G2TT
来源类型Research Reports
规范类型报告
DOIhttps://doi.org/10.7249/RR1695
ISBN9780833098313
来源IDRR-1695-OSD
2015 Department of Defense Health Related Behaviors Survey (HRBS)
Sarah O. Meadows; Charles C. Engel; Rebecca L. Collins; Robin L. Beckman; Matthew Cefalu; Jennifer Hawes-Dawson; Molly Doyle; Amii M. Kress; Lisa Sontag-Padilla; Rajeev Ramchand; et al.
发表日期2018
出版年2018
页码434
语种英语
结论

Notable Results Among the Active-Duty Population

  • Active-duty service members met or exceeded Healthy People 2020 targets for physical activity. More than half of respondents reported using energy drinks in the past month, suggesting that the military may be at increased risk for misuse, which is associated with several adverse health outcomes. More than half of service members got less sleep than they need, and almost one-third were moderately or severely bothered by lack of energy due to poor sleep.
  • We found that rates of binge drinking in the services remained nearly as high as in 2011 and were at a level high enough to cause concern. Rates of illicit drug use were substantially lower among service members than among the general U.S. population. E-cigarette use is a growing problem.
  • Mental health problems remain a common concern and occur across all branches of the military. The prevalence of depression, anxiety, and posttraumatic stress disorder are higher in the HRBS population than in the general population, but demographic and other differences between these populations make it challenging to interpret these contrasts.
  • The prevalence of specific chronic diseases (e.g., diabetes, high cholesterol, ulcers) among service members was relatively low compared with the general U.S. population.
  • Unintended pregnancy rates are about the same among female service members than among civilian women and are of particular concern given the potential impact of pregnancy on readiness. And although most service members were tested for HIV in the past year, about one-fifth of those at high risk for HIV infection went untested in that period.
  • Results indicate that lesbian, gay, bisexual, and transgender (LGBT) personnel get routine medical care in percentages similar to non-LGBT personnel. However, compared with non-LGBT personnel, they report more smoking, binge drinking, sexual behavior risky to their health, and adverse sexual health outcomes. The percentages of LGBT personnel reporting mental health issues, a history of unwanted sexual contact, and a history of physical abuse are particularly high. These disparities warrant close attention and tracking so that the subgroup's specific needs can be addressed.
  • Service members with more exposure to combat trauma during deployments showed elevated rates of mental and physical health problems, as well as negative health-related behaviors (e.g., substance use) compared with their less-exposed peers.
摘要
  • Based on the HRBS results, the behaviors and outcomes that warrant immediate attention are binge drinking, smoking and e-cigarette use, overweight and obese personnel, inconsistent use of contraception, those at high risk for HIV infection, sleep, absenteeism, and reduced productivity (presenteeism). The services should consider heightened scrutiny and continued monitoring of behaviors and outcomes related to mental health treatment and suicide.
  • Results from the 2015 HRBS suggest that certain groups of service members warrant targeted intervention to prevent multiple negative health outcomes and to improve current behaviors.
  • Given differences between members of the military and the general U.S. population, DoD, the Coast Guard, and the services should also consider establishing population benchmarks of health and health-related behaviors specifically for the military.
  • Because the 2015 HRBS had a low response rate, we suggest that future iterations make some adjustments. Among them, shorten the survey, send invitations from a military email address, consider a confidential instead of an anonymous survey, offer incentives, and investigate the feasibility of a service member panel.
主题Gay ; Lesbian ; Bisexual ; and Transgender Populations ; Health and Wellness Promotion ; Health Risk Behaviors ; Health-Related Quality of Life ; HIV and AIDS ; Mental Health and Illness ; Military Force Deployment ; Military Personnel ; Obesity ; Sexual Behavior ; Sleep ; Substance Use ; United States Air Force ; United States Army ; United States Coast Guard ; United States Marine Corps ; United States Navy
URLhttps://www.rand.org/pubs/research_reports/RR1695.html
来源智库RAND Corporation (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/108793
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GB/T 7714
Sarah O. Meadows,Charles C. Engel,Rebecca L. Collins,et al. 2015 Department of Defense Health Related Behaviors Survey (HRBS). 2018.
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