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18-09-2017

Combat exposure, emotional and physical role limitations, and substance use among male United States Army Reserve and National Guard soldiers

Auteurs: R. A. Hoopsick, B. M. Vest, D. L. Homish, G. G. Homish

Gepubliceerd in: Quality of Life Research | Uitgave 1/2018

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Abstract

Purpose

Combat-exposed soldiers are at an increased risk for health problems that diminish quality of life (QOL) and substance use. We explored the cross-sectional associations between combat exposure and two measures of QOL, and the effect of substance use on those associations.

Methods

Data are from the baseline wave of Operation: SAFETY, an ongoing survey-based study of United States Army Reserve/National Guard (USAR/NG) soldiers and their partners. Our sample consisted of male USAR/NG soldiers with a history of deployment (N = 248). Limitations in usual activity due to physical and emotional problems were assessed using the 36-Item Short-Form Health Survey (SF-36).

Results

Greater combat exposure was independently associated with limitations in usual activity due to physical (regression coefficient = −0.35, 95% CI −0.55 to −0.16, R 2 = 0.09; p < 0.01) and emotional (regression coefficient = −0.32, 95% CI −0.56 to −0.09, R 2 = 0.09; p < 0.01) problems. Combat exposure had a significant interaction with frequent heavy drinking on physical role limitations (regression coefficient = −0.65, 95% CI −1.18 to −0.12, R 2 = 0.12; p < 0.05) and emotional role limitations (regression coefficient = −0.83, 95% CI −1.46 to −0.19, R 2 = 0.12; p < 0.05). Combat exposure also had a significant interaction with lifetime non-medical use of prescription drugs on physical role limitations (regression coefficient = 0.81, 95% CI 0.18–1.45, R 2 = 0.11; p < 0.05).

Conclusion

Combat is an unmodifiable risk factor for poor QOL among soldiers; however, frequent heavy drinking and non-medical use of prescription drugs modifies the relationship between combat exposure and QOL. Therefore, substance use is a potential point of intervention to improve QOL among soldiers.
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Metagegevens
Titel
Combat exposure, emotional and physical role limitations, and substance use among male United States Army Reserve and National Guard soldiers
Auteurs
R. A. Hoopsick
B. M. Vest
D. L. Homish
G. G. Homish
Publicatiedatum
18-09-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1706-2