Alcohol misuse in the United Kingdom Armed Forces: A longitudinal study

TY - JOUR

T1 - Alcohol misuse in the United Kingdom Armed Forces

T2 - A longitudinal study

AU - Thandi, Gursimran

AU - Sundin, Josefin

AU - Ng-Knight, Terry

AU - Jones, Margaret Mary

AU - Hull, Lisa

AU - Jones, Norman Owen

AU - Greenberg, Neil

AU - Rona, Roberto Jorge

AU - Wessely, Simon Charles

AU - Fear, Nicola Townsend

PY - 2015/11/1

Y1 - 2015/11/1

N2 - ObjectivesWe assessed changes in Alcohol Use Disorders Identification Test (AUDIT) scores over time. We investigated the impact of life events and changes in mental health status on AUDIT scores over time in UK military personnel.MethodsA random representative sample of regular UK military personnel who had been serving in 2003 were surveyed in 2004–2006 (phase 1) and again in 2007–2009 (phase 2). The impact of changes in symptoms of psychological distress, probable post-traumatic stress disorder (PTSD), marital status, serving status, rank, deployment to Iraq/Afghanistan and smoking was assessed between phases.ResultsWe found a statistically significant but small decrease in AUDIT scores between phases 1 and 2 (mean change = −1.01, 95% confidence interval = −1.14, −0.88). Participants reported a decrease in AUDIT scores if they experienced remission in psychological distress (adjusted mean −2.21, 95% CI −2.58, −1.84) and probable PTSD (adjusted mean −3.59, 95% CI −4.41, −2.78), if they stopped smoking (adjusted mean −1.41, 95% CI −1.83, −0.98) and were in a new relationship (adjusted mean −2.77, 95% CI −3.15, −2.38). On the other hand, reporting new onset or persistent symptoms of probable PTSD (adjusted mean 1.34, 95% CI 0.71, 1.98) or a relationship breakdown (adjusted mean 0.53, 95% CI 0.07, 0.99) at phase 2 were associated with an increase in AUDIT scores.ConclusionsThe overall level of hazardous alcohol consumption remains high in the UK military. Changes in AUDIT scores were linked to mental health and life events but not with deployment to Iraq or Afghanistan.

AB - ObjectivesWe assessed changes in Alcohol Use Disorders Identification Test (AUDIT) scores over time. We investigated the impact of life events and changes in mental health status on AUDIT scores over time in UK military personnel.MethodsA random representative sample of regular UK military personnel who had been serving in 2003 were surveyed in 2004–2006 (phase 1) and again in 2007–2009 (phase 2). The impact of changes in symptoms of psychological distress, probable post-traumatic stress disorder (PTSD), marital status, serving status, rank, deployment to Iraq/Afghanistan and smoking was assessed between phases.ResultsWe found a statistically significant but small decrease in AUDIT scores between phases 1 and 2 (mean change = −1.01, 95% confidence interval = −1.14, −0.88). Participants reported a decrease in AUDIT scores if they experienced remission in psychological distress (adjusted mean −2.21, 95% CI −2.58, −1.84) and probable PTSD (adjusted mean −3.59, 95% CI −4.41, −2.78), if they stopped smoking (adjusted mean −1.41, 95% CI −1.83, −0.98) and were in a new relationship (adjusted mean −2.77, 95% CI −3.15, −2.38). On the other hand, reporting new onset or persistent symptoms of probable PTSD (adjusted mean 1.34, 95% CI 0.71, 1.98) or a relationship breakdown (adjusted mean 0.53, 95% CI 0.07, 0.99) at phase 2 were associated with an increase in AUDIT scores.ConclusionsThe overall level of hazardous alcohol consumption remains high in the UK military. Changes in AUDIT scores were linked to mental health and life events but not with deployment to Iraq or Afghanistan.

UR - http://www.scopus.com/inward/record.url?scp=84946493261&partnerID=8YFLogxK

U2 - 10.1016/j.drugalcdep.2015.08.033

DO - 10.1016/j.drugalcdep.2015.08.033

M3 - Article

SN - 0376-8716

VL - 156

SP - 78

EP - 83

JO - Drug and alcohol dependence

JF - Drug and alcohol dependence

ER -