142nd APHA Annual Meeting and Exposition

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Impact of military leadership behaviors on OEF/OIF servicewomen's risk of sexual assault in combat-related and non-deployed settings

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014 : 8:30 AM - 8:50 AM

Anne Sadler, Ph.D. , CADRE Research (151), Iowa City VAHealth Care Center, University of Iowa Department of Psychiatry, Iowa City, IA
Michelle Mengeling, Ph.D. , CADRE Research (151), Iowa City VA Health Care System, Department of Internal Medicine- University of Iowa, Iowa City, IA
James Torner, Ph.D. , College of Public Health, University of Iowa, Iowa City, IA
Amy Johnson, Ph.D. , CADRE, Research COIN, Iowa City VA Health Care Center, Iowa City, IA
Brenda M. Booth, PhD , Division of Health Services Research, University of Arkansas for Medical Sciences, Little Rock, AR
Background:The risk of workplace violence is heightened for women in male-dominated occupations. Currently 14% of US Armed Forces are women, with 24% deployed to combat-related areas.

Objectives: The aim of this study was to examine the impact of military leadership behaviors on risk of sexual assault (SA) in non-deployed and combat-deployed military environments.

Methods: A Mid-Western cohort of 1339 OEF/OIF era servicewomen participated in this cross-sectional study..

Results: The sample included: currently serving (79%) and Veteran (21%) servicewomen; 4% (lower) enlisted, 66% non-commissioned officers (NCOs) (upper enlisted), and 29% commissioned officers (COs); with 51% deployed in Iraq and/or Afghanistan. Participants were asked 20 NCO and CO leadership behaviors that produced 4 behavior factors: 1)leadership environment (e.g., concern with ethical behavior, support seeking mental health care, zero tolerance for sexual harassment), 2)soldier treatment (e.g., embarrassing soldiers in front of other soldiers; showing favoritism); 3)NCO sexual harassment (e.g., sexually demeaning comments) and 4)CO sexual harassment. SA in military was experienced by 16% of participants, of which 39% acknowledged multiple assaults.  Risk factors for SA occurring in non-deployed settings included: Soldier treatment, NCO sexual harassment, and being of NCO rank. Risk factors for SA occurring in a combat-deployed setting included NCO sexual harassment.

Conclusions: Violence toward military women is a serious public health concern. Our findings demonstrate that NCOs may be a vulnerable population and that leadership behaviors have substantial impact on servicewomen’s safety or risk.  Identification of risk factors is vital in development of evidence-based interventions and policies that address military conduct.

Learning Areas:

Administration, management, leadership
Environmental health sciences
Epidemiology
Occupational health and safety
Other professions or practice related to public health
Social and behavioral sciences

Learning Objectives:
List leadership behaviors associated with OEF/OIF military women's risk of sexual assaulted in combat related and non-deployed settings Discuss military rank and risk of sexual assault in military environments.

Keyword(s): Sexual Assault, Risk Factors/Assesment

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified because I have conducted research in the area of Veteran�s military environments, health risks and health outcomes for approximately the past twenty years and given multiple presentations on such data.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.