Behavioral and Social Health Outcomes Program (BSHOP), U.S. Army Institute of Public Health, U.S. Army Public Health Command, Aberdeen Proving Ground, Maryland, USA.
J Trauma Stress. 2014 Feb;27(1):98-102. doi: 10.1002/jts.21876. Epub 2013 Dec 24.
Previous studies have shown that combat exposures and deployment-related stressors have negative implications on soldiers' postdeployment health and well-being. The current study aimed to examine the individual and combined effects of organizational and social support on the success of soldiers' postdeployment reintegration. In this study, 2,922 U.S. soldiers were surveyed from a brigade combat team at 90-120 days postdeployment, measuring soldiers' perceptions of postdeployment transition home, occupational and social support, stigma and barriers associated with accessing behavioral health care, and previous behavioral health care. Logistic regression analysis indicated that soldiers reporting a positive postdeployment transition home (n = 1,776; 61%) was significantly associated with leadership perceptions, adjusted odds ratio (AOR) = 1.19, 95% confidence interval (CI) [1.02, 1.39], unit cohesion, AOR = 1.29, 95% CI [1.09, 1.53], personal support, AOR = 1.37, 95% CI [1.23, 1.52], perceived levels of stigma, AOR = 0.73, 95% CI [0.65, 0.82] barriers to accessing care, AOR = 0.86, 95% CI [0.76, 0.97], and previously accessing behavioral health care, AOR = 0.34, 95% CI [0.28, 0.43]. These findings suggest redeploying soldiers may benefit from programs aimed at improving self-efficacy and coping through fostering occupational and social support, with special concern taken to reduce stigma and barriers to care across the Army.
先前的研究表明,战斗暴露和与部署相关的应激源对士兵部署后的健康和幸福感有负面影响。本研究旨在研究组织和社会支持对士兵部署后重新融入的成功的个体和综合影响。在这项研究中,从一个旅战斗队在部署后 90-120 天调查了 2922 名美国士兵,测量士兵对部署后回家的过渡、职业和社会支持、与获得行为保健相关的耻辱和障碍,以及以前的行为保健的看法。逻辑回归分析表明,报告积极的部署后回家过渡的士兵(n=1776;61%)与领导看法显著相关,调整后的优势比(AOR)=1.19,95%置信区间(CI)[1.02,1.39],单位凝聚力,AOR=1.29,95%CI[1.09,1.53],个人支持,AOR=1.37,95%CI[1.23,1.52],感知耻辱程度,AOR=0.73,95%CI[0.65,0.82],获得护理的障碍,AOR=0.86,95%CI[0.76,0.97],以及以前获得行为保健的情况,AOR=0.34,95%CI[0.28,0.43]。这些发现表明,重新部署的士兵可能受益于旨在通过培养职业和社会支持来提高自我效能和应对能力的计划,特别关注减少军队中对护理的耻辱和障碍。