Substance use among women veterans: epidemiology to evidence-based treatment.

Cucciare MA, Simpson T, Hoggatt KJ, Gifford E, Timko C. Substance use among women veterans: epidemiology to evidence-based treatment. Journal of addictive diseases. 2013 Jan 1; 32(2):119-39.

Related HSR&D Project(s)

• CDA 11-261 – Improving care for women Veterans with substance use disorders
• RRP 12-449 – Implementing Symptom Monitoring in Substance Use Disorder Specialty Care Programs
• RCS 00-001 – Quality and Care of Substance Abuse and Psychiatric Treatment
• SDR 10-012 – Women's Health Research Consortium/Practice-Based Research Network
• CDA 08-004 – Implementing Evidence-Based Mental Health Practices in Primary Care

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Abstract:

An increasing percentage of women are U.S. Military Veterans. We review the substance misuse rates and comorbidities and the risk factors for and consequences of substance use among women Veterans. Women Veterans may have higher rates of substance misuse and comorbid psychiatric and medical disorders than male Veterans and women who are not Veterans. Studies support the AUDIT-C as a scaled marker of alcohol-related risk among female Veterans, but validated drug screening instruments are needed. We discuss evidence-based approaches in terms of treating women Veterans' substance misuse in primary and specialty care settings, along with knowledge gaps and potential research priorities to improve care in this special population.