Exploring Racial/Ethnic Disparities in Substance Dependence and Serious Psychological Distress among US Veterans.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2024-10-01 Epub Date: 2023-08-21 DOI:10.1007/s40615-023-01753-9

Schuyler C Lawson, Mehreen Arif, Rachel A Hoopsick, D Lynn Homish, Gregory G Homish

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Abstract

Objectives: There are substantial racial/ethnic disparities in substance use and mental health among civilian populations, but few studies have examined these disparities in veterans using a nationally representative sample. Thus, we examined differences in substance dependence and serious psychological distress (SPD) by race/ethnicity among a national sample of US veterans.

Methods: We pooled cross-sectional data from the 2015-2019 waves of the National Survey on Drug Use and Health (N = 7,653 veterans aged 18-64 years). Regression models were utilized to examine racial/ethnic differences in DSM-IV substance dependence and SPD with a Benjamini-Hochberg correction applied.

Results: Compared to non-Hispanic White veterans: American Indian/Alaska Native veterans had significantly higher odds of past-year alcohol dependence (AOR = 2.55, 95% CI: 1.28, 5.08); Asian American veterans had significantly lower odds of past-year alcohol dependence (AOR = 0.12, 95% CI: 0.02, 0.62); non-Hispanic Black (AOR = 0.60, 95% CI: 0.48, 0.77), Hispanic (AOR = 0.47, 95% CI: 0.34, 0.65), and veterans of more than one race (AOR = 0.55, 95% CI: 0.36, 0.83) had significantly lower odds of past-month nicotine dependence; Asian American veterans had significantly lower odds of past-year illicit drug dependence (AOR = 0.05, 95% CI: 0.01, 0.35); and non-Hispanic Black veterans had significantly lower odds of past-year SPD (AOR = 0.69, 95% CI: 0.55, 0.85) after correction for multiple comparisons.

Conclusion: Overall, racial/ethnic disparities in substance dependence and SPD among veterans are not as stark as in civilian populations, but some disparities remain.

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探索美国退伍军人在药物依赖和严重心理困扰方面的种族/族裔差异。

目的：在平民群体中，药物使用和心理健康方面存在着很大的种族/民族差异，但很少有研究使用具有全国代表性的样本对退伍军人的这些差异进行研究。因此，我们研究了美国退伍军人全国样本中不同种族/族裔在药物依赖和严重心理困扰（SPD）方面的差异：我们汇集了 2015-2019 年全国药物使用和健康调查的横截面数据（N = 7653 名 18-64 岁的退伍军人）。我们利用回归模型研究了DSM-IV药物依赖和SPD的种族/族裔差异，并进行了本杰明-霍赫伯格校正：结果：与非西班牙裔白人退伍军人相比，美国印第安人/阿拉斯加原住民退伍军人的药物依赖性更高：美国印第安人/阿拉斯加原住民退伍军人过去一年酒精依赖的几率明显更高（AOR = 2.55，95% CI：1.28, 5.08）；亚裔退伍军人过去一年酒精依赖的几率明显更低（AOR = 0.12，95% CI：0.02，0.62）；非西班牙裔黑人（AOR = 0.60，95% CI：0.48，0.77）、西班牙裔（AOR = 0.47，95% CI：0.34，0.65）和多个种族的退伍军人（AOR = 0.55，95% CI：0.36，0.83），过去一个月尼古丁依赖的几率明显较低；亚裔退伍军人过去一年非法药物依赖的几率明显较低（AOR = 0.05，95% CI：0.01，0.35）；经多重比较校正后，非西班牙裔黑人退伍军人过去一年 SPD 的几率明显较低（AOR = 0.69，95% CI：0.55，0.85）：总体而言，退伍军人在药物依赖和SPD方面的种族/族裔差异不像平民群体那样明显，但仍存在一些差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.