Risk Factors for Relapse to Problem Drinking Among Current and Former US Military Personnel: A Prospective Study of the Millennium Cohort
NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
Pagination or Media Count:
Objective. To identify demographic, military, behavioral, and health characteristics associated with relapse among military members with remittent problem drinking. Methods. Remittent problem drinkers were followed for relapse in a large, prospective study of US military service members n 6911. Logistic regression models identified demographic, military service, behavioral, and health characteristics that predicted relapse. Results. Fifteen percent of those with remittent problem drinking relapsed. Service members who were in the ReserveNational Guard compared with active-duty members odds ratio OR 1.71, 95 confidence interval CI 1.45-2.01, separated from the military during follow-up OR 1.46, 95 CI 1.16-1.83, and deployers who reported combat experience OR 1.32, 95 CI 1.07-1.62, relative to non-deployers were significantly more likely to relapse. Multiple deployments was significantly associated with lower odds of relapse OR 0.73, 95 CI 0.58-0.92. Air Force members were significantly less likely than Army members to relapse OR 0.79, 95 CI 0.65-0.95. Behavioral factors and mental health conditions were also predictors of relapse. Conclusion. Targeted intervention to prevent problem drinking relapse may be indicated for military personnel in particular subgroups, such as Reservists, veterans, and combat deployers.
- Personnel Management and Labor Relations
- Military Forces and Organizations