Cited by 75Substance Abuse Treatment and OutcomesEducation and Military IntegrationHomelessness and Social Issues

Alcohol and Drug Misuse, Abuse, and Dependence in Women Veterans

Hoggatt, K. J., Jamison, A. L., Lehavot, K., Cucciare, M. A., Timko, C., Simpson, T. L.·2015·Epidemiologic Reviews

Abstract

We conducted a systematic literature review on substance misuse, abuse, and dependence in women veterans, including National Guard/reserve members. We identified 837 articles published between 1980 and 2013. Of 56 included studies, 32 reported rates of alcohol misuse, binge drinking, or other unhealthy alcohol use not meeting diagnostic criteria for abuse or dependence, and 33 reported rates of drug misuse or diagnosed alcohol or drug use disorders. Rates ranged from 4% to 37% for alcohol misuse and from 7% to 25% for binge drinking; among Veterans Health Administration (VA) health-care system outpatients, rates ranged from 3% to 16% for substance use disorder. Studies comparing women veterans and civilians reported no clear differences in binge or heavy drinking. Substance misuse rates were generally lower among women veterans than men veterans. Substance misuse was associated with higher rates of trauma, psychiatric and medical conditions, and increased mortality and suicide rates. Most studies included only VA patients, and many used only VA medical record data; therefore, the reported substance misuse rates likely do not reflect true prevalence. Rates also varied by assessment method, source of data, and the subgroups studied. Further efforts to develop epidemiologically valid prevalence estimates are needed to capture the true health burden of substance misuse in women veterans, particularly those not using VA care.

Integrity signals

Registry

Crossref · 10.1093/epirev/mxu010

Cites

108 of 108 references verified0 citation errors · 0 not checkable

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Authors
Hoggatt, K. J., Jamison, A. L., Lehavot, K., Cucciare, M. A., Timko, C., & Simpson, T. L.
Affiliations
  • University of California, Los Angeles (US)
  • University of Washington (US)
  • University of Arkansas for Medical Sciences (US)
  • Stanford University (US)
  • VA Puget Sound Health Care System (US)
Venue
Epidemiologic Reviews
Published
2015-01-01
Volume
37
Issue
1
Pages
23-37
ISSN
  • 0193-936X (ISSN-L)
  • 1478-6729
OpenAlex
W1980689063
Cited by
75
References
109
Citations by year
2026: 4 · 2025: 7 · 2024: 5 · 2023: 5 · 2022: 5 · 2021: 5 · 2020: 7 · 2019: 5 · 2018: 7 · 2017: 12 · 2016: 6 · 2015: 5 · 2014: 1
FWCI
1.29
Type
journal article
Language
en
Open access
closed
Locations
  • Epidemiologic Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Education › Education and Military Integration
  • Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
Keywords
women veterans, alcohol abuse, binge drinking, drug abuse, substance use disorders, alcoholism, trauma, suicide, mortality, prevalence estimates, Veterans Health Administration
MeSH terms
Female, Humans, United States, Veterans, Substance-Related Disorders, Veterans Health

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