Child Maltreatment and Substance Abuse Among U.S. Army Soldiers

Authors
Gibbs, D. A. Martin, S. L. Johnson, R. E. Rentz, E. D. Clinton-Sherrod, M. Hardison, J.
Publication year
2008
Citation Title
Child maltreatment and substance abuse among U.S. Army soldiers.
Journal Name
Child Maltreatment
Journal Volume
13
Issue Number
3
Page Numbers
259-268
DOI
10.1177/1077559507313462
Summary
Substance abuse has been cited as a potential risk factor for child maltreatment. This study assessed the odds of certain characteristics being possessed by Service members (e.g., marital status, gender, age) or maltreatment incidents (e.g., severity, recurrence) among Army child maltreatment incidents involving substance abuse during 2000-2004. Of the offenders, 13% were abusing substances during the incident, and several factors (e.g., spousal abuse, male gender, White race) were associated with substance use during offense.
Key Findings
Of the child maltreatment incidents from 2000-2004, 13% of offenders were abusing drugs (6%), alcohol (89%), or both (5%) during their first child maltreatment incident.
Child maltreatment offenders whose first incident involved substance abuse were much more likely to have been referred to substance abuse services prior to the incident compared to those who did not abuse substances.
The odds of child maltreatment offenders' substance abuse during the incident was higher for males than females, married parents than single parents, and White parents than Black or Latino parents, but did not differ by pay grade or Soldier age.
Odds of substance abuse nearly tripled in child maltreatment incidents that also involved co-occurring spousal abuse.
Implications for Program Leaders
Educate Service members and their families about the negative consequences of substance abuse on parent and family relationships
Offer workshops for offenders of child maltreatment that teach ways to manage stress and anger
Disseminate information to military parents regarding support programs and intervention programs for parents with a history of substance abuse or child maltreatment
Implications for Policy Makers
Continue to support programs that integrate and coordinate the services provided for individuals with a history of both family violence and substance abuse
Recommend collaboration between military and community programs for violence and substance abuse to ensure that Service members and families have appropriate program referrals and early intervention
Encourage all providers working with military families to obtain education about the co-occurance of child maltreatment and substance abuse
Methods
Data for the study were provided by the Army's Family Advocacy Program database and other Army Central Registry databases.
Data were used for child maltreatment incidents that occured during 2000-2004, had information regarding whether substance abuse was involved, and were perpetrated by a parent who was an Active Duty Soldier and first-time offender.
The odds of certain characteristics being possessed by the Service member (e.g., substance use, gender, marital status, pay grade) or the maltreatment incident (e.g., severity, type of abuse, recurrence) out of all offenders and child maltreatment incidents were assessed.
Participants
Service member offenders included 3,959 Active Duty Soldiers, who were 81% male and 66% over the age of 25 years old.
Service members were 53% Black or Latino and 47% White.
The majority of Service members were married (89%).
Limitations
Due to the cross-sectional nature of the study and lack of comparison group, the direction of the relationship between substance abuse and child maltreatment cannot be inferred.
Other unmeasured factors (e.g., Service members' co-occuring mental health disorders, deployment history, combat exposure) were not measured and could have impacted results.
Data from unreported cases, as well as excluded cases that were missing substance use infromation (7%), may have differed from incidents that were reported, possibly affecting results.
Avenues for Future Research
Investigate the nature of the relationship between substance abuse and recurrent child maltreatment following the first-time offense
Examine the effects of mental health disorders and other co-occuring problems on the odds of child maltreatment perpetration to better understand risk factors for maltreatment
Explore the relationships between deployment, substance abuse, co-occuring mental disorders, and child maltreatment together to understand how these relationships are intertwined within military child maltreatment
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
2 Stars - There are a few factors that limit the ability to extend the results to an entire population, but the results can be extended to most of the population.
Focus
Army
Target Population
Population Focus
Military Branch
Military Component
Abstract
Although substance abuse has consistently been linked to child maltreatment, no study to date has described the extent of substance abuse among child maltreatment offenders within the military. Analysis of U.S. Army data on all substantiated incidents of parental child maltreatment committed between 2000 and 2004 by active duty soldiers found that 13% of offenders were noted to have been abusing alcohol or illicit drugs at the time of their child maltreatment incident. The odds of substance abuse were increased for offenders who committed child neglect or emotional abuse, but were reduced for child physical abuse. The odds of offender substance abuse nearly tripled in child maltreatment incidents that also involved co-occurring spouse abuse. Findings include a lack of association between offender substance abuse and child maltreatment recurrence, possibly because of the increased likelihood of removal of offenders from the home when either substance abuse or spouse abuse were documented.
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