Learning Objectives: 1) Identify how substance use can affect mental health of veterans.
2) Analyze the association between substance use and mental health among veterans.
Methods: We used cross-sectional data from the 2021 Behavioral Risk Factor Surveillance System a nationally representative U.S. telephone-based survey of adults aged 18 years and extracted data for Tennessee (n=4,788). Logistic regression analyses were conducted to test the association between coronary artery disease and depression. We controlled for past month income, race/ethnicity, educational status, gender, and age.
Results: Overall, among U.S. military veterans 23.7% (n=145) were diagnosed with depression, 46.6% consumed alcohol in the last 30 days, while 15.2% (n=93) smoked cigarettes within the last 30 days. U.S military veterans status (OR=1.40, 95% CI, 1.12, 1.74) along with low income (OR=2.21, 95% CI, 1.91, 2.55) and female gender (OR=2.07, 95% CI, 1.78, 2.41) was significantly associated with depression. U.S military veteran status was not associated with alcohol use or smoking.
Conclusion: The results implicate that the veterans in Tennessee are on higher risks of depression and alcohol consumption than non-veterans. Findings highlight the need of ongoing treatment and social support for the veterans population in Tennessee. Additional research is needed to understand the type of treatment and social support for this population.
Keywords: Coronary Heart Disease, Mental Health Disorders, Health disparities in Tennessee