Drinking as routine practice among re-integrating National Guard and Reservists from Arkansas

Submitted: 7 April 2020
Accepted: 9 September 2020
Published: 29 October 2020
Abstract Views: 1074
PDF: 288
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Active duty enlisted military personnel are more likely to misuse alcohol than civilians – a pattern which persists even after the transition to civilian life. We used in-depth, substance use history interviews to elicit drinking trajectories from 54 re-integrating Army National Guard, Air Force Reserve and Army Reserve personnel from Arkansas with a history of problematic substance use. A hybrid inductive-deductive analytic approach revealed institutional norms, shared beliefs about drinking, and social values and expectations among military peers present in the context of military service that Veterans described as having shaped their drinking trajectories. Framing Veterans’ narratives vis-à-vis practice theory revealed the complex processes by which excessive drinking was embodied as routine practice during military service and subsequently reproduced in a very different post-deployment context, often with deleterious results. Elucidating these implicit processes suggested pro-active strategies for preventing problematic drinking by active duty personnel and improving the re-integration experiences of Veterans.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Barlas F, Higgins W, Pflieger J, et al. 2011 Health related behaviors survey of active duty military personnel [Internet]. Fairfax, VA: ICF International, Inc.; 2013. Available at: https://apps.dtic.mil/dtic/tr/fulltext/u2/a582287.pdf DOI: https://doi.org/10.21236/ADA582287
Bray RM, Hourani LL, Rae KL, et al. 2002 Department of Defense survey of health related behaviors among military personnel [Internet]. Research Triangle Park, NC: Research Triangle Institute; 2003. Available at: https://apps.dtic.mil/dtic/tr/fulltext/u2/a431566.pdf
Mattiko MJ, Olmsted KLR, Brown JM, et al. Alcohol use and negative consequences among active duty military personnel. Addict Behav 2011 36:608–14. DOI: https://doi.org/10.1016/j.addbeh.2011.01.023
Ames GM, Cunradi CB, Moore RS, et al. Military culture and drinking behavior among U.S. Navy careerists. J Stud Alcohol Drugs 2007;68:336–44. DOI: https://doi.org/10.15288/jsad.2007.68.336
Gibbs DA, Rae Olmsted KL, Brown JM, et al. Dynamics of stigma for alcohol and mental health treatment among Army soldiers. Mil Psychol 2011;23:36–51. DOI: https://doi.org/10.1080/08995605.2011.534409
Mash HBH, Fullerton CS, Ng THH, et al. Factor analysis of the Drinking Motives Questionnaire in a young adult U.S. Army sample. Psychol Rep 2014;115:339–50. DOI: https://doi.org/10.2466/18.PR0.115c21z6
Ames GM, Duke MR, Moore RS, et al. The impact of occupational culture on drinking behavior of young adults in the U.S. Navy. J Mix Methods Res 2009;3:129–50. DOI: https://doi.org/10.1177/1558689808328534
Larson MJ, Wooten NR, Adams RS, et al. Military combat deployments and substance use: review and future directions. J Soc Work Pract Addict 2012;12:6–27. DOI: https://doi.org/10.1080/1533256X.2012.647586
Shirvani M, Reed MB, Clingan S. The relationship between emerging adult alcohol consumption and military enlistment. Mil Med 2017;182:e1731–7. DOI: https://doi.org/10.7205/MILMED-D-16-00312
Derefinko KJ, Hallsell TA, Isaacs MB, et al. Substance use and psychological distress before and after the military to civilian transition. Mil Med 2018;183:e258–65. DOI: https://doi.org/10.1093/milmed/usx082
Teeters J, Lancaster C, Brown D, et al. Substance use disorders in military veterans: prevalence and treatment challenges. Subst Abuse Rehabil 2017;Volume 8:69–77. DOI: https://doi.org/10.2147/SAR.S116720
Calhoun PS, Elter JR, Jones ER, Kudler H, et al. Hazardous alcohol use and receipt of risk-reduction counseling among U.S. veterans of the wars in Iraq and Afghanistan. J Clin Psychiatry 2008;69:1686–93. DOI: https://doi.org/10.4088/JCP.v69n1103
Bourdieu P. Distinction: A social critique of the judgement of taste. Cambridge, MA: Hardvard University Press; 1984.
Bourdieu P. The logic of practice. Stanford, CA: Stanford University Press; 1990.
Frohlich KL, Corin E, Potvin L. A theoretical proposal for the relationship between context and disease. Sociol Health Amp Illn 2001;23:776–97. DOI: https://doi.org/10.1111/1467-9566.00275
