Porter Ben, Rodriguez Lindsey M, Woodall Kelly A, Pflieger Jacqueline C, Stander Valerie A
Leidos, Inc., 11951 Freedom Dr., Reston, VA 20190, USA; Naval Health Research Center, 140 Sylvester Rd., San Diego, CA 92106, USA.
University of South Florida St. Petersburg, 140 7th Ave. South, St. Petersburg, FL 33701, USA.
Addict Behav. 2020 Nov;110:106512. doi: 10.1016/j.addbeh.2020.106512. Epub 2020 Jun 15.
Alcohol misuse is a prevalent problem among military service members and their spouses. Service member alcohol misuse may contribute to poor job performance, legal infractions, and failure to meet physical standards. Spousal alcohol misuse may indicate problems with military life. However, limited information is available about how alcohol misuse in military families affects occupational outcomes, specifically military attrition.
The current study examined 7,965 opposite sex married couples from the Millennium Cohort Family Study with one military and one civilian/veteran partner. Both partners reported on three measures of alcohol misuse (binge drinking, alcohol problems, and heavy weekly drinking). The associations between each partner's measures of alcohol misuse and subsequent military separation were evaluated using logistic regression. Sex, concordance of alcohol misuse, mental health, and service branch were explored as moderators.
In fully adjusted models, service member alcohol problems were directly related to military separation. Additionally, service member heavy weekly drinking was strongly associated with military separation among female service members but not male service members. Service member and spouse binge drinking interacted such that when only one partner reported binge drinking military separation was less likely, but both partners' binge drinking conveyed a marginally increased risk of military separation.
Prevalence of alcohol misuse was high among military families. Service member alcohol misuse was more strongly related to military separation than spouse alcohol misuse. Additionally, heavy weekly drinking among female service members may be an indicator of a significant issue that merits interventions aimed at retaining these service members.
酒精滥用是军人及其配偶中普遍存在的问题。军人酒精滥用可能导致工作表现不佳、触犯法律以及无法达到体能标准。配偶酒精滥用可能表明军事生活存在问题。然而，关于军人家庭中的酒精滥用如何影响职业结果，特别是军事人员流失，目前可用信息有限。
本研究调查了来自千禧队列家庭研究的7965对异性已婚夫妇，其中一方为军人，另一方为平民/退伍军人。双方都报告了三项酒精滥用指标（暴饮、酒精问题和每周大量饮酒）。使用逻辑回归评估了每一方酒精滥用指标与随后军事人员离职之间的关联。将性别、酒精滥用的一致性、心理健康和军种作为调节因素进行了探讨。
在完全调整模型中，军人的酒精问题与军事人员离职直接相关。此外，军人每周大量饮酒与女性军人的军事人员离职密切相关，但与男性军人无关。军人与配偶的暴饮存在交互作用，即只有一方报告有暴饮时，军事人员离职的可能性较小，但双方都有暴饮则会使军事人员离职的风险略有增加。
军人家庭中酒精滥用的发生率很高。军人酒精滥用比配偶酒精滥用与军事人员离职的关系更为密切。此外，女性军人每周大量饮酒可能是一个重大问题的指标，值得采取旨在留住这些军人的干预措施。
