Evidence map›Paper›PMID 18698065›Full record

ArticleJAMA2008

Alcohol use and alcohol-related problems before and after military combat deployment.

Isabel G Jacobson, Margaret A K Ryan, Tomoko I Hooper, Tyler C Smith, Paul J Amoroso, Edward J Boyko, Gary D Gackstetter, Timothy S Wells, Nicole S Bell

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in JAMA, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 219 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
219citing papers in PubMed, 2 pooled it
37.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04463225 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Patterns of Alcohol Use and Suicide-related Thoughts Among Recently Discharged Veterans: Risk Factors Associated With the Military-to-Veteran Transition

TypeinterventionalSponsorCornell UniversityRan2021 to 2024Enrolled450ConditionsAlcohol Use Disorder, DepressionArmsInternet-Delivered Brief Intervention
NCT06095817 naterminatednot on this mapstarted 2023, after this paper: background citation

Continuity of Military Transition Study: Project VALOR

TypeinterventionalSponsorCornell UniversityRan2023 to 2023Enrolled140ConditionsAlcohol Use Disorder, DepressionArmsInternet Delivered Brief Intervention (IDBI)
3 · Its place in the literature

Who cites it

219 citing papers in PubMed, 2 syntheses or guidelines pooled it, 660 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Parenting Profiles in Military Families: Intervention-Related Transitions and Relationships to Child Adjustment.Prevention science : the official journal of the Society for Prevention Research · 2024
    Trial
  4. Trial
  5. Trial
  6. Web-based alcohol intervention for veterans: PTSD, combat exposure, and alcohol outcomes.Psychological trauma : theory, research, practice and policy · 2018
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Review
  14. Article
  15. Article
  16. PTSD symptom clusters and alcohol use among midlife women Veterans.Journal of military, veteran and family health · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

159 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Isabel G JacobsonDoD Center for Deployment Health Research, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106-3521, USA. Isabel.Jacobson@med.navy.mil
Margaret A K Ryan
Tomoko I Hooper
Tyler C Smith
Paul J Amoroso
Edward J Boyko
Gary D Gackstetter
Timothy S Wells
Nicole S Bell
Naval Health Research Center · US

Funding

Alcohol and intentional injury in the U.S ArmyR01AA013324 · NIAAA · SOCIAL SECTORS DEVELOP STRATEGIES · PI BELL, NICOLE SUZANNE · 2001 to 2004
$1.5M
NIAAA NIH HHS R01 AA013324NIAAA NIH HHS R01-AA13324
6 · The paper itself

Abstract

contextHigh rates of alcohol misuse after deployment have been reported among personnel returning from past conflicts, yet investigations of alcohol misuse after return from the current wars in Iraq and Afghanistan are lacking.

objectivesTo determine whether deployment with combat exposures was associated with new-onset or continued alcohol consumption, binge drinking, and alcohol-related problems. DESIGN, SETTING, AND

participantsData were from Millennium Cohort Study participants who completed both a baseline (July 2001 to June 2003; n=77,047) and follow-up (June 2004 to February 2006; n=55,021) questionnaire (follow-up response rate = 71.4%). After we applied exclusion criteria, our analyses included 48,481 participants (active duty, n = 26,613; Reserve or National Guard, n = 21,868). Of these, 5510 deployed with combat exposures, 5661 deployed without combat exposures, and 37 310 did not deploy.

main outcome measuresNew-onset and continued heavy weekly drinking, binge drinking, and alcohol-related problems at follow-up.

resultsBaseline prevalence of heavy weekly drinking, binge drinking, and alcohol-related problems among Reserve or National Guard personnel who deployed with combat exposures was 9.0%, 53.6%, and 15.2%, respectively; follow-up prevalence was 12.5%, 53.0%, and 11.9%, respectively; and new-onset rates were 8.8%, 25.6%, and 7.1%, respectively. Among active-duty personnel, new-onset rates were 6.0%, 26.6%, and 4.8%, respectively. Reserve and National Guard personnel who deployed and reported combat exposures were significantly more likely to experience new-onset heavy weekly drinking (odds ratio [OR], 1.63; 95% confidence interval [CI], 1.36-1.96), binge drinking (OR, 1.46; 95% CI, 1.24-1.71), and alcohol-related problems (OR, 1.63; 95% CI, 1.33-2.01) compared with nondeployed personnel. The youngest members of the cohort were at highest risk for all alcohol-related outcomes.

conclusionReserve and National Guard personnel and younger service members who deploy with reported combat exposures are at increased risk of new-onset heavy weekly drinking, binge drinking, and alcohol-related problems.

Indexed as

WarfareAdultAfghanistanAlcohol DrinkingAlcohol-Related DisordersCombat DisordersFemaleHumansIraqIraq War, 2003-2011MaleMiddle AgedMilitary PersonnelUnited States

Identifiers

PMID18698065
PMCPMC2680184
OpenAlexW2081127192

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.