Exhibit 3:
Associations of Soldier and Treatment characteristics with receiving a post-deployment behavioral health visit or an alcohol use disorder diagnosis among Soldiers with a positive post-deployment alcohol screen, within medium-sized facilities (n = 81,611)
| Had a follow-up behavioral health visit | Received an alcohol use disorder diagnosis | |
|---|---|---|
| n = 28,233 | n = 4,738 | |
| Adjusted odds ratio | Adjusted odds ratio | |
| Soldier Characteristics | ||
| Female | 1.18*** | 0.54*** |
| Race/Ethnicity (ref = Caucasian) | ||
| American Indian/Alaska Native | 1.02 | 1.75* |
| Asian/Pacific Islander | 1.02 | 1.03 |
| Black/African American | 0.99 | 1.25*** |
| Hispanic | 0.98 | 1.05 |
| Other | 1.00 | 1.08 |
| Rank (ref = junior enlisted) | ||
| Senior enlisted | 0.87*** | 0.56*** |
| Junior officer | 0.54*** | 0.18*** |
| Senior officer | 0.60*** | 0.29*** |
| Warrant officer | 0.54*** | 0.35*** |
| Age group (ref = 18–20) | ||
| 21–29 | 0.90*** | 0.72*** |
| 30–39 | 0.81*** | 0.59*** |
| 40+ | 0.76*** | 0.51*** |
| Married (ref = Married) | ||
| Separated | 0.99 | 1.13* |
| Never Married | 0.88*** | 1.23*** |
| Post-deployment alcohol screening result (ref = At-risk) | ||
| Severe alcohol use | 1.29*** | 2.44*** |
| Prior deployments (ref = 0) | ||
| 1 | 0.98 | 0.77*** |
| 2+ | 0.97 | 0.77** |
| Alcohol use disorder diagnosis pre-deployment | 1.55*** | 3.70*** |
| Behavioral health comorbidity scale | 2.05*** | 1.42*** |
| Injury scale | 1.24*** | 1.20*** |
| Treatment Characteristics | ||
| Full-time equivalent of mental health providers at treatment facility | 1.00 | 1.00 |
SOURCE Authors’ analysis of data from the Substance Use and Psychological Injury Combat study of Soldiers who completed the Post-deployment Health Re-Assessment (PDHRA) after return from a deployment associated with the Afghanistan or Iraq conflicts in fiscal years 2008–2013.
NOTES Receipt of a follow-up behavioral health visit and alcohol use disorder diagnosis were assessed within 150 days following completion of the PDHRA. Models also control for fiscal year of return from index deployment and the Army Substance Abuse Program policy change variable, which captured the shift of the Army Substance Abuse Program from Medical Command to Installation Command in October, 2010. Military treatment facilities were categorized based on size: small [clinic-only], medium [hospital and clinic], and large [medical center of hospital and clinics]). This exhibit presents results from medium-sized facilities. Results for small and large facilities can be found in the Appendix. Positive post-deployment alcohol use screens were defined as scoring in the at-risk range (4–6 for males and 3–4 for females) or severe alcohol use range (7+ for males and 5+ for females) on the Alcohol Use Disorders Identification Test-consumption items. The behavioral health comorbidity scale is a sum score (0–5) of positive screens on the PDHRA related to behavioral health (post-traumatic stress disorder; depression; three measures of help-seeking) and the injury scale is a sum score (0–3) of self-report on the PDHRA of being wounded, injured, assaulted, or hurt during the index deployment; being hospitalized since the index deployment; and receipt of a traumatic brain injury diagnosis 90 days prior to the PDHRA. ref = reference group.
p < .05,
p < .01,
p < .001.