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Multiple adjustment difficulties have been associated with childrens exposure to recent parental wartime military deployments, but long-term consequences have not yet been systematically studied. This investigation will assess direct and indirect relationships between exposures to parental deployments early in life and later youth adjustment. Parents psychological health and family processes will be examined as mediators, and parents and childrens vulnerability and support will be examined as moderators. Archival data will be combined with new data gathered from two children and up to two parents in families where children will be aged 11 to 16 at the first data collection and will have experienced at least one parental deployment, for at least one child prior to age 6. Data are being gathered via telephone interviews and web-based surveys conducted twice one year apart. Outcomes are indicators of childrens social-emotional development, behavior, and academic performance. Notable features of this study include oversampling of female service members, inclusion of siblings, and inclusion of families of both veterans and currently serving members. This study has potentially important implications for schools, community organizations and health care providers serving current and future cohorts of military and veteran families.

Objective: This study aimed to develop a brief and valid measure of family resilience for use in research with military families. Method: A population-based sample of military spouses (N = 16,379) completed assessments of family resilience and validation constructs. Participants were randomized into two subsamples. Subsample 1 was used in a factor analysis to reduce the number of items, whereas subsample 2 was used in a series of models to confirm the initial model and evaluate dimensionality, reliability, and validity. Results: Nine items were retained and demonstrated strong factor loadings (>.80) in the initial and confirmatory models. A bifactor model provided some evidence of multidimensionality, but not enough to dismiss the unidimensional construct. Brief measures of family resilience and its subconstructs demonstrated strong reliability and construct validity. Conclusions: The 9-item instrument is a reliable and valid tool that can be used to assess military family resilience in future research. Significance statement: The brief 9-item measure reduces survey burden and facilitates further empirical research on family resilience in military populations. Such research could inform interventions and preventative care intended to improve the health and well-being of military families. [ABSTRACT FROM AUTHOR]

Using a stress process lens, this paper considers the interrelationship between individual and family‐level stress exposures and military spouse resources, including problem‐solving appraisals and problem‐solving support (PSS), and their associations with posttraumatic stress symptoms (PTSS) among both partners in military marital dyads. The study employs data from the Millennium Cohort Family Study, a longitudinal survey of married military dyads, with an initial panel of 9,872 spouses enroled from 2011 to 2013. A structural equation model explored the associations between service member and spouse childhood maltreatment exposure, nonmilitary and military stressors, as well as interactions with spouse resources on self‐reported PTSS among both service member (SM) and spouse (SP). Among our findings, spouse childhood maltreatment muted later self‐reported problem‐solving appraisal and support. Spouse resources, in turn, had both protective (problem‐solving appraisal) and promotive (problem‐solving support) effects on PTSS for both service members and spouses. These findings emphasise the central role of spouses in military families, as more psychological resources among spouses appeared to buffer against the deleterious effects of stress exposure on both their own and their partners mental health. [ABSTRACT FROM AUTHOR]

Military separation is a well‐documented vulnerability point for service members, yet little is known regarding how children fare across this transition. The current study examined 909 military‐connected children from the Millennium Cohort Family Study (Wave 1 Mage = 3.88 years, SD =.095) across a 3‐year period to explore whether separation predicted child externalizing symptoms over and above Wave 1 externalizing levels, by comparing separated versus not separated military families over time. We also explored if non‐military spouse employment, financial stress, marital quality, or parenting alliance moderated the relation of separation with child externalizing. Data were collected via a parent‐reported online questionnaire and administrative military records. Results showed that separation was unrelated to externalizing. However, moderation analyses suggested that for those who separated, non‐military spouses' employment prior to separation was related to less externalizing, whereas the parenting alliance was related to less externalizing only for families who remained in the military. Recommendations include assistance with spouse employment prior to military separation and parenting support throughout military service. [ABSTRACT FROM AUTHOR]

