Abstract Background: Veterans are a unique population that may be at increased risk of tobacco use disorder and nicotine dependence (ND). We analyzed data from the National Health and Resilience in Veterans Study (NHRVS), a large nationally representative sample of US veterans, in order to more fully understand the prevalence and correlates of lifetime ND in US Veterans. Methods: Descriptive statistics were conducted to summarize health and functioning/quality of life characteristics among veterans with and without lifetime ND. Hierarchical binary logistic regression analyses were conducted to evaluate the relationship between ND and psychiatric and physical health variables. Results: Compared with veterans without lifetime ND, veterans with lifetime ND were more likely to screen positive for several lifetime psychiatric disorders including current alcohol use disorder (odds ratio [OR] 2.79 [95% confidence interval [CI] 2.23, 3.49]), depression (OR 1.86 [1.38, 2.50]), and PTSD (OR 1.68 [1.14, 2.47]). From a medical standpoint, they were more likely to endorse having kidney disease (OR 4.18 [2.55, 6.86]), heart attack (OR 2.09 [1.51, 2.89]), and rheumatoid arthritis (1.90 [1.20, 3.00]) in addition to other conditions. They scored lower in overall physical functioning and higher in somatization symptoms. Conclusions: Veterans with lifetime ND in the NHRVS survey were more likely to have psychiatric and medical conditions and lower physical functioning compared with Veterans without lifetime ND. Veterans with lifetime ND may therefore require a comprehensive and integrated approach to care that includes attention to co-morbid illness in addition to drug addiction.

中文翻译：

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美国退伍军人的尼古丁依赖：国家退伍军人健康和复原力研究的结果


摘要背景：退伍军人是一个独特的人群，他们患烟草使用障碍和尼古丁依赖 (ND) 的风险可能更高。我们分析了国家退伍军人健康和复原力研究 (NHRVS) 的数据，这是一个具有全国代表性的美国退伍军人样本，以便更全面地了解美国退伍军人终生 ND 的患病率和相关性。方法：通过描述性统计来总结患有或未患有终生 ND 的退伍军人的健康和功能/生活质量特征。进行分层二元 Logistic 回归分析来评估 ND 与精神和身体健康变量之间的关系。结果：与没有终生 ND 的退伍军人相比，终生 ND 的退伍军人更有可能对多种终生精神疾病筛查呈阳性，包括目前的酒精使用障碍（比值比 [OR] 2.79 [95% 置信区间 [CI] 2.23, 3.49]），抑郁症（OR 1.86 [1.38, 2.50]）和 PTSD（OR 1.68 [1.14, 2.47]）。从医学角度来看，他们更有可能患有肾脏疾病（OR 4.18 [2.55, 6.86]）、心脏病（OR 2.09 [1.51, 2.89]）和类风湿性关节炎（1.90 [1.20, 3.00]）。其他条件。他们的整体身体机能得分较低，而躯体化症状得分较高。结论：与没有终身 ND 的退伍军人相比，在 NHRVS 调查中患有终身 ND 的退伍军人更有可能患有精神和医疗状况，并且身体机能较低。因此，患有终生 ND 的退伍军人可能需要采取全面、综合的护理方法，其中包括除了毒瘾之外还关注共存疾病。