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Alcohol misuse and separation from military service: A dyadic perspective
Ben Porter1, Lindsey M Rodriguez2, Kelly A Woodall1
1Leidos, Inc., 11951 Freedom Dr., Reston, VA 20190, USA; Naval Health Research Center, 140 Sylvester Rd., San Diego, CA 92106, USA.
Addictive Behaviors
|July 6, 2020
Summary
Alcohol misuse by service members is linked to military separation. Heavy drinking in female service members and binge drinking by both partners increase attrition risk, highlighting intervention needs.
Area of Science:
- Military Health Research
- Substance Abuse Studies
- Family Dynamics
Background:
- Alcohol misuse is common in military families, affecting service members and spouses.
- Service member alcohol misuse can lead to performance issues and legal problems.
- Spousal alcohol misuse may signal difficulties with military life, but its impact on attrition is unclear.
Purpose of the Study:
- To investigate the association between alcohol misuse in military families and subsequent military attrition.
- To examine how individual and partnered alcohol misuse behaviors relate to service member separation.
Main Methods:
- Analysis of 7,965 married couples (one military, one civilian/veteran) from the Millennium Cohort Family Study.
- Assessment of three alcohol misuse measures: binge drinking, alcohol problems, and heavy weekly drinking for both partners.
- Logistic regression models to evaluate associations between alcohol misuse and military separation, exploring moderation by sex, concordance, mental health, and service branch.
Main Results:
- Service member alcohol problems directly predicted military separation.
- Heavy weekly drinking by female service members was strongly associated with separation.
- Binge drinking by both partners showed a marginally increased risk of separation, while single-partner binge drinking was less likely to lead to separation.
Conclusions:
- Alcohol misuse is prevalent in military families, with service member misuse more strongly linked to attrition than spouse misuse.
- Heavy weekly drinking among female service members is a key indicator for targeted retention interventions.
- Understanding partnered alcohol misuse is crucial for military family support and retention strategies.
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