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Introduction: Alcohol use disorder (AUD) is prevalent among veterans, and excessive alcohol use is associated with significant mental and physical health consequences. Currently, the largest cohort of veterans seeking services at the VA are those from the 1990s Gulf War Era. This cohort of veterans is unique due to the nature of their deployment resulting in a myriad of unexplained symptoms collectively known as "Gulf War Illness" and higher rates of mental health problems. The present study sought to examine the association between probable AUD and mental health treatment utilization in a sample of 1126 (882 male) Gulf War-era veterans.

Methods: Veterans completed a self-report survey including the AUDIT-C, questions about mental health treatment engagement, and demographic questions.

Results: Results demonstrated that approximately 20 % of the sample screened positive for probable AUD, determined by standard AUDIT-C cutoff scores. Among those screening positive for AUD, 25 % reported engaging in mental health treatment in the past year. Veterans with probable AUD who use VA care had 3.8 times the odds of receiving mental health services than veterans not using VA care. Use of mental health services was associated with mental health comorbidity and identifying as Black/African American.

Conclusions: The results of the present study highlight a significant unmet need for mental health treatment among Gulf War-era veterans with AUD.

Competing Interests: Declaration of competing interest The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the United States Government or the Department of Veterans Affairs. The authors have no other conflicts of interest or other disclosures to disclose.

(Published by Elsevier Inc.)

