Alcohol and Drug Misuse, Abuse, and Dependence in Women Veterans
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.
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Suicide, homelessness and substance abuse, among other adverse outcomes, have been associated with major depression or generalized anxiety disorder and are concerns for active military personnel and/or veterans.
“Suicide, homelessness and substance abuse, among other adverse outcomes, have been associated with major depression or generalized anxiety disorder and are concerns for active military personnel and/or veterans (Nock et al. 2014; Hoggatt et al. 2015; Tsai & Rosenheck 2015).”
From Childhood adversity, adult stress, and the risk of major depression or generalized anxiety disorder in US soldiers: a test of the stress sensitization hypothesis (2017) · cites this paper as Hoggatt et al. 2015
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Self-citationSubstance Use Disorder Treatment Services for Women in the Veterans Health Administration
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Self-citationAssociation of Alcohol Misuse With Sexual Identity and Sexual Behavior in Women Veterans
Lehavot, K., Williams, E. C., Millard, S. P., Bradley, K. A., & Simpson, T. L. (2016) · Substance Use & Misuse · doi:10.3109/10826084.2015.1092988 · Cited by 15 · see citing works
Self-citationEvans, E., Glover, D. L., Washington, D. L., & Hamilton, A. B. (2018) · Substance Use & Misuse · doi:10.1080/10826084.2018.1441309 · Cited by 15 · see citing works
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Self-citationUnderstanding the Mental Health Needs of a Community-Sample of UK Women Veterans
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Epidemiologic Approaches to Veterans' Health
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Self-citationWVSUD-PACT: a Primary-Care-Based Substance Use Disorder Team for Women Veterans
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Four Decades after War: Incident Diabetes among Women Vietnam-Era Veterans in the HealthViEWS Study
Schmidt, E. M., Magruder, K. M., Kilbourne, A. M., Stock, E. M., Cypel, Y., Félix, S. E. B., Serpi, T., Kimerling, R. E., Cohen, B. E., Spiro, A., et al. (2019) · Women s Health Issues · doi:10.1016/j.whi.2019.08.002 · Cited by 4 · see citing works
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Alcohol and Alcohol Use Disorder
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Implications of Physical Activity in Reducing Alcohol Use for Women Veterans: A Narrative Review
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Caring for the Geriatric Combat Veteran at the Veteran Affairs Hospital
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Self-citationTrends in and correlates of unhealthy alcohol consumption among United States Veterans, 2016–2024
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Self-citationCardiovascular Risk Factors and Health Behaviors of Women Veterans
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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
- Publisher
- Oxford University Press (OUP)
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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