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Sexual Behaviors and Health Practices Among Student Service Members and Veterans

  • David L. AlbrightEmail author
  • Antoinette M. Landor
  • Justin T. McDaniel
  • Kelli Godfrey
  • Kari L. Fletcher
  • Kate H. Thomas
  • Jessica Bertram
Original Paper

Abstract

The purpose of the study was to determine whether veteran students and non-veteran students differed in their sexual behaviors and health practices and, furthermore, whether or not those differences were gender specific. Demographic characteristics of the study sample were explored by calculating frequencies and percentages by military service status. Research questions were explored with maximum likelihood multiple logistic regression. Results showed that student veterans were more likely than non-veteran students to have sex with multiple partners, with males and transgender students more likely than females to report multiple sexual partners. Student veterans were more likely than non-veterans to perform a self-examination for either breast cancer or testicular cancer, with transgender students more likely than females to report having engaged in a self-examination. Student veterans were also more likely than non-veterans to have been vaccinated against HPV or Hepatitis B, with male students more likely than females to have been vaccinated. Furthermore, transgender student veterans were less likely than female veterans to have been vaccinated. Finally, male student veterans were more likely than female veterans to report an STI-related doctor visit, with transgender student veterans more likely than female veterans to report an STI-related doctor visit. College campuses are increasingly implementing student veteran-specific programs and services; however, little if any research specifically has explored ways in which safety and health can be promoted within university settings. We recommend that institutions of higher education make concerted efforts to promote safety and health among its student veteran population.

