Evidence map›Paper›PMID 25089013›Full record

ArticleAmerican journal of preventive medicine2014

Civilian stressors associated with alcohol use disorders in the National Guard.

Magdalena Cerdá, Catherine Richards, Greg H Cohen, Joseph R Calabrese, Israel Liberzon, Marijo Tamburrino, Sandro Galea, Karestan C Koenen

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Military service and alcohol use: a systematic narrative review.Occupational medicine (Oxford, England) · 2022
    Pooled it
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  9. Trauma is a public health issue.European journal of psychotraumatology · 2017
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Magdalena CerdáDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York. Electronic address: mc3226@columbia.edu.
Catherine RichardsDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.
Greg H CohenDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.
Joseph R CalabreseDepartment of Psychiatry, Case Western Reserve University, Cleveland.
Israel LiberzonDepartment of Psychology, University of Michigan, Ann Arbor, Michigan.
Marijo TamburrinoDepartment of Psychiatry, University of Toledo, Toledo, Ohio.
Sandro GaleaDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.
Karestan C KoenenDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York.
Columbia University · USCase Western Reserve University · USUniversity of Michigan–Ann Arbor · USUniversity of Toledo · US

Funding

Mental Health and Service Utilization Among Reserve and National Guard ForcesR01MH082729 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GALEA, SANDRO · 2008 to 2012
$3.0M
The Cross-National Epidemiology of Trauma Exposure and PTSDR01MH093612 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KOENEN, KARESTAN C · 2011 to 2013
$2.0M
Trajectories of Substance Use and Comorbid Mental IllnessK01DA030449 · NIDA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CERDA, MAGDALENA · 2011 to 2015
$897k
Neighborhood interventions in alcohol-related homicide: a systems approachR21AA021909 · NIAAA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CERDA, MAGDALENA, KEYES, KATHERINE M. · 2013 to 2014
$414k
NIAAA NIH HHS R21 AA021909NIDA NIH HHS DA030449NIDA NIH HHS K01 DA030449NIMH NIH HHS MH082729NIMH NIH HHS MH093612NIMH NIH HHS R01 MH082729NIMH NIH HHS R01 MH093612
6 · The paper itself

Abstract

backgroundAlcohol use disorders are a serious public health concern among soldiers. Although deployment-related exposures have been linked with alcohol use disorders in soldiers, less is understood about the link between modifiable, civilian stressors and post-deployment alcohol use disorders. PURPOSE: To (1) compare the influence of civilian stressors and deployment-related traumatic events and stressors on post-deployment alcohol use disorders among Army National Guardsmen primarily deployed to Afghanistan and Iraq; and (2) evaluate whether civilian stressors influence a different set of alcohol use disorder phenotypes than deployment-related traumatic events and stressors.

methodsA cohort of Ohio National Guard soldiers was recruited in 2008-2009 and interviewed three times over 3 years. The analytic sample included Ohio National Guard soldiers who had been deployed by 2008-2009, had participated in at least one follow-up wave, had reported consuming at least one alcoholic drink in their lifetime, and had non-missing data on alcohol use disorders (n=1,095). Analyses were conducted in 2013.

resultsIn a model including measures of civilian stressors and deployment-related traumatic events, only civilian stressors (OR=2.07, 95% CI=1.46, 2.94) were associated with subsequent alcohol use disorder. The effects of civilian stressors were only present among people with no history of alcohol use disorder.

conclusionsIndependent of deployment-related exposures, post-deployment civilian stressors are associated with the onset of alcohol use disorder among reserve-component soldiers. Concerted investment to address daily civilian difficulties associated with reintegration into civilian life may be needed to prevent new cases of alcohol use disorders among returning military personnel.

Indexed as

Afghan Campaign 2001-Alcohol-Related DisordersFemaleFollow-Up StudiesHumansIraq War, 2003-2011MaleMilitary PersonnelOhioStress, Psychological

Identifiers

PMID25089013
PMCPMC4171186
OpenAlexW2042844152

What OpenQuestion holds

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Registered trials

None linked

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.