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Youngest British army recruits come disproportionately from England's most deprived constituencies

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Background: Public health and human rights concerns have been raised about the enlistment of young people under the age of 18 into state armed forces. In the UK, some of these concerns relate to the impact of military enlistment on disadvantaged young people in particular, who may be enlisted into the British armed forces from age 16. Factors associated with socioeconomic disadvantage may increase the vulnerability of this group in military settings, yet there have been few investigations of the socioeconomic profile of soldiers recruited at this age. Objective: The aim of the study was to investigate the socioeconomic background of enlisted minors in England, by looking at the economic characteristics of the areas they come from. Methods: Data showing how many minors were enlisted into the army from each English constituency over a five-year period was matched with data on the relative socioeconomic deprivation of constituencies. The study investigated whether the number of recruits varied according to the deprivation of constituencies. Results: A statistically-significant correlation was found between the relative deprivation of constituencies and the number of minors enlisted, with the rate of recruitment 57 percent higher in the most deprived fifth of constituencies than the least deprived fifth. Conclusion: The study found that, over a five-year period, minors were enlisted into the army disproportionately from the more deprived constituencies of England, lending weight to public health and human rights concerns.
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Youngest British army recruits come disproportionately from
England’s most deprived constituencies
Charlotte Cooper and David Gee
1
Abstract
Background: Public health and human rights concerns have been raised about the enlistment of young people
under the age of 18 into state armed forces. In the UK, some of these concerns relate to the impact of military
enlistment on disadvantaged young people in particular, who may be enlisted into the British armed forces
from age 16. Factors associated with socioeconomic disadvantage may increase the vulnerability of this group
in military settings, yet there have been few investigations of the socioeconomic profile of soldiers recruited at
this age.
Objective: The aim of the study was to investigate the socioeconomic background of enlisted minors in
England, by looking at the economic characteristics of the areas they come from.
Methods: Data showing how many minors were enlisted into the army from each English constituency over a
five-year period was matched with data on the relative socioeconomic deprivation of constituencies. The study
investigated whether the number of recruits varied according to the deprivation of constituencies.
Results: A statistically-significant correlation was found between the relative deprivation of constituencies and
the number of minors enlisted, with the rate of recruitment 57 percent higher in the most deprived fifth of
constituencies than the least deprived fifth.
Conclusion: The study found that, over a five-year period, minors were enlisted into the army
disproportionately from the more deprived constituencies of England, lending weight to public health and
human rights concerns.
Background
The UK enlists for the armed forces from age 16. In the five financial years from 2013 to 2018, the
British army enlisted 36,250 new soldiers. 8,870 of these (24 percent) were aged under 18, an
average of 1,774 per year (MoD, 2018a); most joined the army.
The policy of recruiting from age 16 is unique among the major military powers and rare worldwide
(Child Soldiers Initiative, 2019). Concerns have been raised by human rights authorities, statutory
bodies and public health organisations about the potential effects of the policy on the rights and
health of enlistees in this age group (Child Soldiers International, 2016; UN CRC, 2016; HC & HL JCHR,
2009; Medact, 2016).
Demographic and socioeconomic targeting in military recruitment practices
Official documents show that army recruitment campaigns target young working-class people,
particularly those aged 16-24 in the three lowest socioeconomic classes (‘C2DE’), and those with an
annual family income of £10,000 or less (Independent, 2017). Marketing is geographically targeted
at cities and towns with typically high levels of deprivation, particularly in the north of England, on
the coast, and in Scotland and Wales. A study of army visits to London schools in 2010 also found
2
1 The authors are researchers at the Child Rights International Network (CRIN).
2 The media buying brief for the 2019 recruitment campaign stated the ‘Primary targets’ as ‘Newcastle, Sunderland,
Middlesbrough, Glasgow, Liverpool, Leeds, Cardiff, Sheffield, Bradford, London, Birmingham, Manchester’ and the
‘Secondary targets’ as ‘Leicester, Stirling, Dundee, Blackpool, Hull, Scunthorpe, Nottingham, Stoke, Swansea,
Bournemouth, Plymouth, Southampton’ (British army/Capita, 2019). Seven of the 20 English towns and cities named
(Blackpool, Hull, Liverpool, Manchester, Middlesbrough, Birmingham and Nottingham) are among the top ten most
1
that the poorest schools were visited most often (Gee and Goodman, 2010). Senior recruitment
officials confirm that the army targets potential recruits from disadvantaged backgrounds.
