期刊
JOURNAL OF HEAD TRAUMA REHABILITATION
卷 35, 期 1, 页码 27-36出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/HTR.0000000000000508
关键词
binge drinking; heavy drinking; military; postdeployment; traumatic brain injury
资金
- Department of the Army
- US Department of Health & Human Services, National Institutes of Health, and National Institute of Mental Health (NIH/NIMH) [U01MH087981]
- Department of Defense (USUHS) [HU0001-15-2-0004]
- National Center for Complementary and Integrative Health (NCCIH) [R01 AT008404]
Objective: To investigate associations of lifetime traumatic brain injury (LT-TBI) prior to an index deployment, and/or deployment-acquired TBI (DA-TBI), with postdeployment binge and heavy drinking. Setting: Soldiers from 3 Brigade Combat Teams deployed to Afghanistan in 2012. Participants: A total of 4645 soldiers who participated in the Army STARRS Pre/Post Deployment Study and completed 4 assessments: T0 (1-2 months predeployment), T1 (upon return to United States), T2 (3 months postdeployment), and T3 (9 months postdeployment). Design: Prospective, longitudinal study controlling for baseline binge drinking. Main Measures: Self-reported past month binge drinking (5+ alcoholic beverages on the same day) and past month heavy drinking (binge drinking at least weekly) at T2 and T3. Results: In total, 34.3% screened positive for LT-TBI, and 19.2% screened positive for DA-TBI. At T2 only, LT-TBI, but not DA-TBI, was associated with increased odds of binge drinking (adjusted odds ratio [AOR] = 1.39, 95% confidence interval [CI]: 1.20-1.60, P < .001) and heavy drinking (AOR = 1.28, 95% CI: 1.09-1.49, P = .007). Among the subgroup with LT-TBI, also having DA-TBI was associated with increased risk of heavy drinking at T3 (AOR = 1.42, 95% CI: 1.03-1.95, P = .047). Conclusion: Routine screening for LT-TBI may help target efforts to prevent alcohol misuse among military members.
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