Cooper L, Caddick N, Godier L, et al. Transition from the military into civilian life: an exploration of cultural competence. Armed Forces Soc 2016; 44: 156-177. DOI: https://doi.org/10.1177/0095327X16675965
Wacquant L. Pierre Bourdieu. In: Stones R, editor. Key sociological thinkers [Internet]. London: Macmillan Education UK; 1998 [cited 2020 Mar 25]. p. 215–29. Available at: http://link.springer.com/10.1007/978-1-349-26616-6_17 DOI: https://doi.org/10.1007/978-1-349-26616-6_17
Higate P, ed. Military masculinities: Identity and the state. Westport, CT: Praeger Publishers; 2003.
Handwerker P. Quick ethnography. New York: AltaMira Press; 2001.
Vindrola-Padros C, Vindrola-Padros B. Quick and dirty? A systematic review of the use of rapid ethnographies in healthcare organisation and delivery. BMJ Qual Saf 2018;27:321-30. DOI: https://doi.org/10.1136/bmjqs-2017-007226
Bernard HR, Wutich A, Ryan G. Analyzing qualitative data: systematic approaches. 2nd ed. Newbury Park, CA: Sage Publications, Inc; 2016.
Sheehan D, Janavs J, Knapp E, et al. Mini-International Neuropsychiatric Interview clinician rated, version 4.0. Tampa, FL: University of South Florida College; 1992.
Cole AL, Knowles JG, editors. Lives in context: the art of life history research. New York: AltaMira Press; 2001.
Hubbard G. The usefulness of indepth life history interviews for exploring the role of social structure and human agency in youth transitions. Sociol Res Online 2000;4:102–13. DOI: https://doi.org/10.5153/sro.390
Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005;15:1277–88. DOI: https://doi.org/10.1177/1049732305276687
Birks M, Chapman Y, Francis K. Memoing in qualitative research: probing data and processes. J Res Nurs 2008;13:68–75. DOI: https://doi.org/10.1177/1744987107081254
Fuehrlein BS, Kachadourian LK, DeVylder EK, et al. Trajectories of alcohol consumption in US military veterans: results from the National Health and Resilience in Veterans Study. Am J Addict 2018; 27:383-390. DOI: https://doi.org/10.1111/ajad.12731
Cooper L, Caddick N, Godier L, et al. A model of military to civilian transition: Bourdieu in action. J Mil Veteran Fam Health 2017;2:53-60. DOI: https://doi.org/10.3138/jmvfh.4301
Brady LL, Credé M, Harms PD, et al. Meta-analysis of risk factors for substance abuse in the US military. Mil Psychol 2019;31:450–61. DOI: https://doi.org/10.1080/08995605.2019.1657754
Campise RL, Geller SK, Campise ME. Combat Stress. In: Kennedy CH, Zillmer EA, editors. Military psychology: clinical and operational applications. New York: Guilford Press; 2006. pp. 215–40.
Suris A, Lind L. Military sexual trauma: a review of prevalence and associated health consequences in veterans. Trauma Violence Abuse 2008;9:250–69. DOI: https://doi.org/10.1177/1524838008324419
Meredith LS, Sherbourne CD, Gaillot S. Promoting Psychological Resilience in the US Military; 2011. Santa Monica, CA: RAND Corporation; 2016.
Zinzow HM, Britt TW, McFadden AC, et al. Connecting active duty and returning veterans to mental health treatment: Interventions and treatment adaptations that may reduce barriers to care. Clin Psychol Rev 2012; 32:741-753. DOI: https://doi.org/10.1016/j.cpr.2012.09.002
Green KT, Beckham JC, Youssef N, et al. Alcohol misuse and psychological resilience among US Iraq and Afghanistan era veterans. Addict Behav 2014;39: 406-13. DOI: https://doi.org/10.1016/j.addbeh.2013.08.024
Thompson SR, Dobbins S. The applicability of resilience training to the mitigation of trauma-related mental illness in military personnel. J. Am. Psychiatr Nurses Assoc 2018;24:23-34. DOI: https://doi.org/10.1177/1078390317739957

Supporting Agencies

Department of Veterans Affairs Office of Academic Affiliations Advanced Fellowship Program in Mental Illness Research and Treatment, Department of Veterans Affairs Center for Mental Healthcare and Outcomes Research, Department of Veterans Affairs Clinical Science & Development Grant, Medical Research Service of the Veterans Affairs of the Central Arkansas Veterans Healthcare System

How to Cite

Abraham, Traci H., Ann M. Cheney, Geoffrey M. Curran, and Karen L. Drummond. 2020. “Drinking As Routine Practice Among Re-Integrating National Guard and Reservists from Arkansas”. Qualitative Research in Medicine and Healthcare 4 (2). https://doi.org/10.4081/qrmh.2020.9001.