An Examination of Successful Soldier Postdeployment Transition From Combat to Garrison Life

Authors

  • David S. Fink,

    1. Behavioral and Social Health Outcomes Program (BSHOP), U.S. Army Institute of Public Health, U.S. Army Public Health Command, Maryland, USA
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  • M. Shayne Gallaway,

    Corresponding author
    1. Behavioral and Social Health Outcomes Program (BSHOP), U.S. Army Institute of Public Health, U.S. Army Public Health Command, Maryland, USA
    • Correspondence concerning this article should be addressed to Dr. Shayne Gallaway, 5158 Blackhawk Rd., Aberdeen Proving Ground, Maryland. E-mail: shayne.gallaway@us.army.mil

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  • Amy M. Millikan

    1. Behavioral and Social Health Outcomes Program (BSHOP), U.S. Army Institute of Public Health, U.S. Army Public Health Command, Maryland, USA
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  • The work submitted conforms to all governmental regulations and discipline appropriate professional ethical standards. This study was reviewed by the U.S. Army Public Health Command Review Board and deemed to be Public Health Practice (Hodge & Gostin, 2004). Army Regulation 40–5 established the U.S. Army Public Health Command as the Army's public health agency. Individuals did have the right to refuse to participate. David Fink is now at Department of Epidemiology, Mailman School of Public Health, Columbia University.

  • The views expressed in this article are those of the authors and do not reflect official policy or position of the Department of the Army, the Department of Defense, the U.S. Government or any of the institutional affiliations listed. None of these authors have any conflicts of interest to declare.

Abstract

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.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:檢視如何成功地把士兵從戰鬥過渡到駐軍

撮要:昔日研究顯示戰鬥經歷及出征相關的壓力對派駐後身心健康有着壞影響。本文旨在檢討組織和社會支援的個別及綜合因素如何影響士兵派駐後融合的成功。樣本是一旅戰鬥部隊中2922名士兵,在派駐後90至120日評估他們對派駐後回歸家庭、職業和社會支援、標籤和尋求心理健康服務的阻礙各方面的觀感,亦評估往日心理健康服務的使用情況。邏輯回歸分析顯示有正面派駐後回歸家庭的士兵(n=1776;61%)與:領導觀念,調整後奇偶比(AOR)=1.19,95%)置信區間(CI)[1.02,1.39],部隊團結,AOR=1.29,95%CI[1.09,1.53],個人支援,AOR=1.37,95%CI[1.23,1.52],標籤的感知水平,AOR=0.73,95%CI[0.65,0.82],尋求心理健康服務的阻礙,AOR=0.86,95%CI[0.76,0.97],和往日使用這些服務,AOR=0.34,95%CI[0.28,0.43]等有顯著關係。結果建議對重新調配的士兵可能需要提供一些促進自我效能及應對的計劃(包括在軍中加強職業和社會支援,特別是減少標籤和接受心理健康服務的障礙)。

标题:检视如何成功地把士兵从战斗过渡到驻军

撮要:过往研究显示战斗经历及出征相关的压力对派驻后身心健康有着坏影响。本文旨在检讨组织和社会支持的个别及综合因素如何影响士兵派驻后融合的成功。样本是一旅战斗部队中2922名士兵,在派驻后90至120日评估他们对派驻后回归家庭、职业和社会支持、标签和寻求心理健康服务的阻碍各方面的观感,亦评估以往心理健康服务的使用情况。逻辑回归分析显示有正面派驻后回归家庭的士兵(n=1776;61%)与:领导观念,调整后奇偶比(AOR)=1.19,95%)置信区间(CI)[1.02,1.39],部队团结,AOR=1.29,95%CI[1.09,1.53],个人支持,AOR=1.37,95%CI[1.23,1.52],标签的感知水平,AOR=0.73,95%CI[0.65,0.82],寻求心理健康服务的阻碍,AOR=0.86,95%CI[0.76,0.97],和往日使用这些服务,AOR=0.34,95%CI[0.28,0.43]等有明显关系。结果建议对重新调配的士兵可能需要提供一些促进自我效能及应对的计划(包括在军中加强职业和社会支持,特别是减少标签和接受心理健康服务的障碍)。

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