Evidence map›Paper›PMID 27883222›Full record

ArticleAlcoholism, clinical and experimental research2017

Alcohol Misuse and Co-Occurring Mental Disorders Among New Soldiers in the U.S. Army.

Murray B Stein, Laura Campbell-Sills, Joel Gelernter, Feng He, Steven G Heeringa, Matthew K Nock, Nancy A Sampson, Xiaoying Sun, Sonia Jain, Ronald C Kessler and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.8field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 44 citations in OpenAlex.

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  9. The Interaction Between Alcohol Misuse and Belongingness on Suicidal Ideation Among Military Personnel.International journal of environmental research and public health · 2025
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  19. Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2020
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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

12 authors at 5 institutions in 1 country.

Murray B SteinDepartment of Psychiatry, University of California San Diego, La Jolla, California.
Laura Campbell-SillsDepartment of Psychiatry, University of California San Diego, La Jolla, California.
Joel GelernterDepartment of Psychiatry, Yale University, West Haven, Connecticut.
Feng HeDepartment of Family Medicine and Public Health, University of California San Diego, La Jolla, California.
Steven G HeeringaUniversity of Michigan, Ann Arbor, Michigan.
Matthew K NockDepartment of Psychology, Harvard University, Cambridge, Massachusetts.
Nancy A SampsonHarvard Medical School, Boston, Massachusetts.
Xiaoying SunDepartment of Family Medicine and Public Health, University of California San Diego, La Jolla, California.
Sonia JainDepartment of Family Medicine and Public Health, University of California San Diego, La Jolla, California.
Ronald C KesslerHarvard Medical School, Boston, Massachusetts.
Robert J UrsanoUniformed Services University of the Health Sciences, Bethesda, Maryland.
Army STARRS Collaborators
University of California, San Diego · USHarvard University · USMichigan United · USUniformed Services University of the Health Sciences · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Modifiable Risk and Protective Factors for Suicidal Behaviors in the US ArmyU01MH087981 · NIMH · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI STEIN, MURRAY B., URSANO, ROBERT J. · 2009 to 2013
$65.0M
NCATS NIH HHS UL1 TR001863NIMH NIH HHS U01 MH087981
6 · The paper itself

Abstract

backgroundProblem drinking that predates enlistment into military service may contribute to the overall burden of alcohol misuse in the Armed Forces; however, evidence bearing on this issue is limited. This study examines prevalence and correlates of alcohol misuse among new U.S. Army soldiers.

methodsCross-sectional survey data were collected from soldiers reporting for basic combat training. The survey retrospectively assessed lifetime alcohol consumption and substance abuse/dependence, enabling estimation of the prevalence of lifetime binge drinking and heavy drinking in a sample of 30,583 soldiers and of probable alcohol use disorder (AUD) among 26,754 soldiers with no/minimal lifetime use of other drugs. Co-occurrence of mental disorders and other adverse outcomes with binge drinking, heavy drinking, and AUD was examined. Discrete-time survival analysis, with person-year the unit of analysis and a logistic link function, was used to estimate associations of AUD with subsequent onset of mental disorders and vice versa.

resultsWeighted prevalence of lifetime binge drinking was 27.2% (SE = 0.4) among males and 18.9% (SE = 0.7) among females; respective estimates for heavy drinking were 13.9% (SE = 0.3) and 9.4% (SE = 0.4). Among soldiers with no/minimal drug use, 9.5% (SE = 0.2) of males and 7.2% (SE = 0.5) of females had lifetime AUD. Relative to no alcohol misuse, binge drinking, heavy drinking, and AUD were associated with increased odds of all mental disorders and other adverse outcomes under consideration (adjusted odds ratios [AORs] = 1.5 to 4.6; ps < 0.001). Prior mental disorders and suicidal ideation were associated with onset of AUD (AORs = 2.3 to 2.8; ps < 0.001), and prior AUD was associated with onset of mental disorders and suicidal ideation (AORs = 2.0 to 3.2, ps < 0.005).

conclusionsStrong bidirectional associations between alcohol misuse and mental disorders were observed in a cohort of soldiers beginning Army service. Conjoint recognition of alcohol misuse and mental disorders upon enlistment may provide opportunities for risk mitigation early in a soldier's career.

Indexed as

AdolescentAlcohol-Related DisordersCross-Sectional StudiesDiagnosis, Dual (Psychiatry)FemaleHumansMaleMental DisordersMilitary PersonnelUnited StatesYoung AdultAlcoholismComorbidityMilitarySuicidalityYoung Adults

Identifiers

PMID27883222
PMCPMC5205544
OpenAlexW2554356877

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.