Prevalence of substance misuse among US veterans in the general population

Hoggatt, Katherine J.; Lehavot, Keren; Krenek, Marketa; Schweizer, C. Amanda; Simpson, Tracy L.

doi:10.1111/ajad.12534

Cited by 84 publications

(78 citation statements)

References 22 publications

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“…Third, this sample was limited to non-institutionalized individuals and limits our generalizability when discussing subpopulations including, but not limited to, active duty military personnel and prisoners. These populations warrant further exploration given their risk for substance use and misuse relative to the general population 31,32 and need for specific health care issues. Fourth, we categorized licit (cigarettes and alcohol) and illicit (marijuana, cocaine, etc.)…”

Section: Discussionmentioning

confidence: 99%

Prescription opioid misuse and comorbid substance use: Past 30‐day prevalence, correlates and co‐occurring behavioral indicators in the 2016 National Survey on Drug Use and Health

Grigsby

Howard

2019

American J Addict

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Background and objectives: Prescription opioid misuse has not been well examined in the context of comorbid substance use in representative samples of substance users. Past 30-day comorbid prescription opioid misuse and recreational substance use (e.g., alcohol, marijuana, cocaine, etc.) was studied in a representative sample of substance users in the United States using the 2016 National Survey on Drug Use and Health (NSDUH). Methods: Prevalence of prescription opioid misuse with and without comorbid substance use was estimated with the 2016 NSDUH. Generalized linear modeling was used to describe demographic correlates of opioid and comorbid substance use and explore the relation of opioid and comorbid substance use with social and behavioral health indicators. Results: The majority of past month prescription opioid misusers reported use of other substances including cigarettes, alcohol, marijuana, or hard drugs (cocaine, methamphetamine, etc.). Males and younger respondents had a significantly higher risk of reporting past month prescription opioid misuse with illicit drug or polydrug use (p's <0.01). Prescription opioid and polydrug users had the greatest odds of stealing property, selling drugs, having suicidal ideations, major depressive episode, and perceived treatment need in the past year compared to all other categories of prescription opioid misuse categories. Conclusions and scientific significance: Prescription opioid misuse is likely a part of a larger set of psychological, behavioral, and mental health problems. More attention should be given to the profiles of recreational (non-medical) substance use involving prescription opioids to curtail the current opioid crisis and prevent other similar epidemics in the future.

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Section: Discussionmentioning

confidence: 99%

Prescription opioid misuse and comorbid substance use: Past 30‐day prevalence, correlates and co‐occurring behavioral indicators in the 2016 National Survey on Drug Use and Health

Grigsby

Howard

2019

American J Addict

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“…The combination of tobacco and alcohol having the greatest negative effect on age of CRC diagnosis might be of greater importance among veterans relative to the general population, in whom substance abuse and dependence is not as prevalent. Tobacco and alcohol use are more prevalent in the veteran population [9], and it is prudent to evaluate the overall health effects of these risk factors and their role in deadly diseases such as CRC.…”

Section: Role Of Alcohol and Tobacco Usementioning

confidence: 99%

“…Genetic predisposition accounts for a small proportion of all CRC cases, and as high as 90% of CRC cases are attributed to behavioral risk factors including physical inactivity, obesity, tobacco use and alcohol consumption [8]. Some of these risk factors, namely tobacco and alcohol consumption, are prevalent in the US veteran population, potentially placing them at a higher risk for CRC compared to the general population [9]. Few studies have evaluated the combined asso-…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Number of Comorbidities and Age of Colorectal Cancer Diagnosis in US Male Veteran Population: A Single-Center Experience

et al. 2020

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Background: Comorbidities of tobacco and alcohol abuse and obesity are major risk factors for colon carcinogenesis. These risk factors are considered the most prevalent modifiable risk factors linked to malignancies including colorectal cancer (CRC) in both high-and low-income countries. The aim of this study was to investigate the relationship between number of comorbidities and age of CRC diagnosis in US male veteran population. Methods: A retrospective single-center study using chart review and the International Classification of Diseases, Ninth Revision (ICD-9) codes to identify patients with a diagnosis of CRC and comorbidities of tobacco abuse, alcohol abuse, hypertension (HTN), diabetes mellitus (DM) and chronic kidney disease (CKD). The primary aim was to study effect of these comorbidities on age of CRC diagnosis. Univariable and then multivariable logistic regression models were fit to age at diagnosis for each patient variable. Results: A total of 362 patients were included in the study. The mean age of CRC diagnosis was 66.8. Eighty percent were Caucasians, and 20% were African Americans. African Americans were diagnosed with CRC 3.8 years younger compared to Caucasians (P = 0.01). Controlling for other variables in the multivariable model, age at CRC diagnosis was significantly lower for African Americans and for patients with higher total counts for tobacco and alcohol abuse and obesity. HTN, DM and CKD were not associated with a lower age of CRC diagnosis. Conclusions: Tobacco and alcohol abuse and obesity have negative cumulative effect on age of CRC diagnosis in US male veteran population. Patients with increasing number of these comorbidities are associated with significantly lower age of CRC diagnosis. It is important to identify veterans with these comorbidities and encourage CRC screening.

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“…8 We had no direct measures of drinking-related consequences, so for descriptive purposes we used an AUDIT-C measure of frequent binge drinking as an indicator of risky drinking. 9 Although women Veterans and civilians may have comparable rates of unhealthy alcohol use, 10 women Veterans' demographics and co-occurring conditions differ from their civilian counterparts; however, the study enrolled women from multiple sites, which may improve generalizability for VA and other populations with similar demographics.…”

Section: Discussionmentioning

confidence: 99%

Identifying women veterans with unhealthy alcohol use using gender‐tailored screening

et al. 2018

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Prevalence of substance misuse among US veterans in the general population

Abstract: This study provides foundational information on the epidemiology of substance misuse among Veterans. (Am J Addict 2017;26:357-365).

Cited by 84 publications

References 22 publications

Prescription opioid misuse and comorbid substance use: Past 30‐day prevalence, correlates and co‐occurring behavioral indicators in the 2016 National Survey on Drug Use and Health

Prescription opioid misuse and comorbid substance use: Past 30‐day prevalence, correlates and co‐occurring behavioral indicators in the 2016 National Survey on Drug Use and Health

The Relationship Between Number of Comorbidities and Age of Colorectal Cancer Diagnosis in US Male Veteran Population: A Single-Center Experience

Identifying women veterans with unhealthy alcohol use using gender‐tailored screening

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