Rachel Sayko Adams, Laura Campbell-Sills, Murray B Stein, Xiaoying Sun, Mary Jo Larson, Ronald C Kessler, Robert J Ursano, Sonia Jain, John D Corrigan
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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).</p><p><strong>Conclusion: </strong>Routine screening for LT-TBI may help target efforts to prevent alcohol misuse among military members.</p>","PeriodicalId":519229,"journal":{"name":"The Journal of Head Trauma Rehabilitation","volume":" ","pages":"27-36"},"PeriodicalIF":0.0000,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HTR.0000000000000508","citationCount":"6","resultStr":"{\"title\":\"The Association of Lifetime and Deployment-Acquired Traumatic Brain Injury With Postdeployment Binge and Heavy Drinking.\",\"authors\":\"Rachel Sayko Adams, Laura Campbell-Sills, Murray B Stein, Xiaoying Sun, Mary Jo Larson, Ronald C Kessler, Robert J Ursano, Sonia Jain, John D Corrigan\",\"doi\":\"10.1097/HTR.0000000000000508\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>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.</p><p><strong>Setting: </strong>Soldiers from 3 Brigade Combat Teams deployed to Afghanistan in 2012.</p><p><strong>Participants: </strong>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).</p><p><strong>Design: </strong>Prospective, longitudinal study controlling for baseline binge drinking.</p><p><strong>Main measures: </strong>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.</p><p><strong>Results: </strong>In total, 34.3% screened positive for LT-TBI, and 19.2% screened positive for DA-TBI. 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引用次数: 6
摘要
目的:探讨指数部署前的终身创伤性脑损伤(LT-TBI)和/或部署获得性脑损伤(DA-TBI)与部署后暴饮和重度饮酒的关系。背景:2012年部署到阿富汗的3个旅战斗队的士兵。参与者:共有4645名士兵参加了陆军STARRS部署前/部署后研究，并完成了4项评估:T0(部署前1-2个月)、T1(返回美国后)、T2(部署后3个月)和T3(部署后9个月)。设计:前瞻性、纵向研究，控制基线酗酒。主要测量方法:在T2和T3自述过去一个月的酗酒(同一天5杯以上酒精饮料)和过去一个月的重度饮酒(至少每周酗酒)。结果:LT-TBI阳性率为34.3%，DA-TBI阳性率为19.2%。仅在T2时，LT-TBI而非DA-TBI与酗酒(校正优势比[AOR] = 1.39, 95%可信区间[CI]: 1.20-1.60, P < 0.001)和酗酒(AOR = 1.28, 95% CI: 1.09-1.49, P = 0.007)的几率增加相关。在LT-TBI亚组中，同样患有DA-TBI的患者与T3时重度饮酒的风险增加相关(AOR = 1.42, 95% CI: 1.03-1.95, P = 0.047)。结论:LT-TBI的常规筛查可能有助于预防军人酒精滥用。
The Association of Lifetime and Deployment-Acquired Traumatic Brain Injury With Postdeployment Binge and Heavy Drinking.
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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