Faculty Bibliography

Hazardous drinking is a significant public health concern and an important target for prevention efforts within both military and civilian populations. For such efforts to be maximally effective, comprehensive information regarding factors that increase or decrease risk for hazardous drinking is necessary. This is the first study to investigate risk and promotive factors across individual, family, community, and organizational levels in a representative sample of Air Force personnel (N = 52,780). Unique predictors of men's and women's hazardous drinking were identified both within and across ecological levels. Predictors that accounted for the most variance in predicting hazardous versus non-hazardous drinkers included family income, number of children, depressive symptoms, religious involvement, and perceived financial stress for men and women; and years in the military for men. Among hazardous drinkers, a different set of predictors best explained variance in severity of drinking problems. Results of the current study help identify key targets for prevention efforts operating at different levels (e.g., individual therapy, community-wide programs).

Accurate and regularly updated prevalences are critical to guide both prevention and policy. However, despite their impact on public health, the prevalence of behavioral and mental health problems such as child maltreatment and intimate partner violence (IPV) are collected infrequently (e.g., once per decade or less). The purpose of this study is to test the viability of using nonsensitive, dynamic variables to estimate prevalences of sensitive behavioral problems. Several archival data sets of partner and child maltreatment are used. Data sets are randomly divided into development and cross-validation subsets. Sequential, backward, stepwise logistic regression is used to derive estimation equations, which are then tested in the cross-validation subset. The results indicate that estimated prevalences are close to the measured prevalences. Confidence intervals (95%) are approximately the same as those that pertain to measured prevalences (+/- 1%-2%). In situations where it is either too expensive or too sensitive to assess a population regularly on a problem of interests, it appears as if policy makers and prevention planners can use regularly collected, nonsensitive data to estimate accurately the prevalence of unmeasured, sensitive outcomes.

One-year prevalences of self-reported noteworthy suicidal ideation and nonfatal suicide attempts were assessed in a large sample of U.S. Air Force active duty members (N = 52,780). Participants completed the 2006 Community Assessment, which was conducted online. Over 3% of male and 5.5% of female participants reported having experienced noteworthy suicidal ideation during the previous year, and 8.7% of those with ideation reported a recent suicide attempt. Demographic factors predicting significantly increased risk for suicidal ideation included female gender, low rank, and non-Christian religious affiliation; unmarried men were also at increased risk. Groups that were at increased risk for nonfatal suicide attempts included low-ranking men and Hispanic women. Implications for prevention efforts are discussed.

The objective of this study is to examine risk factors of physical aggression against a partner in a large representative Active Duty Air Force sample. A stratified sample of 128,950 United States Active Duty members were invited to participate in an Air Force-wide anonymous online survey across 82 bases. The final sample (N = 52,780) was weighted to be representative of the United States Air Force. Backward stepwise regression analyses were conducted to identify unique predictors of partner physical aggression perpetration within and across different ecological levels (individual, family, organization, and community levels). Relationship satisfaction, alcohol problems, financial stress, and number of years in the military were identified as unique predictors of men's and women's perpetration of violence against their partner across ecological levels. Parental status, support from neighbors, personal coping, and support from formal agencies also uniquely predicted men's but not women's perpetration of violence across ecological levels. This study identified specific risk factors of partner violence that may be targeted by prevention and intervention efforts aimed at different levels of impact (e.g., family interventions, community-wide programs).

The U.S. government has recently spent several hundred million dollars to promote healthy relationships in new parents. The influx of money implies that relationships of new parents are at elevated risk for declining satisfaction and dissolution. This meta-analysis aggregates data from 37 studies that track couples from pregnancy to after the birth of the first child and 4 studies that track childless newlywed couples over time and compare couples who do and do not become parents. Results indicate significant, small declines in relationship satisfaction for both men and women from pregnancy to 11 months postbirth; 5 studies that followed couples for 12-14 months found moderate-sized declines. Seven variables moderated the decrease in relationship satisfaction from pregnancy to early parenthood. However, the decrease in satisfaction may not indicate anything unique about the transition to parenthood; the 4 studies following newlyweds indicated that those who do not become parents experience a decrease in relationship satisfaction similar to that of parents across a comparable span of time. Implications for prevention and future directions are discussed.

R. E. Heyman and A. M. S. Slep developed and conducted an effectiveness trial of a diagnostic system for child and partner maltreatment. The current investigation tested the widespread dissemination of the diagnostic system at 41 child and partner maltreatment services sites (n = 549 partner maltreatment cases and n = 342 child maltreatment cases). Agreement between field and master reviewers' decisions was good for partner physical and emotional abuse (kappa = 0.83-0.84). Agreement was also good for child physical, emotional, and sexual abuse (kappa = 0.73-0.89) but lagged slightly for child neglect (kappa = 0.66). Thus, multifaceted and content valid family maltreatment diagnostic criteria can be disseminated reliably. Replication studies of interrater agreement of the diagnostic system in typical clinical and agency settings are necessary; however, the high levels of agreement in myriad field sites imply that consistency of maltreatment determinations is achievable in widespread use.

Noncompliance is a primary reason parents seek services for their young children. Research on socialization suggests that warning children about consequences is associated with greater compliance. In the current study, we test whether promised consequences (i.e., promises of parental responses to subsequent child behavior), compared with directives alone, were more strongly associated with compliance. We also tested whether some types of promised consequences were more strongly associated with compliance than others. Forty White mother-toddler (age 17-36 months) dyads were video recorded in a 30-min behavioral analogue situation. Interactions were coded using a derived coding scheme. Promised consequences were not found to be more strongly associated with compliance than were directives alone using sequential analyses; however, negative and immediate promised consequences were more strongly associated with compliance. Findings suggest that promising negative and immediate consequences for noncompliance may encourage compliance.