Background
Alcohol consumption
among members of the military, particularly navies, has a long
history, including tolerance of heavy drinking and the existing
of a heavy drinking culture and drinking rituals. During the past
30 years, the U.S. military has adopted policies to discourage
substance abuse, including deterrence, prevention and treatment.
These policies have been effective in lowering rates of illicit
drug use. In fact, only about 7% of active duty service members
reported drug use in the past 12 months in 2002 as compared to
almost 37% in 1980. During this same time period, however, reports
of heavy alcohol use have remained at about 20%. These unchanged
rates indicate that the military’s policies and education programs
regarding alcohol have not been as successful as those regarding
other drugs.
The
Current Study
This report is based
on a five-year study designed to gain understanding of the influence
of the military workplace and social life on drinking beliefs,
behaviors, and problems among personnel who have made the Navy
a career and served at least seven years. The study uses anthropological
methods including ethnographic observations and interviews that
focus on policies, rules, procedures, stress factors, traditions
and rituals. Semi-structured interviews were carried out with
81 personnel, including officers and enlisted personnel as well
as knowledgeable individuals such as alcohol counselors and chaplains.
Observations were conducted in work, recreational, dining, and
sleeping areas on board Navy vessels and in port.
A particular focus
of the study is environmental and cultural characteristics of
“liberty” during deployment. Liberty (or shore leave) occurs when
Navy personnel are at sea and away from home base and families
for as much as three to nine months. While aboard ship, no alcohol
consumption is permitted (with very rare ceremonial exceptions
after being at sea for 45 days or more). Periodically, the vessel
docks at a foreign port for periods of rest and relaxation. During
liberty, alcohol restrictions are lifted while ashore.
For the survey, questionnaires
were mailed to a sample of personnel. Nearly 3,000 were returned,
for a response rate of almost 62%. The survey included information
on personal characteristics, occupational factors (such as policy,
work problems, and work related stress) and beliefs about how
alcohol use is perceived by their immediate supervisor, closest
friend at work, other friends at work, and other co-workers.
Study
Findings
Interviews, observations,
and survey responses confirm that the nature of Navy life, especially
while at sea, is particularly stressful. Personnel work long hours
under sometimes dangerous circumstances. They are subject to physical
discomfort, crowded quarters, and a lack of privacy. Especially
on submarines, the crew members may rarely see the light of day.
Personnel spend long periods away from families. Perhaps it is
not surprising that traditions of heavy drinking develop around
deployment liberties when crew members are at last given an opportunity
to blow off steam when the ship docks in foreign ports. By their
own admission, officers and sailors alike view liberty in foreign
ports as a "tropical vacation " wherein responsibilities
for or contact with wives, children and parents are non existence
as is the risk of legal consequences for alcohol-related behavior,
(for example, impaired driving arrests). All of these cultural
characteristics are deeply rooted in Navy work culture.
Analysis of the data
showed that role modeling and peer influence were other factors
influencing heavy and binge drinking. Navy personnel’s perceptions
of attitudes and beliefs of their friends, coworkers and superiors
had an impact on how they deal with occupational stresses and
their drinking behavior. Often, respondents received confusing
messages about drinking: On the one hand, they knew they could
be punished for heavy drinking based on official Navy policies.
On the other hand, however, these heavy drinking traditions persist
throughout the Navy. This perceived ambivalence in alcohol policy
as well as work problems, job stress, and length of deployment
all seemed to contribute to heavy drinking.
Among current drinkers
in the survey sample, nearly twice as many men than women (28.2%
vs. 15.1%) would be defined as having abused alcohol in the past
12 months. These rates are much higher than for comparable groups
in the general population. Surprisingly, although women were less
likely to be defined as alcohol abusers, they were just as likely
to have drunk heavily during their most recent liberty (37.3%
vs. 42.8%). Thus, the stresses of life in the Navy and its drinking
culture seem to take a toll on both men and women and result in
heavy and risky drinking.
Conclusions
The findings of this
study provide some explanation for why efforts by the Navy to
reduce heavy drinking have not had an impact on overall alcohol
consumption and abuse. Personnel perceive conflicting messages
about alcohol use. In addition, the stressful and isolating conditions
that are part of Navy life contribute to heavy drinking.
The
Take-Home Message
Despite efforts to
deglamorize alcohol use and prevent heavy drinking and abuse,
cultural and work environment factors persist in the Navy that
encourage heavy drinking. Broad policy and environmental changes
that take these factors into account may be needed in order to
prevent heavy drinking and its hazardous consequences.
Reference
Military Culture and Drinking Behavior Among U.S. Navy
Careerists Genevieve M. Ames, Ph.D., Carol B. Cunradi, M.P.H., Ph.D., Roland S. Moore, Ph.D., And Pamela Stern, Ph.D. Journal Of Studies On Alcohol And Drugs / May 2007, pp. 336-344
,
67(6), 934-938.
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to Recent Findings