Evidence map›Paper›PMID 26693830›Full record

SynthesisThe American journal on addictions2016

The epidemiology of substance use disorders in US Veterans: A systematic review and analysis of assessment methods.

Chiao-Wen Lan, David A Fiellin, Declan T Barry, Kendall J Bryant, Adam J Gordon, E Jennifer Edelman, Julie R Gaither, Stephen A Maisto, Brandon D L Marshall

Abstract readSystematic Review
In one paragraph

Synthesis in The American journal on addictions, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–field-weighted citation impact
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

47 citing papers in PubMed.

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  11. Cannabis Use Among Older Adults.JAMA network open · 2025
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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

9 authors.

Chiao-Wen LanDepartment of Community Health Sciences, University of California, Los Angeles, Fielding School of Public Health, Los Angeles, California.
David A FiellinDepartment of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Declan T BarryDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Kendall J BryantNational Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland.
Adam J GordonCenter for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania.
E Jennifer EdelmanDepartment of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Julie R GaitherDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, Connecticut.
Stephen A MaistoDepartment of Psychology, Syracuse University, Syracuse, New York.
Brandon D L MarshallDepartment of Epidemiology, Brown University, School of Public Health, Providence, Rhode Island.

Funding

Yale Drug use, Addiction and HIV Research Scholars (DAHRS)K12DA033312 · NIDA · YALE UNIVERSITY · PI Gail D'Onofrio, Patrick O'Connor · 2013 to 2026
$7.2M
Research and Mentoring on Alcohol Clinical and Human Laboratory ResearchK05AA016928 · NIAAA · SYRACUSE UNIVERSITY · PI MAISTO, STEPHEN A · 2008 to 2017
$2.1M
Minority Populations Resource CoreU24AA022000 · NIAAA · BROWN UNIVERSITY · PI OPERARIO, DON · 2012 to 2015
$1.9M
NIAAA NIH HHS K05 AA016928NIAAA NIH HHS K05-AA16928NIAAA NIH HHS U24 AA022000NIAAA NIH HHS U24-AA022000NIDA NIH HHS K12 DA033312NIDA NIH HHS K12-DA-33312-03
6 · The paper itself

Abstract

backgroundSubstance use disorders (SUDs), which encompass alcohol and drug use disorders (AUDs, DUDs), constitute a major public health challenge among US veterans. SUDs are among the most common and costly of all health conditions among veterans.

objectivesThis study sought to examine the epidemiology of SUDs among US veterans, compare the prevalence of SUDs in studies using diagnostic and administrative criteria assessment methods, and summarize trends in the prevalence of SUDs reported in studies sampling US veterans over time.

methodsComprehensive electronic database searches were conducted. A total of 3,490 studies were identified. We analyzed studies sampling US veterans and reporting prevalence, distribution, and examining AUDs and DUDs.

resultsOf the studies identified, 72 met inclusion criteria. The studies were published between 1995 and 2013. Studies using diagnostic criteria reported higher prevalence of AUDs (32% vs. 10%) and DUDs (20% vs. 5%) than administrative criteria, respectively. Regardless of assessment method, both the lifetime and past year prevalence of AUDs in studies sampling US veterans has declined gradually over time.

conclusionThe prevalence of SUDs reported in studies sampling US veterans are affected by assessment method. Given the significant public health problems of SUDs among US veterans, improved guidelines for clinical screening using validated diagnostic criteria to assess AUDs and DUDs in US veteran populations are needed. SCIENTIFIC SIGNIFICANCE: These findings may inform VA and other healthcare systems in prevention, diagnosis, and intervention for SUDs among US veterans.

Indexed as

Data AccuracyHumansPrevalenceSubstance-Related DisordersUnited StatesVeterans

Identifiers

PMID26693830
PMCPMC5123305

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.