Keywords

Sexual behaviors Sexual health Postsecondary Student veterans 

References

  1. Abern, L., & Maguire, K. (2018). Contraception knowledge in transgender individuals: Are we doing enough? Obstetrics and Gynecology, 131, 65S.CrossRefGoogle Scholar
  2. Ackerman, R., DiRamio, D., & Garza Mitchell, R. L. (2009). Transitions: Combat veterans as college students. New Directions for Student Services, 126, 5–14.CrossRefGoogle Scholar
  3. Albright, D. L., Fletcher, K. L., McDaniel, J. T., Thomas, K. H., Godfrey, K., Growski, M., & Dane, J. (2018). Intimate partner violence among postsecondary students with military experience. Traumatology.  https://doi.org/10.1037/trm0000172.CrossRefGoogle Scholar
  4. Albright, D. L., Fletcher, K. L., Pelts, M. D., & Taliaferro, L. (2017). Use of college mental health services among student veterans. Best Practices in Mental Health, 13(1), 66–80.Google Scholar
  5. Albright, D. L., Thomas, K. H., McDaniel, J. T., Fletcher, K. L., Godfrey, K. K., Bertram, J. M., & Angel, C. (2019). When women veterans return: The role of education in transition in their civilian lives. Journal of American College Health.  https://doi.org/10.1080/07448481.2018.1494599.CrossRefPubMedGoogle Scholar
  6. American College Health Association. (2017a). National college health assessment: Research projects and data access. Retrieved November 25, 2017, from http://www.acha-ncha.org/research.html.
  7. American College Health Association. (2017b). Generalizability, reliability, and validity analysis. Retrieved November 25, 2017, from http://www.acha-ncha.org/grvanalysis.html.
  8. American College Health Association. (2017c). National college health assessment II: Web survey, 2011 to present. Retrieved November 25, 2017, from http://www.acha-ncha.org/docs/ACHA-NCHA_IIb_Web_Survey_2011_SAMPLE.pdf.
  9. Borrero, S., Callegari, L. S., Zhao, X., Mor, M. K., Sileanu, F. E., Switzer, G., … Schwarz, E. B. (2017). Unintended pregnancy and contraceptive use among women veterans: The ECUUN Study. Journal of General Internal Medicine, 32(8), 900–908.CrossRefGoogle Scholar
  10. Box, G. E. P., & Tidwell, P. W. (1962). Transformation of the independent variables. Technometrics, 4(4), 531–550.CrossRefGoogle Scholar
  11. Brown, J. L., & Vanable, P. A. (2007). Alcohol use, partner type, and risky sexual behavior among college students: Findings from an event-level study. Addictive Behavior, 32(12), 2940–2952.CrossRefGoogle Scholar
  12. Bryant, K. D. (2009). Contraceptive use and attitudes among female college students. The ABNF Journal, 20(1), 12–16.PubMedGoogle Scholar
  13. Capaldi, D. M., Knoble, N. B., Shortt, J. W., & Kim, H. K. (2012). A systematic review of risk factors for intimate partner violence. Partner Abuse, 3(2), 231–280.CrossRefGoogle Scholar
  14. Champion, H. L., Foley, K. L., Durant, R. H., Hensberry, R., Altman, D., & Wolfson, M. (2004). Adolescent sexual victimization, use of alcohol and other substances, and other health risk behaviors. Journal of Adolescent Health, 35(4), 321–328.CrossRefGoogle Scholar
  15. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New York, NY: Routledge Academic.Google Scholar
  16. Cooper, T. V., DeBon, M., Haddock, C. K., Esquivel, D. R., Klesges, R. C., Lando, H., & Talcott, G. W. (2008). Demographics and risky lifestyle behaviors associated with willingness to risk sexually transmitted infection in air force recruits. American Journal of Health Promotion, 22, 164–167.  https://doi.org/10.4278/ajhp.22.3.164.CrossRefPubMedGoogle Scholar
  17. Cramer, H. (1946). Mathematical methods of statistics. Princeton, NJ: Princeton University Press.Google Scholar
  18. Downing-Matibag, T. M., & Geisinger, B. (2009). Hooking up and sexual risk taking among college students: A health belief model perspective. Qualitative Health Research, 19(9), 1196–1209.CrossRefGoogle Scholar
  19. Fernandez, W. G., Hartman, R., & Olshaker, J. (2006). Brief interventions to reduce harmful alcohol use among military personnel: Lessons learned from the civilian experience. Military Medicine, 171(6), 538–543.CrossRefGoogle Scholar
  20. Goldbach, J. T., & Castro, C. A. (2016). Lesbian, gay, bisexual, and transgender (LGBT) service members: Life after don’t ask, don’t tell. Current Psychiatry Reports.  https://doi.org/10.1007/s11920-016-0695-0.CrossRefPubMedGoogle Scholar
  21. Goulet, J. L., Martinello, R. A., Bathulapalli, H., Higgins, D., Driscoll, M. A., Brandt, C. A., & Womack, J. A. (2014). STI diagnosis and HIV testing among OEF/OIF/OND veterans. Medical Care, 52(12), 1064.PubMedPubMedCentralGoogle Scholar
  22. Goyal, V., Mattocks, K. M., & Sadler, A. G. (2012). High-risk behavior and sexually transmitted infections among U.S. active duty servicewomen and veterans. Journal of Women’s Health, 21(11), 1155–1169.  https://doi.org/10.1089/jwh.2012.3605.CrossRefPubMedPubMedCentralGoogle Scholar
  23. Grace, T. W. (1997). Health problems of college students. Journal of College Students, 45(6), 243–251.Google Scholar
