Prevalence, trends, and correlates of alcohol use, nonmedical drug use, and tobacco use among U.S. military personnel.

This paper presents data on substance use by military personnel from a series of worldwide surveys conducted in 1985, 1982, and 1980 with primary emphasis on the 1985 survey. Estimates are based on responses from participants serving on active duty in the Army, Navy, Marine Corps, and Air Force. Results for 1985 indicate pervasive use of alcohol, substantial use of tobacco, and low nonmedical use of drugs among military personnel. Average daily consumption of alcohol declined significantly from 1.4 ounces in 1982 to 1.2 ounces in 1985, but the patterns of use remained relatively constant. Nonmedical drug use during the past 30 days declined significantly, from 27.0% in 1980, to 19.0% in 1982, to 8.9% in 1985. Cigarette smoking declined significantly from 51.4% in 1982 to 46.2% in 1985. Current alcohol and drug use is concentrated among younger, less educated, unmarried, and junior and mid-career enlisted personnel. Cigarette pack years are higher among males, whites, those with less than a high school education, and senior enlisted personnel. Results show progress in reducing drug use and smoking in the military, but little change in patterns of alcohol use. New initiatives and approaches by the military to further reduce substance abuse are discussed.

Substance use and health among U.S. military personnel: findings from the 1985 Worldwide Survey.

The relationship between substance use (alcohol, drugs, and tobacco) and health (health practices, number of illnesses, number of physician visits, and days hospitalized) was examined using data from the 1985 Worldwide Survey of Alcohol and Nonmedical Drug Use Among Military Personnel. Substance users, particularly heavy users, were less likely than nonusers to engage in health practices and were more likely to experience illness, physician visits, and hospitalizations. Significant effects on the number of illnesses were observed for heavy drinkers compared with abstainers, drug users other than marijuana only users compared with nonusers, and those who smoked one or more packs of cigarettes per day compared with nonsmokers. The potential of substance use programs in improving health status and health promotion programs in reducing substance use among military personnel is discussed.

Human immunodeficiency virus infections among civilian applicants for United States military service, October 1985 to March 1986. Demographic factors associated with seropositivity.

During the six months from October 1985 through March 1986, blood samples from 306,061 civilian applicants for military service from the United States were tested for antibody to the human immunodeficiency virus (HIV). Four hundred sixty subjects were positive for the antibody as determined by Western (immune) blot reactivity. The mean prevalence of HIV infection in this population of teenagers and young adults was thus 1.50 per 1000. According to multivariate analysis, the following demographic factors were found to be significant independent predictors of a positive HIV-antibody test: age (adjusted odds ratio = 1.10 per year), black race (adjusted odds ratio = 2.04), male sex (adjusted odds ratio = 1.84), residence in a densely populated county (adjusted odds ratio = 1.05 per 1000 per square mile), and residence in a metropolitan area with a high incidence of the acquired immunodeficiency syndrome (adjusted odds ratio = 1.53). Antibody-positive applicants were identified in 43 of the 50 states. Counties with high prevalence rates for HIV (greater than 5 per 1000) were located in New York State (four counties), New Jersey (three counties), California (two counties), Maryland (two counties), and Texas, Colorado, and Washington, D.C.

Reservoir of St. Louis encephalitis virus in Ohio bats.

Inoculation of the big brown bat (Eptesicus fuscus) with a small dose of a St. Louis encephalitis (SLE) virus strain isolated in Ohio indicated that the big brown bat was susceptible to infection. The virus was maintained in the bats through hibernation (70 days), and the bats developed a viremia within 4 days of arousal from hibernation (105 days after inoculation). A field survey of 390 big brown bats and little brown bats (Myotis lucifugus) conducted in 5 regions of Ohio during 1979 to 1981 revealed a SLE virus-neutralizing antibody prevalence of 9%. Cohabitation of natural caves and abandoned mineshafts in Ohio by Culex pipiens mosquitoes, big brown bats, and little brown bats was also documented. Demonstration of a 9% prevalence rate of neutralizing antibody to SLE virus in big brown bats and little brown bats in Ohio during a nonepizootic period indicated that the bat may be involved in the maintenance of SLE virus in enzootic foci and could have a role in dissemination of SLE virus to epizootic foci.