Greater odds of adverse childhood experiences in those with military service

Men and women who have served in the military have a higher prevalence of adverse childhood events (ACEs), suggesting that enlistment may be a way to escape adversity for some.

The prevalence of ACEs among U.S. military members and veterans is largely unknown. ACEs can result in severe adult health consequences such as , substance use and attempted suicide.

Authors compared the prevalence of ACEs among individuals with and without a history of using data from a behavioral risk surveillance system, along with telephone interviews, for an analytic sample of more than 60,000 people. ACEs in 11 categories were examined, including living with someone who is mentally ill, alcoholic or incarcerated, as well as witnessing partner violence, being physically abused, touched sexually or forced to have sex. Authors considered military service during the all-volunteer era (since 1973) vs. the draft era.

In the sample, 12.7 percent of the individuals reported military service, which was more common among men (24 percent) than women (2 percent). During the all-volunteer-era, men with military service had a higher prevalence of ACEs in all 11 categories than men without military service. For example, men with a history of military service had twice the prevalence of all forms of sexual abuse than their nonmilitary male peers: being touched sexually (11 percent vs. 4.8 percent), being forced to touch another sexually (9.6 percent vs. 4.2 percent) and being forced to have sex (3.7 percent vs. 1.6 percent). During the draft era, the only difference among men was in household drug use, where men with military service had a lower prevalence than men without military service.

Fewer differences in ACEs were found among women with and without military service than among men. Women with a history of military service in both eras had similar patterns of elevated odds for physical abuse, household alcohol abuse, exposure to domestic violence and emotional abuse compared with women who had not been in the military. Women who served in the military during the all-volunteer era also were more likely to report being touched sexually.

"Further research is needed to understand how best to support service members and veterans who may have experienced ACEs."

More information: JAMA Psychiatry. Published online July 23, 2014. DOI: 10.1001/jamapsychiatry.2014.724

add to favorites email to friend print save as pdf

Related Stories

Childhood trauma linked to adult smoking for girls

Jul 12, 2012

Adverse childhood experiences (ACEs) can stay with us for life. New research published in BioMed Central's open access journal Substance Abuse Treatment, Prevention, and Policy explains how these events can be tied up wit ...

Study finds ADHD and trauma often go hand in hand

May 06, 2014

When children struggle with focusing on tasks, staying organized, controlling their behavior and sitting still, they may be evaluated for attention-deficit/hyperactivity disorder (ADHD). Clinicians, however, ...

Recommended for you

Lift weights, improve your memory

13 hours ago

Here's another reason why it's a good idea to hit the gym: it can improve memory. A new Georgia Institute of Technology study shows that an intense workout of as little as 20 minutes can enhance episodic ...

Fat chats: The good, the bad and the ugly comments

15 hours ago

Cyberbullying and hurtful 'fat jokes' are disturbingly prevalent in the social media environment, especially on Twitter, says Wen-ying Sylvia Chou of the National Institutes of Health in the US. Chou is lead ...

User comments