  24. Graham, R., Berkowitz, B., Blum, R., Bockting, W., Bradford, J., de Vries, B., ... Makadon, H. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, DC: Institute of Medicine.Google Scholar
  25. Gullett, D. L., & Lyons, M. A. (2005). Sexual sensation seeking, compulsivity, and HIV risk behaviors in college students. Journal of Community Health Nursing, 22(1), 47–60.CrossRefGoogle Scholar
  26. Hoerster, K. D., Lehavot, K., Simpson, T., McFall, M., Reiber, G., & Nelson, K. M. (2012). Health and health behavior differences: US Military, veteran, and civilian men. American Journal of Preventive Medicine, 43(5), 483–489.CrossRefGoogle Scholar
  27. Holder, K. A. (2010). Post 9/11 women veterans. Presented at the meeting of the Population Association of America, Dallas, TX.Google Scholar
  28. Holly, K. J., & French, S. E. (2012). Condom negotiation strategy use and effectiveness among college students. Journal of Sex Research, 49(5), 443–453.CrossRefGoogle Scholar
  29. Hosmer, D. W., Lemeshow, S., & Sturdivant, R. X. (2013). Applied logistic regression (3rd ed.). Hoboken, NJ: Wiley.CrossRefGoogle Scholar
  30. Kadison, R., & DiGeronimo, T. F. (2004). College of the overwhelmed: The campus mental health crisis and what to do about it. San Francisco, CA: Jossey-Bass.Google Scholar
  31. Kauth, M. R., Meier, C., & Latini, D. M. (2014). A review of sexual health among lesbian, gay, and bisexual veterans. Current Sexual Health Reports, 6(2), 106–113.CrossRefGoogle Scholar
  32. Kimerling, R., Iverson, K. M., Dichter, M. E., Rodriguez, A. L., Wong, A., & Pavao, J. (2015). Prevalence of intimate partner violence among women. Journal of General Internal Medicine, 31(8), 888–894.CrossRefGoogle Scholar
  33. Kraus, S. W., Martino, S., Potenza, M. N., Park, C., Merrel, J. D., & Hoff, R. A. (2017). Examining compulsive sexual behavior and psychopathology among a sample of postdeployment US male and female military veterans. Military Psychology, 29(2), 143–156.CrossRefGoogle Scholar
  34. Landor, A. M., & Halpern, C. (2015). Prevalence of high-risk sexual behaviors among monoracial and multiracial groups from a national sample: Are multiracial young adults at greater risk? Archives of Sexual Behavior, 45(2), 467–475.CrossRefGoogle Scholar
  35. Landor, A. M., & Simons, L. G. (2013). Why virginity pledges succeed or fail: The moderating effect of religious commitment versus religious participation on sexual behavior. Journal of Child and Family Studies.  https://doi.org/10.1007/s10826-013-9769-3.CrossRefGoogle Scholar
  36. Lindley, L. L., Barnett, C. L., Brandt, H. M., Hardin, J. W., & Burcin, M. (2008). STDs among sexually active female college students: Does sexual orientation make a difference? Perspectives on Sexual and Reproductive Health, 40(4), 212–217.CrossRefGoogle Scholar
  37. Mann, H. B., & Whitney, D. R. (1947). On a test of whether one of two random variables is stochastically larger than the other. Annals of Mathematical Statistics, 18(1), 50–60.CrossRefGoogle Scholar
  38. McBain, L., Kim, Y. M., Cook, B. J., & Snead, K. M. (2012). From soldier to student II: Assessing campus programs for veterans and service members. Washington, DC: American Council on Education.Google Scholar
  39. Morris, J. A., & Garnder, M. J. (1988). Calculating confidence intervals for relative risks (odds ratios) and standardized ratios and rates. British Medical Journal, 296, 1313–1316.CrossRefGoogle Scholar
  40. O’Rourke, K., Richman, A., Roddy, M., & Custer, M. (2008). Does pregnancy/paternity intention predit contraception use? A study among US soldiers who have completed initial entry training. Journal of Family Planning and Reproductive Health Care, 34(3), 165–168.  https://doi.org/10.1783/147118908784734891.CrossRefPubMedGoogle Scholar
  41. Pelts, M. D., & Albright, D. L. (2015). An exploratory study of student service members and veterans mental health characteristics by sexual orientation. Journal of American College Health, 63, 508–512.CrossRefGoogle Scholar
  42. Pelts, M. D., Albright, D. L., McDaniel, J. T., & Godfrey, K. (2018). Physical health characteristics of student service members and veterans by sexual orientation. Journal of American College Health.  https://doi.org/10.1080/07448481.2018.1502774.CrossRefPubMedGoogle Scholar
  43. Pelts, M. D., Albright, D. L., McDaniel, J. T., Laski, S., & Godfrey, K. (2019). An exploratory study: Informing health and prevention services for transgender and gender variant student veterans. Traumatology.  https://doi.org/10.1037/trm0000190.CrossRefGoogle Scholar
  44. Raj, A., Santana, M. C., Marche, A. L., Amaro, H., Cranston, K., & Silverman, J. G. (2005). Perpetration of intimate partner violence associated with sexual risk behaviors among young adult men. American Journal of Public Health, 96(10), 1873–1878.CrossRefGoogle Scholar
