TY  - JOUR
PY  - 2020//
TI  - Clinical epidemiology of alcohol use disorders in military personnel versus the general population in Canada
JO  - Canadian journal of psychiatry, The
A1  - Taillieu, Tamara L.
A1  - Afifi, Tracie O.
A1  - Zamorski, Mark A.
A1  - Turner, Sarah
A1  - Cheung, Kristene
A1  - Stein, Murray B.
A1  - Sareen, Jitender
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES: Research suggests a high prevalence of problematic alcohol use among military personnel relative to civilians. Our primary objectives were to compare the prevalence, correlates, help-seeking behaviors, perceived need for care, and barriers to care for alcohol use disorders (AUDs) in the Canadian Armed Forces (CAF) and the Canadian general population (CGP). <br><br>METHODS: Data were from 2 nationally representative surveys collected by Statistics Canada: (1) the Canadian Community Health Survey on Mental Health collected in 2012 (<i>N</i> = 25,113; response rate = 68.9%) and (2) the Canadian Forces Mental Health Survey collected in 2013 (<i>N</i> = 8,161; response rate = 79.8%). Descriptive statistics and logistic regression were used to examine differences in outcomes of interest associated with AUDs in the CAF and CGP. <br><br>RESULTS: The prevalence of lifetime AUDs was significantly higher in the CAF (32.0%) than the CGP (20.3%; adjusted odds ratio [AOR] = 1.14, 95% confidence interval [CI, 1.02 to 1.27]) after adjustment for sociodemographic covariates. In contrast, the past-year prevalence of AUDs was significantly lower among CAF personnel (4.5%) than civilians (3.8%; AOR = 0.78, 95% CI [0.61 to 0.99]) after adjustment for sociodemographic covariates. Child abuse history and comorbid mental disorders were strongly associated with past-year AUDs in both populations. CAF personnel compared to the CGP were more likely to perceive a need for care (AOR = 4.15, 95% CI [2.56 to 6.72]) and engage in help-seeking behaviors (significant AORs ranged from 1.85 to 5.54). CAF personnel and civilians with past-year AUDs reported different barriers to care. <br><br>CONCLUSIONS: Findings argue for the value of different approaches to address unmet need for AUD care in the CAF and CGP.<p />  <p>Language: en</p>
LA  - en
SN  - 0706-7437
UR  - http://dx.doi.org/10.1177/0706743720902651
ID  - ref1
ER  -