The association between US Army enlistment waivers and subsequent behavioral and social health outcomes and attrition from service

Mil Med. 2013 Mar;178(3):261-6. doi: 10.7205/MILMED-D-12-00316.


Soldiers granted enlistment waivers for medical concerns, misconduct, or positive alcohol/drug tests may or may not be associated with an increased likelihood of negative behavioral outcomes. Soldiers in the population examined (n = 8,943) who were granted enlistment waivers from 2003 to 2008 were significantly more likely to subsequently be screened for alcohol/substance abuse, test positive for illicit substances, or receive an Army separation for behavioral misconduct. These associations were highest among Soldiers granted waivers for nonlawful alcohol/drug violations. Soldiers granted waivers for felony offenses and serious nontraffic violations were significantly less likely to separate from the Army compared with Soldiers not granted enlistment waivers.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Female
  • Humans
  • Incidence
  • Male
  • Mental Disorders / epidemiology*
  • Mental Disorders / psychology
  • Military Personnel / psychology*
  • Psychiatric Status Rating Scales
  • Retrospective Studies
  • Risk Factors
  • Surveys and Questionnaires
  • United States / epidemiology
  • Young Adult