Taylor, C. M., Ross, M. E., Wood, J. N., Griffis, H. M., Harb, G. C., Mi, L., ... Rubin, D. M. (2015). Differential child maltreatment risk across deployment periods of US Army soldiers. American Journal of Public Health, 106(1), 153-158. https://doi.org/10.2105/AJPH.2015.302874

Family well-being can be greatly impacted by stressful life events; parental deployment can increase that stress. The risk of maltreatment in young children of U.S Army soldiers throughout different deployment cycles was explored in this study. Findings revealed an elevated risk for child maltreatment after deployment in addition to increased child maltreatment rates during deployment.

http://dx.doi.org/10.2105/AJPH.2015.302874

Child maltreatment
Children
Deployment
Parents

Army

Active Duty

Active duty service member
Child of a service member or veteran

Childhood (birth - 12 yrs)
Neonatal (birth - 1 mo)
Infancy (2 - 23 mo)
Preschool age (2 -5 yrs)
Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

Empirical Study
Quantitative Study

Taylor, Christine M., Ross, Michelle E., Wood, Joanne N., Griffis, Heather M., Harb, Gerlinde C., Mi, Lanyu, Song, Lihai, Strane, Douglas, Lynch, Kevin G., Rubin, David M.

We described the risk for maltreatment among toddlers of US Army soldiers over different deployment cycles to develop a systematic response within the US Army to provide families appropriate supports. We conducted a person-time analysis of substantiated maltreatment reports and medical diagnoses among children of 112 325 deployed US Army soldiers between 2001 and 2007.Results. Risk of maltreatment was elevated after deployment for children of soldiers deployed once but not for children of soldiers deployed twice. During the 6 months after deployment, children of soldiers deployed once had 4.43 substantiated maltreatment reports and 4.96 medical diagnoses per 10 000 child-months. The highest maltreatment rate among children of soldiers deployed twice occurred during the second deployment for substantiated maltreatment (4.83 episodes per 10 000 child-months) and before the first deployment for medical diagnoses of maltreatment (3.78 episodes per 10 000 child-months). We confirmed an elevated risk for child maltreatment during deployment but also found a previously unidentified high-risk period during the 6 months following deployment, indicating elevated stress within families of deployed and returning soldiers. These findings can inform efforts by the military to initiate and standardize support and preparation to families during periods of elevated risk.

American Public Health Association

Article
REACH Publication

PolicyLab, Children’s Hospital of Philadelphia, CMT
Department of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, MER
PolicyLab, Children’s Hospital of Philadelphia, JNW
PolicyLab, Children’s Hospital of Philadelphia, HMG
Philadelphia Veterans Affairs Medical Center, GCH
Healthcare Analytics Unit, Children’s Hospital of Philadelphia, LM
Healthcare Analytics Unit, Children’s Hospital of Philadelphia, LS
PolicyLab, Children’s Hospital of Philadelphia, DS
Department of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, KGL
PolicyLab, Children’s Hospital of Philadelphia, DMR