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Problem drinking recognition among UK military personnel: prevalence and associations

PURPOSE: Despite the higher prevalence of problem drinking in the UK military compared to the general population, problem recognition appears to be low, and little is known about which groups are more likely to recognise a problem. This study examined prevalence of problem drinking recognition and i...

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Autores principales: Spanakis, Panagiotis, Gribble, Rachael, Stevelink, Sharon A. M., Rona, Roberto J., Fear, Nicola T., Goodwin, Laura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9922231/
https://www.ncbi.nlm.nih.gov/pubmed/35661230
http://dx.doi.org/10.1007/s00127-022-02306-x
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author Spanakis, Panagiotis
Gribble, Rachael
Stevelink, Sharon A. M.
Rona, Roberto J.
Fear, Nicola T.
Goodwin, Laura
author_facet Spanakis, Panagiotis
Gribble, Rachael
Stevelink, Sharon A. M.
Rona, Roberto J.
Fear, Nicola T.
Goodwin, Laura
author_sort Spanakis, Panagiotis
collection PubMed
description PURPOSE: Despite the higher prevalence of problem drinking in the UK military compared to the general population, problem recognition appears to be low, and little is known about which groups are more likely to recognise a problem. This study examined prevalence of problem drinking recognition and its associations. METHODS: We analysed data from 6400 regular serving and ex-serving personnel, collected in phase 3 (2014–2016) of the King's Centre for Military Health Research cohort study. MEASUREMENTS: Participants provided sociodemographic, military, health and impairment, life experiences, problem drinking, and problem recognition information. Problem drinking was categorised as scores ≥ 16 in the AUDIT questionnaire. Associations with problem recognition were examined with weighted logistic regressions. FINDINGS: Among personnel meeting criteria for problem drinking, 49% recognised the problem. Recognition was most strongly associated (ORs ≥ 2.50) with experiencing probable PTSD (AOR = 2.86, 95% CI = 1.64–5.07), social impairment due to physical or mental health problems (AOR = 2.69, 95% CI = 1.51–4.79), adverse life events (AOR = 2.84, 95% CI = 1.70–4.75), ever being arrested (AOR = 2.99, CI = 1.43–6.25) and reporting symptoms of alcohol dependence (AOR = 3.68, 95% CI = 2.33–5.82). To a lesser extent, recognition was also statistically significantly associated with experiencing psychosomatic symptoms, feeling less healthy, probable common mental health disorders, and increased scores on the AUDIT. CONCLUSION: Half of UK military personnel experiencing problem drinking does not self-report their drinking behaviour as problematic. Greater problem drinking severity, poorer mental or physical health, and negative life experiences facilitate problem recognition. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00127-022-02306-x.
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spelling pubmed-99222312023-02-13 Problem drinking recognition among UK military personnel: prevalence and associations Spanakis, Panagiotis Gribble, Rachael Stevelink, Sharon A. M. Rona, Roberto J. Fear, Nicola T. Goodwin, Laura Soc Psychiatry Psychiatr Epidemiol Original Paper PURPOSE: Despite the higher prevalence of problem drinking in the UK military compared to the general population, problem recognition appears to be low, and little is known about which groups are more likely to recognise a problem. This study examined prevalence of problem drinking recognition and its associations. METHODS: We analysed data from 6400 regular serving and ex-serving personnel, collected in phase 3 (2014–2016) of the King's Centre for Military Health Research cohort study. MEASUREMENTS: Participants provided sociodemographic, military, health and impairment, life experiences, problem drinking, and problem recognition information. Problem drinking was categorised as scores ≥ 16 in the AUDIT questionnaire. Associations with problem recognition were examined with weighted logistic regressions. FINDINGS: Among personnel meeting criteria for problem drinking, 49% recognised the problem. Recognition was most strongly associated (ORs ≥ 2.50) with experiencing probable PTSD (AOR = 2.86, 95% CI = 1.64–5.07), social impairment due to physical or mental health problems (AOR = 2.69, 95% CI = 1.51–4.79), adverse life events (AOR = 2.84, 95% CI = 1.70–4.75), ever being arrested (AOR = 2.99, CI = 1.43–6.25) and reporting symptoms of alcohol dependence (AOR = 3.68, 95% CI = 2.33–5.82). To a lesser extent, recognition was also statistically significantly associated with experiencing psychosomatic symptoms, feeling less healthy, probable common mental health disorders, and increased scores on the AUDIT. CONCLUSION: Half of UK military personnel experiencing problem drinking does not self-report their drinking behaviour as problematic. Greater problem drinking severity, poorer mental or physical health, and negative life experiences facilitate problem recognition. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00127-022-02306-x. Springer Berlin Heidelberg 2022-06-04 2023 /pmc/articles/PMC9922231/ /pubmed/35661230 http://dx.doi.org/10.1007/s00127-022-02306-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Paper
Spanakis, Panagiotis
Gribble, Rachael
Stevelink, Sharon A. M.
Rona, Roberto J.
Fear, Nicola T.
Goodwin, Laura
Problem drinking recognition among UK military personnel: prevalence and associations
title Problem drinking recognition among UK military personnel: prevalence and associations
title_full Problem drinking recognition among UK military personnel: prevalence and associations
title_fullStr Problem drinking recognition among UK military personnel: prevalence and associations
title_full_unstemmed Problem drinking recognition among UK military personnel: prevalence and associations
title_short Problem drinking recognition among UK military personnel: prevalence and associations
title_sort problem drinking recognition among uk military personnel: prevalence and associations
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9922231/
https://www.ncbi.nlm.nih.gov/pubmed/35661230
http://dx.doi.org/10.1007/s00127-022-02306-x
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