Sexual trauma (ST), which includes both sexual harassment and sexual assault, is associated with a variety of adverse mental and physical health outcomes in military and civilian populations. However, little is known about whether certain individual or military attributes or prior experiences may modify the relationship between recent ST and mental or physical health outcomes. Data from a longitudinal cohort study of current and former military members were used to examine whether individual and military factors modify the association between recent ST and health outcomes (posttraumatic stress disorder, depression, multiple somatic symptoms, and insomnia). Results indicated that demographic (sex, sexual orientation, race/ethnicity) and military factors (service branch, service component, military separation) generally did not modify the main effect of ST on the outcomes examined. On the other hand, factors known to be protective (spirituality, social support) and risk factors (childhood trauma, combat deployment, and mental health status) did modify the effect of ST on multiple outcomes examined; notably, protective effects were diminished among those who experienced recent ST. Protective factors were associated with the lowest risk of adverse outcomes among those with no ST, while risk reduction was less among survivors of ST. Diminished impacts also were found for cumulative risk factors, with the influence of multiple individual risk factors associated with increased risk but in a subadditive manner. We conclude that the effect of recent ST on the outcomes examined was persistent in the presence of potential protective factors, but that it may be impacted by ceiling effects in combination with other risk factors. [ABSTRACT FROM AUTHOR]

Background: Service member retention is a crucial aspect in maintaining and advancing the U.S. military and its mission. To increase retention, it is important to understand why active duty personnel voluntarily leave while they are still highly qualified. For married service members, spouses likely influence the decision to stay or leave military service. Objective: The current study used data from the Millennium Cohort Family Study for 4,539 dyads comprising service members and their spouses to investigate family predictors of voluntary military separation. Methods: Multivariate mediation analyses were conducted to evaluate the role of military satisfaction (spouse and service member) and work–family conflict as mediators of the effects of both family life and military stressors on risk for military separation, while accounting for spouse and service member demographics. Results: Results identified significant family factors operating through work–family conflict and military satisfaction that were associated with increased likelihood of service member voluntary separation, including number of children, spouse bothered by finances, and service member months away from home. Service members with spouses who reported higher levels of social support were significantly less likely to voluntarily separate, after operating through both work–family conflict and military satisfaction. Conclusion and Implications: Findings suggest that work–family conflict and military satisfaction play an important synergistic role in predicting the impact family and career factors have on voluntary separation. These modifiable factors may guide potential interventions to increase military retention efforts. [ABSTRACT FROM AUTHOR]

Female (n = 5,226) and male (n = 5,969) U.S. Navy recruits completed a survey assessing their premilitary histories of adult sexual assault (SA), defined as attempted or completed rape since the age of 14. The survey was completed under anonymous or identified conditions. Overall, 39% of women reported premilitary SA victimization and 13% of men admitted premilitary SA perpetration. As predicted, rates were significantly higher in the anonymous than in the identified condition. For the sample of women as a whole, marital status, ethnicity, and family income were associated with SA victimization; for men, only marital status was associated with SA perpetration. Compared to previous college samples, Navy recruits were more likely to have previous SA experience. Given the negative consequences associated with SA victimization and perpetration, the present study reinforces the desirability of developing additional treatment, education, and prevention programs to reduce the occurrence of SA among military recruits. (Contains 3 tables.)

Military families are exposed to a unique constellation of risk factors, which may impact maltreatment outcomes. The present study examined prospective relationships between demographic, health, birth-related, and military-specific risk factors identified prior to a child's birth on their risk for maltreatment in the first two years of life. Data from the Millennium Cohort Study, Department of Defense (DoD) operational records and Family Advocacy Program data on met-criteria maltreatment, and Birth and Infant Health Research program data on suspected maltreatment were linked for 9076 service member parents. Discrete time survival analysis showed that preterm birth increased risk of maltreatment while parents' older age, physical health, and service in the Navy or Air Force decreased risk. Building on DoD's New Parent Support Program, findings suggest the need for universal and targeted prevention efforts, beginning during pregnancy, which limit or eliminate risk factors for maltreatment in military families. [ABSTRACT FROM AUTHOR]

