AETIOLOGY
Combat exposure increases risk of alcohol misuse in military personnel following deployment
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How does combat exposure affect alcohol consumption, binge drinking behaviour and other alcohol related problems in US military personnel?
48 481 people enrolled in the Millennium Cohort Study. Exclusions: missing demographic or other covariate data; did not answer alcohol outcome questions; deployed to Iraq or Afghanistan before baseline assessment; or took survey while deployed.
Military service personnel, USA; recruitment July 2001 to June 2003.
Combat exposure during deployment, defined as: personally witnessing a persons death due to war, disaster of tragic event; witnessing physical abuse; or seeing dead or decomposing bodies, maimed soldiers or civilians, or prisoners of war or refugees.
New onset of heavy weekly drinking, binge drinking or alcohol related problems among people with no reported alcohol outcomes at baseline; increased heavy weekly drinking, binge drinking or alcohol related problems among people reporting alcohol outcomes at baseline. Heavy weekly drinking was defined as more than 14 drinks/week for
Academic Centre for Defence Mental Health, King's College London, Institute of Psychiatry, UK
King's Centre for Military Health Research, King's College London, Institute of Psychiatry, UK
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