title: Law Enforcement Officers' Involvement Level in Hurricane Katrina and Alcohol Use.
abstract: The purpose of this work is to examine the relationship between alcohol use and level of involvement during Hurricane Katrina among law enforcement officers, and to investigate whether marital status or previous military training offer resilience against negative outcomes. Officers in the immediate New Orleans geographic area completed surveys that assessed their involvement in Hurricane Katrina and alcohol use (Alcohol Use and Disorders Identification Test (AUDIT) score). Negative binomial regression models were used to analyze level of hazardous alcohol use; interactions were tested to examine protective influences of marriage and prior military training (controlling for age and gender). There was a significant association between heavy involvement in Hurricane Katrina and having a greater AUDIT score (exp(β)[EB]=1.81; 95% CI: 1.03, 3.17; p<0.05), indicating higher levels of hazardous alcohol use. Contrary to original hypotheses, marital status and military training were not protective against alcohol use (p>0.05). These results illustrate an association between law enforcement officers' heavy involvement during Hurricane Katrina and greater levels of hazardous alcohol use when compared to officers with low or moderate involvement. This has important treatment implications for those with high involvement in disasters as they may require targeted interventions to overcome the stress of such experiences.
authors.affiliation: Department of Community Health and Health Behavior, University at Buffalo, The State University of New York.
authors.forename: Sarah Cercone
authors.initials: SC
authors.lastname: Heavey
authors.affiliation: Department of Community Health and Health Behavior, University at Buffalo, The State University of New York.
authors.forename: Gregory G
authors.initials: GG
authors.lastname: Homish
authors.affiliation: Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention.
authors.forename: Michael E
authors.initials: ME
authors.lastname: Andrew
authors.affiliation: Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention.
authors.forename: Erin
authors.initials: E
authors.lastname: McCanlies
authors.affiliation: Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention.
authors.forename: Anna
authors.initials: A
authors.lastname: Mnatsakanova
authors.affiliation: Department of Epidemiology and Environmental Health, University at Buffalo, The State University of New York.
authors.forename: John M
authors.initials: JM
authors.lastname: Violanti
authors.affiliation: Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention.
authors.forename: Cecil M
authors.initials: CM
authors.lastname: Burchfiel
keywords: Alcohol consumption; Hurricane Katrina; first responders; law enforcement; natural disaster