Prescription stimulant misuse in a military population.
BACKGROUND
Increased prescription drug misuse has been reported in veterans, yet there has not been a focused look at stimulant misuse in the military community or correlation with deployment injuries and illnesses. Our objective was to identify rates of stimulant misuse and any correlation with deployment in the military population.


METHODS
A prospective, anonymous institutional review board-approved survey in the emergency department waiting room of a military tertiary care hospital using a 12-item questionnaire created with fixed response and multiple-choice questions. Stimulant misuse was defined as taking more than prescribed, obtaining stimulants from others, and taking it for a nonprescribed reason. Proportions were assessed by Chi-square test and Fisher's exact test.


RESULTS
26/498 (5%) of respondents reported misusing stimulants in the last 5 years. Misusers were more likely to have a mental health diagnosis, and they suffered either a deployment-related injury or another injury, as compared to those who used stimulants properly (p<0.05). The stimulant misuse did not correlate with age, gender, active duty status, education, location of deployment, number of times deployed, traumatic brain injury diagnosis, or enlistment status.


CONCLUSIONS
Stimulant drug misuse in the military community is associated with mental health conditions, deployment-related injuries, or new physical injuries.
Department of Emergency Medicine, San Antonio Military Medical Center, 3851 Roger Brooke Drive, San Antonio, TX 78234.
Jennifer N
JN
Kennedy
Department of Emergency Medicine, San Antonio Military Medical Center, 3851 Roger Brooke Drive, San Antonio, TX 78234.
Vikhyat S
VS
Bebarta
Department of Emergency Medicine, San Antonio Military Medical Center, 3851 Roger Brooke Drive, San Antonio, TX 78234.
Shawn M
SM
Varney
Department of Emergency Medicine, San Antonio Military Medical Center, 3851 Roger Brooke Drive, San Antonio, TX 78234.
Lee Ann
LA
Zarzabal
Department of Emergency Medicine, San Antonio Military Medical Center, 3851 Roger Brooke Drive, San Antonio, TX 78234.
Victoria J
VJ
Ganem
D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000188:drug therapy*; D000697:Central Nervous System Stimulants / Q000008:administration & dosage*; D005260:Female; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D008297:Male; D008603:Mental Health; D008889:Military Personnel / Q000706:statistics & numerical data*; D063487:Prescription Drug Misuse; D011446:Prospective Studies; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000209:etiology; D011795:Surveys and Questionnaires; D014481:United States
D000697:Central Nervous System Stimulants