3
The army does not collect data on the socioeconomic profile of its recruits (British army, 2009; MoD,
2017). However, characteristics that correlate with deprivation, such as low educational attainment
and a childhood background of adverse experiences, indicate that army enlistees come
disproportionately from deprived backgrounds (British army, 2015a; Iversen et al., 2007). Young
people with restricted economic opportunities are also more likely than others to enlist; the
government and army note a long-standing correlation between higher enlistment rates and periods
of higher unemployment, for example.
4
Children’s rights and public health bodies have called for an end to the socioeconomic targeting of
recruitment practices. In 2016 the UN Committee on the Rights of the Child noted that, in the UK,
“children who come from vulnerable groups are disproportionately represented among recruits” and
recommended that the government “ensure that recruitment does not have discriminatory impact
on children of ethnic minorities and low-income families” (2016: 23-24; 2008: 3). The House of
Commons and House of Lords Joint Committee on Human Rights endorsed the same
recommendation in 2009 (HC & HL JCHR, 2009: 47-48). Medical professionals have made a public
health case against the recruitment of minors in the UK, criticising especially the impact on
disadvantaged young people (Abu-Hayyeh and Singh, 2019; Medact, 2016).
The recruitment of disadvantaged young people raises concerns of two kinds: capacity for consent
and health effects.
Capacity for informed consent
Under international law, States that enlist minors must ensure that “such recruitment is genuinely
voluntary” and “such persons are fully informed of the duties involved” (CRC OPAC, 2000). Young
age and socio-economic deprivation both complicate this obligation.
During mid-adolescence the cognitive capacity to make responsible long-term decisions involving
risk, particularly when options are presented as thrilling, has yet to mature (Strasburger et al., 2009;
Galvan and McGlennen, 2012; Kishiyama et al., 2009; Hackman and Farah, 2009). Stressful childhood
experiences and underdeveloped literacy, which are common among young recruits from
socio-economically deprived backgrounds (Iversen et al., 2007; British army, 2015a), may compound
this problem. Childhood adversity can impede development of the critical brain structures involved
in consequential decision-making (Medact, 2016: 8, 12), while underdeveloped literacy precludes full
comprehension of the legally binding enlistment papers.
5
deprived local authorities in the country, according to the English Index of Multiple Deprivation Local Authority summaries.
Seventeen are in the top 100, meaning they are in the most deprived third of local authorities (Department for
Communities and Local Government, 2015b).
3 E.g. Cath Possamai, Chief Executive of the British Army Recruiting Group, said in oral evidence to the Wales and the
Armed Forces
Inquiry: “We do target [specific socioeconomic groups and deprived geographical areas] because they are
very traditional recruiting grounds for the Army”. (HC Welsh Affairs Committee, 2019: Q57).
4 Mark Francois MP wrote in a report analysing recruitment challenges: “The Armed Forces have traditionally benefited
from periods of high unemployment, with Service in the Forces often seen as a “way out” from deprived communities. The
near record level of those in employment has depressed this source of recruits for the forces” (2017: 11). See also British
army (2015b: 2).
5 In 2015, 74 percent of 16-year-old British army recruits had the literacy normally expected of an 11-year-old or less; seven
percent had a reading age of between five and seven years (British army, 2015a).
2
Health risks
The army is a stressful setting. New recruits experience multiple stressors from their first day,
including harsh discipline, sleep deprivation, physical and mental exhaustion, and isolation from
friends and family. According to the British army, the training process for the age group involves “all
6
round degradation” (British army, 2014: 2). As an indication of the chronic stress experienced at this
early stage, research in the US army, which recruits from age 17 and uses similar training methods,
found that the rate of attempted suicide during initial training was substantially higher than during
or after subsequent deployment to a war zone.
