{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T03:51:07Z","timestamp":1789876267438,"version":"4.0.1"},"reference-count":50,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,1,21]],"date-time":"2019-01-21T00:00:00Z","timestamp":1548028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["T32AG019134"],"award-info":[{"award-number":["T32AG019134"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Addict"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Amidst a surging national crisis of opioid use, concern has been expressed about its impact on veterans, but no study has presented a population\u2010based comparison of opioid use disorder (OUD) among veterans and non\u2010veterans. We analyzed national epidemiologic data to compare rates, correlates and impacts of the opioid crisis on male veterans and non\u2010veterans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Restricted data from 2012 to 2013 National Epidemiologic Survey on Alcohol and Related Conditions\u2010III (NESARC\u2010III) were used to compare veteran and non\u2010veteran men on rates of OUD, as well as correlates of OUD including socio\u2010demographic characteristics, psychiatric and substance use co\u2010morbidities, and reductions in health\u2010related quality of life (HRQOL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>About 2.0% of veterans and 2.7% of non\u2010veterans, estimated at 418,000 and 2.5 million men, respectively, met criteria for life\u2010time OUD. In both groups, OUD was associated with younger age, lower income levels, and fewer years of education. OUD was associated minority race among veterans, but with non\u2010Hispanic white race among non\u2010veterans. Both veteran and non\u2010veteran adults with OUD were at least five times more likely than their peers to have both psychiatric and substance use co\u2010morbidities (<jats:italic>p\u2009<\/jats:italic>&lt;\u2009.001) and they experienced strongly reduced HRQOL scores (Cohen's <jats:italic>d<\/jats:italic>\u2009=\u2009\u2212.50 to \u2212.93).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusion<\/jats:title><jats:p>Veterans and non\u2010veterans experience similar risk of OUD, similar correlates and adverse HRQOL impacts suggesting that similar treatment approaches may be effective for both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Scientific Significance<\/jats:title><jats:p>Our findings highlight comparable vulnerability of veterans to non\u2010veterans in both the risk of OUD and adverse effects on HRQOL. (Am J Addict 2018;XX:1\u20139)<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajad.12861","type":"journal-article","created":{"date-parts":[[2019,1,21]],"date-time":"2019-01-21T13:53:41Z","timestamp":1548078821000},"page":"92-100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Comparison of opioid use disorder among male veterans and non\u2010veterans: Disorder rates, socio\u2010demographics, co\u2010morbidities, and quality of life"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4961-3361","authenticated-orcid":false,"given":"Taeho Greg","family":"Rhee","sequence":"first","affiliation":[{"name":"Department of Internal Medicine School of Medicine Yale University New Haven Connecticut"},{"name":"Yale Center for Outcomes Research and Evaluation (CORE) Yale\u2010New Haven Hospital New Haven Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Rosenheck","sequence":"additional","affiliation":[{"name":"Department of Psychiatry School of Medicine Yale University New Haven Connecticut"},{"name":"Veterans Affairs (VA) New England Mental Illness Research Education and Clinical Centers (MIRECC) West Haven Connecticut"},{"name":"Veterans Affairs (VA) Connecticut Healthcare System West Haven Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000837"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm655051e1"},{"key":"e_1_2_8_4_1","unstructured":"Centers for Disease Control and Prevention. 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