1 Walter Reed Army Institute of Research, Silver Spring, MD, USA.
2 Army Resiliency Directorate, Crystal City, VA, USA.
Health Educ Behav. 2018 Oct;45(5):741-747. doi: 10.1177/1090198117752788. Epub 2018 Jan 20.
The bystander intervention model is one approach utilized to reduce risky behaviors within the U.S. Army; however, it is unclear how frequently soldiers experience opportunities to intervene and whether they already intervene in such situations. The present analysis aims to ascertain frequencies for opportunities to intervene and the rates at which soldiers intervene when presented with such opportunities. Soldiers ( N = 286) were asked whether they had witnessed particular risky behavior scenarios of interest to the Army (i.e., suicide-related behaviors, alcohol misuse, or sexual harassment/assault) during the previous 2 months and whether they had intervened in those scenarios. Prevalence rates within this sample were calculated to determine the frequency of such situations and subsequent interventions. Logistic regression was used to ascertain any differences in witnessing scenarios by demographic groups. Nearly half (46.8%) of the soldiers reported witnessing at least one scenario involving risky behaviors. Most soldiers who witnessed an event relating to suicide or alcohol misuse also reported consistently intervening (87.9% and 74.4%, respectively), whereas just half consistently intervened in response to scenarios relating to sexual harassment/assault (49.2%). Lower ranking soldiers were twice as likely as higher ranks to witness scenarios involving alcohol misuse (odds ratio = 2.18, 95% confidence interval [1.11, 4.26]) and sexual harassment/assault (odds ratio = 2.21, 95% confidence interval [1.05, 4.62]). These data indicate that soldiers regularly encounter opportunities to intervene in risky behaviors, and while a majority intervened in such scenarios, more training is warranted, particularly around sexual assault and harassment. This supports the notion that bystander intervention training is a worthwhile investment for the Army.
旁观者干预模型是用于减少美国军队内危险行为的一种方法;然而,尚不清楚士兵们经历干预机会的频率,以及他们是否已经在这种情况下进行干预。本分析旨在确定干预机会的频率以及士兵在面临此类机会时进行干预的比率。研究人员询问了 286 名士兵,他们在过去两个月中是否目睹了军队关注的特定危险行为场景(即自杀相关行为、酒精滥用或性骚扰/性侵犯),以及他们是否在这些场景中进行了干预。通过计算该样本中的患病率来确定此类情况和随后干预的频率。逻辑回归用于确定不同人口统计学群体目击场景的差异。近一半(46.8%)的士兵报告目睹了至少一个涉及危险行为的场景。大多数目睹与自杀或酒精滥用有关的事件的士兵也报告说他们一直在进行干预(分别为 87.9%和 74.4%),而只有一半的士兵在回应与性骚扰/性侵犯有关的场景时一直进行干预(49.2%)。较低军衔的士兵目击涉及酒精滥用的场景的可能性是较高军衔的士兵的两倍(优势比=2.18,95%置信区间[1.11,4.26])和性侵犯/骚扰(优势比=2.21,95%置信区间[1.05,4.62])。这些数据表明,士兵经常有机会干预危险行为,尽管大多数士兵在这种情况下进行了干预,但需要更多的培训,特别是在性骚扰和骚扰方面。这支持了旁观者干预培训对军队来说是一项有价值的投资的观点。