全球智库信息集成服务系统

• An annual check-up is required for all service members. However, nearly 30 percent of reserve component respondents had not had this medical appointment in the previous year.
• Less than half (45.4 percent) of reserve component service members met Healthy People 2020 guidelines for adequate sleep, and nearly 20 percent reported lack of energy because of poor sleep over the past week.
• Nearly one-third of reserve component service members (29.0 percent) reported binge drinking in the past 30 days, and 7.4 percent were categorized as heavy drinkers.
• An estimated 30.5 percent of reserve component service members used tobacco in some form. This rate is higher than estimated rates of tobacco use in the general population (19.3 percent).
• Approximately 7 percent of reserve component service members met criteria for current serious psychological distress. Roughly 9 percent met the criteria for probable posttraumatic stress disorder.
• Approximately one in five reserve component service members reported using any mental health services in the past year.
• Risky sexual behavior among reserve component service members was not uncommon: 15.9 percent reported having more than one sex partner in the past year, and 33.2 percent did not use condoms with new sex partners.
• Just over 6 percent of all reserve component service members identified as lesbian, gay, or bisexual (LGB). Significantly more women (15.4 percent) than men (3.8 percent) identified as LGB.
• Roughly 40 percent of all reserve component service members had experienced at least one of the six types of combat traumas measured by the survey.

The Health Related Behaviors Survey (HRBS) is the Department of Defense's (DoD's) flagship survey for understanding the health, health behaviors, and well-being of service members. Originally implemented to assess substance use — illicit drugs, alcohol, and tobacco — the survey now includes a number of content areas that can potentially impact force readiness, or the ability to meet the demands of military life, including mental and physical health, sexual behavior, and postdeployment problems. In 2016, the Defense Health Agency asked the RAND Corporation to update survey content, administer a revised version of the survey, and analyze data from the resulting 2018 HRBS of reserve component personnel, including those in the Air Force Reserve, Air National Guard, Army Reserve, Army National Guard, Marine Corps Reserve, Navy Reserve, and Coast Guard Reserve. This report details the methodology, sample demographics, and results from that survey in the domains of health promotion and disease prevention, substance use, mental and emotional health, physical health and functional limitations, and sexual behavior and health. Two special sections focus on sexual orientation and health and deployment experiences and health. Differences across subgroups are examined, including service branch, pay grade, gender, race/ethnicity, and age group. The results presented here are intended to supplement data already collected by DoD and inform policy initiatives to help improve the readiness, health, and well-being of the force.

• Chapter One

  Introduction

• Chapter Two

  Methodology

• Chapter Three

  Demographics

• Chapter Four

  Health Promotion and Disease Prevention

• Chapter Five

  Substance Use

• Chapter Six

  Mental and Emotional Health

• Chapter Seven

  Physical Health and Functional Limitations

• Chapter Eight

  Sexual Behavior and Health

• Chapter Nine

  Sexual Orientation and Health

• Chapter Ten

  Deployment Experiences and Health

• Chapter Eleven

  Summary and Policy Implications

• Appendix A

  2018 DoD Health Related Behaviors Survey

• Appendix B

  Invitation Letter and Letters of Support

• Appendix C

  Description of Measures Used in the 2018 DoD Health Related Behaviors Survey

• Appendix D

  Key Outcomes by Race/Ethnicity and Age Group

• Appendix E

  Missing Data and Imputation Method Detail