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Record W4417298748 · doi:10.1080/10826084.2025.2597461

Problematic Prescription Drug Use Among Canadian Armed Forces Veterans: Data from the Canadian Armed Forces Members and Veterans Mental Health Follow-Up Survey (CAFVMHS)

2025· article· en· W4417298748 on OpenAlexafffundabout
Danielle Schwartz, Essence Perera, Tracie O. Afifi, Murray W. Enns, Christine Leong, Cara Katz, Jitender Sareen, Shay‐Lee Bolton

Bibliographic record

VenueSubstance Use & Misuse · 2025
Typearticle
Languageen
FieldPsychology
TopicPosttraumatic Stress Disorder Research
Canadian institutionsUniversity of Manitoba
FundersCanadian Institutes of Health Research
KeywordsMental healthMedical prescriptionVulnerability (computing)PopulationSuicide preventionPrescription drugMilitary personnelPoison controlOccupational safety and health

Abstract

fetched live from OpenAlex

BACKGROUND: Problematic prescription drug use (PPDU) is a public health concern that can cause degradation of wellbeing. Examination of prevalence and correlates of PPDU in Canadian Armed Forces (CAF) Veterans is essential to understand its impact and to identify those at risk. This study aimed to assess correlates of PPDU among CAF Veterans, including sociodemographic characteristics and physical and mental disorders. METHODS: = 1,922), all of whom indicated Veteran status at the time of the survey. PPDU was defined as utilization of a prescription drug without a prescription, in excess to the amount prescribed, for recreational purposes, or to a level where the individual felt they could not stop usage. PPDU included three categories of substances: sedatives/tranquilizers, stimulants, and analgesics. RESULTS: Nine percent of Veterans indicated PPDU in the past year, while 16.8% endorsed PPDU in their lifetime. Being unpartnered increased the odds of PPDU, while older age, air environment, and officer rank were associated with lower odds. Past-year presence of a mental disorder, alcohol use disorder, suicidal behavior, chronic pain condition, and greater number of physical health conditions demonstrated positive associations with PPDU (Adjusted Odds Ratios [AORs] ranging from 1.36 to 5.31). Increasing number of traumatic events and deployment-related experiences led to greater odds of PPDU (AORs of 1.12 and 1.16, respectively). CONCLUSIONS: Results highlight the vulnerability of the CAF Veteran population to PPDU. Correlates noted may aid in the development of supports to promote the mental health of Veterans.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.168
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0010.001
Open science0.0020.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.148
GPT teacher head0.372
Teacher spread0.224 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes3
Has abstractyes

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