Author:
Corry Nida H.,Radakrishnan Sharmini,Williams Christianna S.,Sparks Alicia C.,Woodall Kelly A.,Fairbank John A.,Stander Valerie A.
Abstract
Abstract
Background
The health and well-being of military spouses directly contribute to a robust military force by enabling the spouse to better support the active duty member’s career. In order to understand the overall health and well-being of military spouses, we assessed health indicators among military spouses using the Healthy People 2020 framework and examined associations of these health indicators with military experiences and psychosocial factors.
Methods
Using data from the Millennium Cohort Family Study, a U.S. Department of Defense-sponsored survey of 9872 spouses of service members with 2–5 years of military service, we examined attainment of Healthy People 2020 goals for spouses and service members, including healthy weight, exercise, sleep, and alcohol and tobacco use. Multivariable logistic regression models assessed associations of spouse health indicators with stressful military life experiences and social support, adjusting for demographics and military descriptors. The spousal survey was administered nationwide in 2011.
Results
The majority of military spouses met each health goal assessed. However, less than half met the healthy weight and the strength training goals. Reporting greater perceived family support from the military was associated with better behavioral health outcomes, while having no one to turn to for support was associated with poorer outcomes. Using the Healthy People 2020 objectives as a framework for identifying key health behaviors and benchmarks, this study identified factors, including military-specific experiences, that may contribute to physical health behaviors and outcomes among military spouses. With respect to demographic characteristics, the findings are consistent with other literature that women are more likely to refrain from risky substance use and that greater education is associated with better overall health outcomes.
Conclusions
Findings suggest that enhanced social and military support and tailored programming for military spouses may improve health outcomes and contribute to the well-being of military couples. Such programming could also bolster force readiness and retention.
Funder
Naval Health Research Center
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference36 articles.
1. U.S. Department of Defense. Department of Defense Instruction 1010.10: Health promotion and disease prevention. http://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/101010p.pdf. Published April 28, 2014. Accessed 20 Mar 2018.
2. Dall TM, Zhang Y, Chen YJ, et al. Cost associated with being overweight and with obesity, high alcohol consumption, and tobacco use within the military health system's TRICARE prime-enrolled population. Am J Health Promot. 2007;22(2):120–39.
3. Barlas FM, Higgins WB, Pflieger JC, et al.; ICF International. 2011 Health Related Behaviors Survey of Active Duty Military Personnel. https://health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Health-Care-Program-Evaluation/Survey-of-Health-Related-Behaviors/2011-Health-Related-Behavior-Survey-Active-Duty. Published February 2013. Accessed 20 Mar 2018.
4. Institute of Medicine. Substance use disorders in the U.S. Armed Forces. Washington, DC: National Academies Press; 2013.
5. Leigh JP. Economic burden of occupational injury and illness in the United States. Milbank Q. 2011;89(4):728–72.
Cited by
11 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献