Illegal drug use amongst male UK military personnel who sustained physical combat injuries: The ADVANCE cohort study

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2025-01-27 DOI:10.1016/j.addbeh.2025.108269

Daniel Dyball , Susie Schofield , Alexander N. Bennett , Christopher J. Boos , Anthony M.J. Bull , Nicola T. Fear , on behalf of the ADVANCE Study

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Abstract

Illegal drug use may be a consequence of sustaining a serious physical combat injury, though no known research has investigated this in a UK setting. This analysis utilises the baseline data from a longitudinal cohort (ADVANCE), to assess whether 577 UK military personnel who sustained serious physical combat injuries reported more illegal drug use compared to 565 frequency-matched personnel without such injuries.

Most personnel reported no illegal drug use in the past year (88.7%). Cocaine was the most common drug reported in the past year, followed by cannabis. Injured personnel had greater odds of reporting illegal drug use in the past year compared to the comparison group (injured group: 16.3%, comparison group: 5.4%; Odds Ratio (OR) 3.09 (95% CI 2.03, 5.31)), however, no differences were observed amongst veterans in each group (OR 0.67 (95% CI 0.40, 1.27)). Higher prevalence of illegal drug use was observed amongst those of white ethnic background, lower rank, those who were single, younger, veterans, and those who reported a probable mental illness, suicidal ideation or heavy alcohol use/tobacco use. Veterans who left service at a younger age and with a shorter length of service were also identified as having higher prevalence of illegal drug use.

UK Armed Forces personnel who sustained serious physical combat injuries in Afghanistan report more illegal drug use in the past year compared to demographically similar personnel without serious physical injury. Greater prevalence of illegal drug use was evident in those that left service, with >20 % of veterans reporting illegal drug use in the past year.

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英国男性军人在战斗中受伤后的非法药物使用：ADVANCE队列研究

非法使用药物可能是在战斗中遭受严重身体伤害的后果，尽管目前还没有在英国进行过相关研究。该分析利用了纵向队列（ADVANCE）的基线数据，以评估577名遭受严重身体战斗伤害的英国军事人员是否比565名没有此类伤害的频率匹配人员报告更多的非法药物使用。大多数人员报告在过去一年中没有非法使用药物（88.7%）。可卡因是去年报告中最常见的毒品，其次是大麻。与对照组相比，受伤人员在过去一年中报告非法药物使用的几率更高(受伤组：16.3%，对照组：5.4%；优势比（OR） 3.09 (95% CI 2.03, 5.31))，然而，两组退伍军人之间没有差异（OR 0.67 (95% CI 0.40, 1.27)）。在白人种族背景、地位较低、单身、年轻、退伍军人和报告可能患有精神疾病、有自杀意念或大量饮酒/吸烟的人中，非法药物使用的流行率较高。在较年轻和服役时间较短的退伍军人中，非法使用药物的比例也较高。在阿富汗遭受严重战斗伤害的英国武装部队人员报告说，在过去一年中，与人口统计学上相似但没有严重身体伤害的人员相比，使用非法药物的人数更多。非法药物使用在退伍军人中更为普遍，去年有20%的退伍军人报告使用非法药物。

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

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.