ArticlePsychological medicine2018
Prospective risk factors for post-deployment heavy drinking and alcohol or substance use disorder among US Army soldiers.
Article in Psychological medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Military service and alcohol use: a systematic narrative review.Occupational medicine (Oxford, England) · 2022Pooled it
- Substance use risk among school going adolescents in India: secondary analysis of Community Based Peer-Led Intervention (CPLI) trial.The Lancet regional health. Southeast Asia · 2026Article
- Alcohol Use and Operational Readiness in the U.S. Active-duty Military: A Review of Burden, Culture, and Barriers to Care.Current psychiatry reports · 2026Review
- Digital health interventions for women in frontline public service roles: A systematic review of effectiveness in reducing substance use.PLOS digital health · 2026Article
- Artificial Intelligence-Enabled, Real-time Risk Monitoring for Substance Use Recovery in Veterans: An Initial Evaluation of the Behaivior Recovery Platform.Military medicine · 2025Article
- Interactive effects of genetic liability and combat exposure on risk of alcohol use disorder among US service members.Drug and alcohol dependence · 2024Article
- Preventing Substance Use and Overdose Among Young Adults: The Role of Social Determinants of Health.Focus (American Psychiatric Publishing) · 2024Article
- Heavy Drinking by Occupation in Spain: Differences Between Weekdays and the Weekend.Journal of community health · 2024Article
- The relationship of risk-related behaviors and substance use among U.S. Army National Guard/Army Reserve soldiers and deployment differences.Journal of military social work and behavioral health services · 2024Article
- Social network size and personality traits independently and prospectively predict distress disorders and suicidal behavior in U.S. Army soldiers.Psychological medicine · 2023Article
- Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2023Article
- Article
- Unit cohesion during deployment and post-deployment mental health: is cohesion an individual- or unit-level buffer for combat-exposed soldiers?Psychological medicine · 2022Article
- Postconcussive, posttraumatic stress and depressive symptoms in recently deployed U.S. Army soldiers with traumatic brain injury.Psychological assessment · 2019Article
- The Neuroscience of Drug Reward and Addiction.Physiological reviews · 2019Review
- Prospective associations of perceived unit cohesion with postdeployment mental health outcomes.Depression and anxiety · 2019Article
- Article
- The Association of Lifetime and Deployment-Acquired Traumatic Brain Injury With Postdeployment Binge and Heavy Drinking.The Journal of head trauma rehabilitationArticle
- Behavioral health and treatment-seeking behaviors among deployed vs. non-deployed service members: How impactful is deployment on well-being?Military psychology : the official journal of the Division of Military Psychology, American Psychological AssociationArticle
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundInvestigations of drinking behavior across military deployment cycles are scarce, and few prospective studies have examined risk factors for post-deployment alcohol misuse.
methodsPrevalence of alcohol misuse was estimated among 4645 US Army soldiers who participated in a longitudinal survey. Assessment occurred 1-2 months before soldiers deployed to Afghanistan in 2012 (T0), upon their return to the USA (T1), 3 months later (T2), and 9 months later (T3). Weights-adjusted logistic regression was used to evaluate associations of hypothesized risk factors with post-deployment incidence and persistence of heavy drinking (HD) (consuming 5 + alcoholic drinks at least 1-2×/week) and alcohol or substance use disorder (AUD/SUD).
resultsPrevalence of past-month HD at T0, T2, and T3 was 23.3% (s.e. = 0.7%), 26.1% (s.e. = 0.8%), and 22.3% (s.e. = 0.7%); corresponding estimates for any binge drinking (BD) were 52.5% (s.e. = 1.0%), 52.5% (s.e. = 1.0%), and 41.3% (s.e. = 0.9%). Greater personal life stress during deployment (e.g., relationship, family, or financial problems) - but not combat stress - was associated with new onset of HD at T2 [per standard score increase: adjusted odds ratio (AOR) = 1.20, 95% CI 1.06-1.35, p = 0.003]; incidence of AUD/SUD at T2 (AOR = 1.54, 95% CI 1.25-1.89, p < 0.0005); and persistence of AUD/SUD at T2 and T3 (AOR = 1.30, 95% CI 1.08-1.56, p = 0.005). Any BD pre-deployment was associated with post-deployment onset of HD (AOR = 3.21, 95% CI 2.57-4.02, p < 0.0005) and AUD/SUD (AOR = 1.85, 95% CI 1.27-2.70, p = 0.001).
conclusionsAlcohol misuse is common during the months preceding and following deployment. Timely intervention aimed at alleviating/managing personal stressors or curbing risky drinking might reduce risk of alcohol-related problems post-deployment.
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