Titel:	Mental health treatment utilization among Gulf War era veterans with probable alcohol use disorder.
Autor/in / Beteiligte Person:	Aurora, P ; Paquette, CE ; Beckham, JC ; Pugh, MJ ; Kimbrel, NA ; Calhoun, PS
Zeitschrift:	Journal of substance use and addiction treatment, Jg. 160 (2024-05-01), S. 209295
Veröffentlichung:	[New York] : Elsevier Inc., [2023]-, 2024
Medientyp:	academicJournal
ISSN:	2949-8759 (electronic)
DOI:	10.1016/j.josat.2024.209295
Schlagwort:	Humans Male Female Middle Aged Adult United States epidemiology Patient Acceptance of Health Care statistics & numerical data Patient Acceptance of Health Care psychology Veterans psychology Veterans statistics & numerical data Mental Health Services statistics & numerical data Gulf War Alcoholism epidemiology Alcoholism therapy Alcoholism psychology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S. Language: English [J Subst Use Addict Treat] 2024 May; Vol. 160, pp. 209295. <i>Date of Electronic Publication: </i>2024 Jan 24. MeSH Terms: Veterans* / psychology ; Veterans* / statistics & numerical data ; Mental Health Services* / statistics & numerical data ; Gulf War* ; Alcoholism* / epidemiology ; Alcoholism* / therapy ; Alcoholism* / psychology ; Humans ; Male ; Female ; Middle Aged ; Adult ; United States / epidemiology ; Patient Acceptance of Health Care / statistics & numerical data ; Patient Acceptance of Health Care / psychology References: Aging Ment Health. 2004 Jul;8(4):346-54. (PMID: 15370050) ; J Occup Environ Med. 2009 Apr;51(4):401-10. (PMID: 19322107) ; Epidemiol Rev. 2015;37:38-54. (PMID: 25589053) ; Drug Alcohol Depend. 2013 Sep 1;132(1-2):101-6. (PMID: 23465735) ; Psychiatr Serv. 2017 Aug 1;68(8):803-809. (PMID: 28412888) ; Alcohol Clin Exp Res. 2005 May;29(5):844-54. (PMID: 15897730) ; Soc Psychiatry Psychiatr Epidemiol. 2014 Sep;49(9):1489-99. (PMID: 23900549) ; J Addict Dis. 2006;25(4):1-14. (PMID: 17088221) ; Prev Chronic Dis. 2011 May;8(3):A52. (PMID: 21477492) ; Am J Addict. 2021 Jan;30(1):26-33. (PMID: 32573050) ; Arch Intern Med. 1998 Sep 14;158(16):1789-95. (PMID: 9738608) ; Mil Med. 2015 Nov;180(11):1161-9. (PMID: 26540708) ; Am J Psychiatry. 1999 Dec;156(12):1924-30. (PMID: 10588406) ; Stat Med. 2011 Feb 20;30(4):377-99. (PMID: 21225900) ; Addiction. 2017 Jun;112(6):968-1001. (PMID: 28220587) ; J Nerv Ment Dis. 2006 Nov;194(11):826-32. (PMID: 17102706) ; Int J Environ Res Public Health. 2014 Oct 15;11(10):10559-86. (PMID: 25321874) ; J Subst Abuse Treat. 2002 Jan;22(1):1-9. (PMID: 11849902) ; Addiction. 2016 Oct;111(10):1786-94. (PMID: 27061707) ; Drug Alcohol Depend. 2022 Feb 1;231:109240. (PMID: 34974271) ; J Addict Dis. 2014;33(4):332-9. (PMID: 25299826) ; J Gen Intern Med. 2016 Oct;31(10):1206-11. (PMID: 27170304) ; J Subst Abuse Treat. 2017 Feb;73:27-34. (PMID: 28017181) ; Nutrients. 2021 Sep 09;13(9):. (PMID: 34579021) ; JAMA. 1990 Nov 21;264(19):2511-8. (PMID: 2232018) ; Hepatology. 2020 Jun;71(6):2080-2092. (PMID: 31758811) ; Alcohol Clin Exp Res. 2002 Feb;26(2):272-9. (PMID: 11964568) ; Soc Psychiatry Psychiatr Epidemiol. 2012 Oct;47(10):1617-25. (PMID: 22218726) ; Am J Manag Care. 2006 Oct;12(10):597-606. (PMID: 17026414) ; J Gen Intern Med. 2008 May;23(5):654-71. (PMID: 18301951) ; Drug Alcohol Depend. 2005 Sep 1;79(3):295-302. (PMID: 16102373) ; Psychiatr Serv. 2008 Aug;59(8):893-901. (PMID: 18678687) ; JAMA. 1997 Jan 15;277(3):238-45. (PMID: 9005274) ; Community Ment Health J. 2019 Oct;55(7):1120-1124. (PMID: 31292835) ; J Clin Psychiatry. 2008 Nov;69(11):1686-93. (PMID: 19012816) ; Psychiatry Res. 2014 Dec 30;220(3):1118-24. (PMID: 25238984) ; Br J Psychiatry. 2007 May;190:385-93. (PMID: 17470952) ; J Psychiatr Res. 2021 Oct;142:17-24. (PMID: 34314990) ; Arch Intern Med. 2003 Apr 14;163(7):821-9. (PMID: 12695273) ; Int J Epidemiol. 1998 Dec;27(6):1000-10. (PMID: 10024195) ; Drug Alcohol Depend. 2017 Sep 1;178:527-533. (PMID: 28728114) ; Med Care. 2003 Nov;41(11):1284-92. (PMID: 14583691) ; Int J Environ Res Public Health. 2021 Mar 02;18(5):. (PMID: 33801200) ; Psychiatr Serv. 2009 May;60(5):663-70. (PMID: 19411355) ; Am J Drug Alcohol Abuse. 2016 May;42(3):269-78. (PMID: 26154366) ; J Stud Alcohol Drugs. 2018 Nov;79(6):853-861. (PMID: 30573015) ; Alcohol Clin Exp Res. 2007 Feb;31(2):185-99. (PMID: 17250609) Grant Information: I01 HX001682 United States HX HSRD VA; IK6 BX003777 United States BX BLRD VA Contributed Indexing: Keywords: Alcohol; Mental health; Treatment utilization; Veterans Entry Date(s): Date Created: 20240125 Date Completed: 20240430 Latest Revision: 20240502 Update Code: 20240502 PubMed Central ID: PMC11060892

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Mental health treatment utilization among Gulf War era veterans with probable alcohol use disorder.