR: 0.61; CI: 0.37, 0.99) 10-years later. This association did not differ by age, race, or sex. Overall, there was no association between ST and cardiometabolic multimorbidity. However, a significant interaction was observed by age (p value=0.03). In age-stratified analyses, among participants ≥46 years at baseline, the highest (>9.3 hr/d) vs. lowest (<7.1 hr/d) quartile of ST was associated with higher odds of cardiometabolic multimorbidity (OR: 2.86; CI: 1.36, 6.17). No associations were observed between LPA and cardiometabolic multimorbidity. Conclusions: In mid-life adults with <2 conditions at baseline, greater daily MVPA was associated with lower odds of future cardiometabolic multimorbidity burden 10 years later.

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