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The Association of Lifetime and Deployment-Acquired Traumatic Brain Injury With Postdeployment Binge and Heavy Drinking.


ABSTRACT:

Objective

To investigate associations of lifetime traumatic brain injury (LT-TBI) prior to an index deployment, and/or deployment-acquired TBI (DA-TBI), with postdeployment binge and heavy drinking.

Setting

Soldiers from 3 Brigade Combat Teams deployed to Afghanistan in 2012.

Participants

A total of 4645 soldiers who participated in the Army STARRS Pre/Post Deployment Study and completed 4 assessments: T0 (1-2 months predeployment), T1 (upon return to United States), T2 (3 months postdeployment), and T3 (9 months postdeployment).

Design

Prospective, longitudinal study controlling for baseline binge drinking.

Main measures

Self-reported past month binge drinking (5+ alcoholic beverages on the same day) and past month heavy drinking (binge drinking at least weekly) at T2 and T3.

Results

In total, 34.3% screened positive for LT-TBI, and 19.2% screened positive for DA-TBI. At T2 only, LT-TBI, but not DA-TBI, was associated with increased odds of binge drinking (adjusted odds ratio [AOR] = 1.39, 95% confidence interval [CI]: 1.20-1.60, P < .001) and heavy drinking (AOR = 1.28, 95% CI: 1.09-1.49, P = .007). Among the subgroup with LT-TBI, also having DA-TBI was associated with increased risk of heavy drinking at T3 (AOR = 1.42, 95% CI: 1.03-1.95, P = .047).

Conclusion

Routine screening for LT-TBI may help target efforts to prevent alcohol misuse among military members.

SUBMITTER: Adams RS 

PROVIDER: S-EPMC6940520 | biostudies-literature | 2020 Jan/Feb

REPOSITORIES: biostudies-literature

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Publications

The Association of Lifetime and Deployment-Acquired Traumatic Brain Injury With Postdeployment Binge and Heavy Drinking.

Adams Rachel Sayko RS   Campbell-Sills Laura L   Stein Murray B MB   Sun Xiaoying X   Larson Mary Jo MJ   Kessler Ronald C RC   Ursano Robert J RJ   Jain Sonia S   Corrigan John D JD  

The Journal of head trauma rehabilitation 20200101 1


<h4>Objective</h4>To investigate associations of lifetime traumatic brain injury (LT-TBI) prior to an index deployment, and/or deployment-acquired TBI (DA-TBI), with postdeployment binge and heavy drinking.<h4>Setting</h4>Soldiers from 3 Brigade Combat Teams deployed to Afghanistan in 2012.<h4>Participants</h4>A total of 4645 soldiers who participated in the Army STARRS Pre/Post Deployment Study and completed 4 assessments: T0 (1-2 months predeployment), T1 (upon return to United States), T2 (3  ...[more]

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