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Combining Alcohol Misuse and Sexual Assault Prevention Enhances Training Outcomes in a U.S. Military Service Academy
Emily A Schmied1,2, Marni L Kan3, Shannon M Blakey3
1School of Public Health, San Diego State University, San Diego, California.
Journal of Studies on Alcohol and Drugs
|January 12, 2026
Summary
A combined prevention program for alcohol misuse and sexual assault showed greater improvements in military cadets compared to separate programs. This tailored training is effective for addressing co-occurring risk factors in military settings.
Area of Science:
- Military Health
- Behavioral Science
- Public Health
Background:
- Alcohol misuse and sexual assault are significant issues within the U.S. military, particularly at service academies.
- These behaviors often co-occur, necessitating integrated prevention strategies tailored for military personnel.
Purpose of the Study:
- To evaluate the effectiveness of a combined alcohol misuse and sexual assault prevention program.
- To compare the combined program against separate prevention programs (alcohol misuse, sexual assault, healthy skills) in a military academy setting.
Main Methods:
- A quasi-experimental study involving 1,985 cadets at the U.S. Air Force Academy.
- Pre- and posttest surveys assessed knowledge and attitudes related to alcohol misuse and sexual assault.
- Mixed-effects multilevel models analyzed changes over time and by program condition, examining moderation by sex and prior alcohol use.
Main Results:
- The combined program demonstrated superior outcomes compared to other conditions.
- Significant improvements in alcohol readiness to change were observed in the combined group versus alcohol misuse and healthy skills programs.
- The combined program led to greater increases in sexual assault knowledge and self-efficacy to resist unwanted advances than all other programs.
Conclusions:
- The study provides preliminary evidence supporting the efficacy of combined, tailored prevention programs for alcohol misuse and sexual assault.
- Integrated training is recommended for military academy settings to address co-occurring risk behaviors.
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