7
Minors in mid-adolescence are more susceptible than adults to the effects of prolonged stress,
particularly those with a background of adversity during childhood. Specifically, they are
temperamentally more anxious, are more likely to experience depressed mood and emotional
volatility, and react to stressors with greater anxiety and then remain anxious for longer. Under
stress, adolescents are more likely than adults to develop anxiety-related mental health problems,
such as depression (Spear, 2000; Giedd et al., 2008; Baker et al., 2014; Den et al., 2014). The
mid-adolescent brain is also more sensitive to repeated or prolonged stress, which impedes and can
impair the maturation process, particularly the development of structures involved in the regulation
of emotions; there is some evidence that this can lead to lasting problems with anxiety in adulthood
(Kishiyama et al., 2009; Hackham and Farah, 2009).
The mental health outcomes of enlisted minors as a discrete group, relative to same-age civilians
and to adult recruits, have yet to be addressed in the British or North American literature. However,
young age and childhood adversity are now well-attested as risk factors among military personnel
and veterans for stress-related disorders such as PTSD (Jones et al., 2006; Fear et al., 2010), anxiety
and depression (Goodwin et al., 2015; Iversen et al., 2009), self-harm (Hines et al., 2013; Pinder et
al., 2012), and suicide (Kapur et al., 2009; MoD, 2019), and for behavioural problems such as alcohol
misuse (Fear et al., 2010; MacManus et al., 2001) and violent behaviour (MacManus et al., 2012;
2013). The cited studies show that, in general, younger soldiers are more likely than both civilians of
the same age and older soldiers to suffer from stress-related mental health and behaviour problems.
The over-representation of the youngest British army recruits in high-risk roles, particularly the
infantry, also leads to increased exposure to physical and psychological risks over the course of their
military careers.
8
Study aim
Despite the evidence that the British army targets young people from deprived backgrounds for
recruitment and the public health concerns that the practice raises, little is known about the
geographic distribution and socioeconomic profile of soldiers recruited under the age of 18. Since
the army does not collect data on recruits’ socioeconomic background, we looked at the relative
deprivation of the areas from which they come.
6 The British army notes the impact of ‘the shock of capture’ on new recruits aged under 18, associating the stress of their
experience with that of prisoners of war (2014: 2), while military academics in the US have argued that prolonged
conditions of high stress are essential in the process of training for obedience (McGurk et al., 2006 13-31). For more
information about the stressors of military training, see Child Soldiers International, 2018.
7 As recorded by the US army between 2004 and 2009, the peak rate of attempted suicide during initial training was four
times higher than the peak rate during soldiers’ first deployment (Ursano et al., 2016: 741-749).
8 Each year between 2012-13 and 2015-16, an average of 768 minors joined the infantry, accounting for 34 percent of the
armed forces’ enlisted minors over the period, versus 21 percent of enlisted adults (MoD 2016; 2018a).
3
Methods
We collected data showing: a) the number of minors enlisted by the British army from each
parliamentary constituency; and b) the relative socioeconomic deprivation of each constituency. We
then investigated whether a correlation exists between recruitment and geographic deprivation.
We used data from the Ministry of Defence, obtained through a parliamentary question, showing
how many enlisted army recruits came from each Westminster parliamentary constituency in the
United Kingdom over five years from 1 April 2013 to 31 March 2018, and how many of these were
9
aged under 18 at the point of enlistment (MoD, 2018b). The data was supplied rounded to the
nearest five. Figures less than five and greater than zero were represented as ~, which we changed
to 2.5, the average of the possible values. We excluded constituencies outside England, since
10
indicators of deprivation for Northern Ireland, Scotland, and Wales are not comparable with those
used in England (DfCLG, 2016c: 5). Two English constituencies were missing from the Ministry of
Defence data for unknown reasons.