Purpose: Sexual assault is a prevalent and persistent problem in the military, yet few studies have examined predictors of sexual offenses. The study aim was to determine pre-service factors associated with sexual offense conviction among U.S. Marines. Methods: This retrospective cohort study analyzed data from male active duty U.S. Marines (2003–2018). Pre-service factors were assessed using survey data from the Recruit Assessment Program, obtained prior to recruit training at the Marine Corps Recruit Depot, San Diego, California. These survey data were linked with sexual offense conviction data obtained from the Naval Criminal Investigative Service Consolidated Law Enforcement Operations Center. Results: Of the 146,307 participants, the majority were 18–19 years old (66.7%) and non-Hispanic, White (62.1%) with a high school education or less (76.8%); 107 received convictions for a sexual offense. In unadjusted analyses, race and ethnicity, parental education, type of primary caregiver, parental death, family economic status, childhood emotional trauma, childhood physical abuse, childhood sexual abuse, and unprotected sex were associated with a sexual offense conviction. In the final multivariable model, race and ethnicity (American Indian/Alaskan Native, odds ratio [OR]: 5.28, 95% confidence interval [CI]: 1.86–14.98; Hispanic, OR: 1.83, 95% CI: 1.06–3.18; multiracial/other, OR: 3.28, 95% CI: 1.56–6.89), education (≤ high school, OR: 2.65; 95% CI: 1.21–5.80), parental death (OR: 2.27; 95% CI: 1.16–4.45), unprotected sex (OR: 1.78; 95% CI: 1.03–3.05), and school suspension/expulsion (OR: 1.64; 95% CI: 1.02–2.65) were significant predictors of a subsequent sexual offense conviction. Conclusions: Results underscore the importance of understanding factors associated with sexual offense and highlight the large discrepancy between self-reported estimates of sexual assault and sexual offense convictions. Findings may inform the development of effective strategies to reduce sexual misconduct, such as technology-facilitated programs that provide private, targeted education; supportive assistance; and prevention materials to individuals who may have elevated sexual misconduct risk. [ABSTRACT FROM AUTHOR]

This study examined the frequency and characteristics of repeated attempted and completed rape (ACR) incidents reported by newly enlisted male navy personnel (N = 1,146) who participated in a longitudinal study during the transition from civilian to military life. Overall, 13% (n = 144) reported engaging in sexual behavior that approximates legal definitions of ACR since the age of 14. Among those men, most (71%) reperpetrated ACR incidents (M = 6.36, SD = 9.55). Demographic variables were unrelated to perpetration history. Regardless of time period, respondents reported perpetrating primarily completed rather than attempted rape, perpetrating multiple ACR incidents rather than a single incident. using substances to incapacitate victims more frequently than force, and knowing their victim rather than targeting a stranger in completed rape incidents. Keywords: sexual assault; longitudinal study; perpetrator

Military operational stressors, such as combat exposure, may increase the risk of sexual health problems. This study examined factors associated with sexual health problems, and tested the mediating effect of probable posttraumatic stress disorder (PTSD) on the association between stressors (i.e., combat deployment and sexual assault) and sexual health problems among U.S. service men. Using multivariable logistic regression (n = 16,603) and Cox proportional hazards models (n = 15,330), we estimated the risk of self-reported sexual health difficulties and sexual dysfunction medical encounters, respectively. Mediation analyses examined the effect of probable PTSD as an intermediate factor between high combat deployment and sexual assault on sexual health problems. Approximately 9% endorsed sexual health difficulties and 8% had a sexual dysfunction. Risk factors for these sexual health problems included older age, lower education level, enlisted rank, disabling injury, certain medical conditions, and higher body mass index. Probable PTSD significantly mediated the associations between high combat with sexual health problems and sexual assault with sexual dysfunction. Additionally, high combat was directly associated with sexual health difficulties. These findings indicate a relationship between these stressors and sexual health problems which suggests that treatment options should be expanded, especially to include psychogenic sexual dysfunctions. [ABSTRACT FROM AUTHOR]

This study explored how specific childhood sexual experiences (CSEs) might be related to self-identification as a victim of sexual abuse and to gender differences in self-defined victimization. Hierarchical logistic regression was used to estimate the relationship of demographic and CSE characteristics with self-definitions. The characteristics most strongly associated were threats-force, incest, and younger age at the time of the experience. Men were less likely than were women to acknowledge abuse and to report CSE characteristics indicative of abuse. Women were more likely to identify themselves as victims the more CSEs they reported involving sexual penetration. Finally, in an analysis of familial abuse, men were more likely to define themselves as victims if the perpetrator was also male.