Increased Risk of Alcohol and Drug Use Among Children From Deployed Military Families

Authors
Acion, L. Ramirez, M. R. Jorge, R. E. Arndt, S.
Publication year
2013
Citation Title
Increased risk of alcohol and drug use among children from deployed military families.
Journal Name
Addiction
Journal Volume
108
Issue Number
8
Page Numbers
1418-1425
DOI
10.1111/add.1216
Summary
Scores were compared on a self-report measure of drug and alcohol use in a sample of Iowa adolescents who had a parent that was currently deployed, had recently returned from deployment, or had neither parent affiliated with the military (non-military). The findings indicate that compared to the non-military group, the currently deployed group was more likely to drink alcohol, binge drink, and use illegal drugs regardless of grade level.
Key Findings
Military adolescents with deployed parents were more likely than non-military children to drink alcohol, binge drink, use marijuana, use other illegal drugs, and misuse prescription drugs regardless of grade level.
Military adolescents were more likely to live with someone other than their parent during deployment and those with parents currently deployed were not living with an immediate relative.
Military adolescents not living with a parent or relative were at particular risk of binge drinking or using marijuana compared to non-military adolescents not living with a relative.
Implications for Program Leaders
Offer classes to military parents about how to talk to their children openly about healthy choices surrounding refraining from alcohol and illicit drug use
Provide support groups to military children that recognize the unique challenges faced by children of deployed parents who live with non-relatives and their risk of substance use
Disseminate information regarding the negative effects of drug use and resource available for military families and children seeking help with substance use issues
Implications for Policy Makers
Continue to support research that examines the unique risk factors associated with substance use among military families
Support programs that offer mental health and substance use screening for adolescent children of parents who are deployed or who have recently returned from deployment
Encourage collaboration among DoD and community-based programs that provide services for military families and children coping with substance use issues to provide seamless and comprehensive care
Methods
This study used data from the 2010 Iowa Youth Survey (IYS); all public and private schools in the state are invited to participant in the survey.
Participants included Children where from the 6th, 8th, or 11th grade from participating public and private schools.
Participants completed a self-report online survey that assesses youth’s drug and alcohol use and perceptions of peers, family, school, and community. Participants were also asked about their parents’ military and deployment status.
Participants
A total of 78,240 youth completed the survey; however, those who failed to answer questions regarding their parent’s involvement in the military were removed from the sample, resulting in a total of 58,395 participants.
About 1% of participants (n = 775) had a currently deployed military parent, 1.7% (n = 983) had a recently returned military parent, and 97% (n = 637) had a non-military parent.
The majority of participants were White (77% military; 87% non-military) and were on average 13 years old; gender was nearly even (military children = 59% male; non-military = 49% male).
Limitations
Future studies could include a more varied sample of military families, equally sampling all branches of the military.
Most of the military families in the study were in the Reserve or National Guard, which may not be representative of the larger military context.
This study collected no data on socio-economic status, important aspects of deployment (e.g., length of current or previous deployment), or characteristics of adolescent mental health, which may impact the results found herein.
Avenues for Future Research
Examine differences in alcohol and drug use among military children with currently or recently deployed parents compared to military children with both parents home
Include a more varied sample of military families, equally sampling all branches of the military
Examine protective factors that prevent substance use among children in the military
Design Rating
1 Star - There are some significant flaws in the study design or research sample such that conclusions drawn from the data are suspect.
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
1 Star - There are several factors that limit the ability to extend the results to a population and therefore the results can only be extended to a very specific subset of the population.
Focus
Multiple Branches
Target Population
Population Focus
Military Component
Abstract
Aims To examine the association between military deployment of a parent and use of alcohol and drugs among children of deployed military personnel. Design Observational and cross-sectional study. Setting Data from the USA 2010 Iowa Youth Survey, a statewide survey of 6th, 8th and 11th graders, were analyzed during 2011. Participants Of all 6th-, 8th- and 11th-grade students enrolled in Iowa in 2010, 69% (n = 78 240) completed the survey. Measurements Ever drink more than a few sips of alcohol and past 30-day: binge drinking, marijuana consumption, other illegal drug use and prescription drug misuse. Findings The rates of alcohol use [risk difference (RD) = 7.85, 99.91% confidence interval (CI) = 4.44–11.26], binge drinking (RD = 8.02, 99.91% CI = 4.91–11.13), marijuana use (RD = 5.30, 99.91% CI = 2.83–7.77), other illegal drug use (RD = 7.10, 99.91% CI = 4.63–9.56) and prescription drug misuse (RD = 8.58, 99.91% CI = 5.64–11.51) are greater for children of currently or recently deployed parents than for children of parents who are not in the military. The magnitude of the effects is consistent across 6th, 8th and 11th grades. Disrupted living arrangements further accentuate increased substance use, with the largest effect seen in children with a deployed parent who was not living with a parent or relative. Conclusions Children of deployed military personnel should be considered at higher risk for substance use than children of non-military citizens.
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