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Hazardous drinking and military community functioning: identifying mediating risk factors
Heather M Foran1, Richard E Heyman1, Amy M Smith Slep1
1Department of Psychology.
Community functioning impacts hazardous drinking in the U.S. Air Force. Prevention efforts targeting community capacity may reduce hazardous drinking by addressing risk factors like depression and financial stress.
Area of Science:
- Military health research
- Public health interventions
- Behavioral science
Background:
- Hazardous drinking is a significant issue in military populations with limited effective interventions.
- Community-based prevention models offer a potential avenue for reducing hazardous drinking.
- Understanding the interplay between community functioning and risk factors is crucial for effective military-focused prevention.
Purpose of the Study:
- To test a model examining community functioning and its mediating risk factors for hazardous drinking.
- To inform community-wide prevention strategies for hazardous drinking among active duty U.S. Air Force personnel.
Main Methods:
- A large-scale survey of 52,780 active duty U.S. Air Force members across 82 bases.
- Assessment of hazardous drinking using the Alcohol Use Disorders Identification Test.
- Structural equation modeling to analyze the hypothesized relationships.
Main Results:
- Depressive symptoms, perceived financial stress, and U.S. Air Force satisfaction significantly mediated the relationship between community functioning and hazardous drinking for both genders.
- Relationship satisfaction was an additional mediator for men.
Conclusions:
- Community functioning influences hazardous drinking indirectly through proximal risk factors.
- Prevention strategies enhancing community functioning may reduce hazardous drinking.
- The U.S. Air Force Community Capacity model provides a framework for future prevention research.
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