  45. Rao, J. N. K., & Scott, A. J. (1984). On chi square tests for multiway contingency tables with cell proportions estimated from survey data. The Annals of Statistics, 12(1), 46–60.CrossRefGoogle Scholar
  46. Scholly, K., Katz, A. R., Gascoigne, J., & Holck, P. S. (2005). Using social norms theory to explain perceptions and sexual health behaviors of undergraduate college students: An exploratory study. Journal of American College Health, 53(4), 159–166.CrossRefGoogle Scholar
  47. Silverman, J. G., Raj, A., Mucci, L. A., & Hathaway, J. E. (2001). Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. Journal of American Medical Association, 286(5), 572–579.CrossRefGoogle Scholar
  48. Stahlman, S., Javanbakht, M., Cochran, S., Hamilton, A., Shoptaw, S., & Gorbach, P. (2014). Self reported STIs and sexual risk behaviors in the U.S. military: How gender influences risk. Sexually Transmitted Diseases, 41(6), 359–364.  https://doi.org/10.1097/olq.0000000000000133.CrossRefPubMedPubMedCentralGoogle Scholar
  49. Stinson, R. D. (2010). Hooking up in young adulthood: A review of factors influencing the sexual behavior of college students. Journal of College Student Psychotherapy, 24(2), 98–115.CrossRefGoogle Scholar
  50. Thomas, K. H., Albright, D., Shields, M., Kaufman, E., Michaud, C., Plummer Taylor, S., & Hamner, K. (2016). Predictors of depression diagnoses and symptoms in United States female veterans: Results from a national survey and implications for programming. Journal of Military and Veterans’ Health, 24(3), 6–17.Google Scholar
  51. Thomas, K. H., Albright, D. L., Phillips, D., Roosevelt, K., Crawley, R., & Plummer Taylor, S. (2018). Mental health status in service member and veteran students at four-year postsecondary institutions: A pilot needs assessment. Best Practices in Mental Health, 14(1), 1–14.Google Scholar
  52. Thomas, K. H., Plummer Taylor, S., Hamner, K., Glazer, J., & Kaufman, E. (2015a). Multi-site programming offered to promote resilience in military veterans: A process evaluation of the Just Roll With it Bootcamps. Californian Journal of Health Promotion, 13(2), 15–24.Google Scholar
  53. Thomas, K. H., Turner, L. W., Kaufman, E., Paschal, A., Knowlden, A. P., Birch, D. A., & Leeper, J. (2015b). Predictors of depression diagnoses and symptoms in veterans: Results from a national survey. Military Behavioral Health, 3(4), 255–265.CrossRefGoogle Scholar
  54. Tukey, J. W. (1977). Some thoughts on clinical trials, especially problems of multiplicity. Science, 198, 679–684.CrossRefGoogle Scholar
  55. Turban, J. L., Potenza, M. N., Hoff, R. A., Martino, S., & Kraus, S. W. (2017). Psychiatric disorders, suicidal ideation, and sexually transmitted infections among post-deployment veterans who utilize digital social media for sexual partner seeking. Addictive Behaviors, 66, 96–100.CrossRefGoogle Scholar
  56. Turchik, J. A., & Gidycz, C. A. (2012). Prediction of sexual risk behaviors in college students using the theory of planned behavior: A prospective analysis. Journal of Social and Clinical Psychology, 31(1), 1–27.CrossRefGoogle Scholar
  57. Upton, G. J. G. (1992). Fisher’s exact test. Journal of the Royal Statistical Society, 155(3), 395–402.CrossRefGoogle Scholar
  58. Vacchi, D. T. (2012). Considering student veterans on the twenty-first-century college campus. About Campus, 17(2), 15–21.  https://doi.org/10.1002/abc.21075.CrossRefGoogle Scholar
  59. Van Voorhees, E. E., & Beckham, J. C. (2015). Advancements in treating intimate partner violence in veterans. Journal of Clinical Psychiatry, 76(6), 826–827.CrossRefGoogle Scholar
  60. Von Ah, D., Ebert, S., Ngamvitroj, A., Park, N., & Kang, D. H. (2004). Predictors of health behaviours in college students. Journal of Advanced Nursing, 48(5), 463–474.CrossRefGoogle Scholar
  61. Weitzman, E. R. (2004). Poor mental health, depression, and associations with alcohol consumption, harm, and abuse in a national sample of young adults in college. Journal of Nervous and Mental Disease, 192(4), 269–277.CrossRefGoogle Scholar
  62. Widome, R., Laska, M. N., Gulden, A., Fu, S. S., & Lust, K. (2011). Health risk behaviors of Afghanistan and Iraq war veterans attending college. American Journal of Health Promotion, 26(2), 101–108.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019
corrected publication 2019

Authors and Affiliations

  • David L. Albright
    • 1
    Email author
  • Antoinette M. Landor
    • 2
  • Justin T. McDaniel
    • 3
  • Kelli Godfrey
    • 1
  • Kari L. Fletcher
    • 4
  • Kate H. Thomas
    • 5
  • Jessica Bertram
    • 1
  1. 1.School of Social WorkUniversity of AlabamaTuscaloosaUSA
  2. 2.Human Development and Family ScienceUniversity of MissouriColumbiaUSA
  3. 3.Department of Public Health and Recreation ProfessionsSouthern Illinois UniversityCarbondaleUSA
  4. 4.School of Social WorkSt. Catherine University-University of St. ThomasMinneapolisUSA
  5. 5.Public Health Program, College of Health SciencesCharleston Southern UniversityCharlestonUSA

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