The Strategy for our Veterans: Valued. Contributing. Supported.
Abstract: This Strategy sets an enduring Vision and Principles for the whole of the UK and is applicable across all sectors of life: public, corporate, charitable and individual. There are five cross-cutting factors that provide a backdrop to the overall system of Veterans service provision as well as six identified key themes. For each of the cross-cutting factors and key themes there is an outcome for 2028 towards which all nations will work to deliver. The four nations across the UK will collaborate to deliver this Strategy, in recognition of the importance of Veterans in all communities. This document includes work taken forward by the UK Government, Scottish Government and Welsh Government. This Strategy has a 10 year scope to 2028. Through the 10 year timescale, the Strategy addresses the immediate needs of older Veterans as well as setting the right conditions for society to empower - and support - the newer generation. Initiatives and proposals will work towards an enduring Vision articulated by three key principles.
Abstract: BACKGROUND: Military populations are known to have higher prevalence and heavier alcohol use compared to the general population globally. This has serious negative implications to the military. The objective of this study was to describe the prevalence, patterns and associated factors of binge drinking among male military personnel in the Sri Lanka Army. METHODS: A cross sectional study was conducted among 1337 male Army personnel in active service using multistage sampling. A self-administered questionnaire and the interviewer-administered Alcohol Use Disorders Identification Test which is a 10-item screening tool were used. Prevalence of binge drinking was summarised as a proportion with 95% Confidence Intervals (CI). Age specific prevalence rates and the age standardized prevalence rate of binge drinking were calculated. The standard measure of one unit of alcohol being equivalent to 10 g of pure alcohol was used as a reference to calculate the units of alcohol consumption. Binary logistic regression analysis was used to determine the factors associated with binge drinking. RESULTS: The overall prevalence of binge drinking was 51.2% (95% CI 48.5%-54.0%). The age standardized prevalence of binge drinking was 28.3%. The majority binge drank once a month (50.4%). Those engaged in binge drinking used 5.6 median units of alcohol on a typical day, 84% consumed arrack, 69.3% have ever thought or attempted to quit and median age of first alcohol consumption was 18 years. When controlled for confounding, those who had mental distress (AOR 2.46, 95% CI=1.72-3.53), had sex with a commercial sex worker (AOR 1.92, 95% CI=1.21-3.06), ever smoking (AOR 1.69, 95% CI=1.27-2.25), had serious consequences (AOR 1.58, 95% CI=1.13-2.20), currently used cannabis (AOR 1.39, 95% CI=1.02-1.89) and had combat exposure (AOR 1.37, 95% CI 1.00-1.87) had a higher likelihood of binge drinking. CONCLUSIONS: The high prevalence of binge drinking warrants immediate advocacy to the highest level of command of the Sri Lanka Army for support to implement sustainable evidence-based alcohol prevention programmes.