11
We matched the constituency recruitment figures to data produced by the House of Commons
Library (2015) on the relative deprivation of constituencies in England. The English Index of Multiple
Deprivation 2015 (IMD) calculates a deprivation score for small neighbourhood areas (Lower-layer
Super Output Areas, or LSOAs) and ranks them accordingly. The House of Commons Library data
calculates a population-weighted average of LSOA deprivation scores to provide a score for the
constituency that contains them. These scores are then ranked to provide an Index of Multiple
Deprivation by constituency, with 1 being the most deprived (HofC Library, 2015: 6).
We matched the number of recruits aged under 18 from each constituency with that constituency’s
deprivation ranking. We used data from the Office for National Statistics (2018) to adjust the analysis
for the number of 16- and 17-year-olds estimated to be living in each constituency in 2015. We then
divided the data into fifths by level of deprivation, and tested for a correlation between deprivation
ranking and the rate of recruitment per 1,000 population in the age group.
Results
We found a linear correlation between the deprivation ranking of constituencies and the rate of
recruitment from the age group. As the relative deprivation of constituencies increased, so did the
average rate of recruitment. Over the five-year period covered by the data, the average rate of
recruitment in the most deprived fifth of constituencies was 6.6 recruits per 1,000 in the 16-17 age
group, compared with 4.2 in the least deprived fifth. That is, the rate of recruitment at age 16 and
17 in the most deprived constituencies was 57 percent higher than in the least deprived. Using
Spearman’s rank correlation coefficient and a t-test of significance, this correlation was found to be
statistically significant [r(s) = 1].
The north was the region of highest recruitment density for the age group, and the lowest was the
south-east including London.
9 The period covered by the data was clarified in email correspondence with Defence Statistics.
10 Rounding procedures were clarified through email correspondence with Defence Statistics.
11 Northampton North (ranked 180 on the Index of Multiple Deprivation) and Dudley South (ranked 200) were missing from
the data.
4
Table 1: Minors enlisted from England into the British army (per 1,000 in population), by
socioeconomic deprivation of constituency (April 2013 to April 2018).
Deprivation bracket of constituencies
(fifths)
Recruits aged
under 18**
Average rate of recruitment (per
1,000 in the 16-17 age group)
Most deprived (rank 1-106)
1623
6.6
2nd (rank 107-212)
1478
6.3
3rd (rank 213-319)*
1523
6.2
4th (rank 320-425)
1418
5.8
Least deprived (rank 426-531)
1070
4.2
* The number of constituencies in the data (n=531) does not divide exactly into fifths. The remainder
constituency was allocated to the middle fifth.
** Figures have been rounded to the nearest whole number. Some totals were not whole numbers, since we
represented ~ in the data as 2.5, the average of the possible values.
Figure 1: Minors enlisted from England into the British army (per 1,000 in population), by
socioeconomic deprivation of constituency (April 2013 to April 2018).
5
Strengths and limitations
As the first study in the UK analysing where army recruitment of minors is concentrated, this
investigation contributes to the understanding of their socioeconomic profile. It uses a reliable
measure of socioeconomic deprivation - the Index of Multiple Deprivation - to draw conclusions
about the constituency-level areas that recruits come from.
For data protection reasons, street- or neighbourhood-level data on where recruits live is not
available. A limitation of our study is the use of a recruit’s constituency, a relatively large geographic
area, to indicate the level of socioeconomic deprivation experienced prior to enlistment.
Constituencies vary internally, containing areas of both high and low socio-economic deprivation
that our study does not capture. For example, a constituency that ranks low on the IMD may contain
pockets of highly-deprived areas, and vice versa
(DfCLG, 2015a: 23-27). Since other evidence
indicates that the degree of deprivation among recruits is relatively high we speculate that, were a
similar study to use a smaller geographic area, such as a neighbourhood, it would find a stronger
correlation between deprivation and recruitment than is shown in ours.
Figure 2: Map showing the number of minors enlisted into the British army in English
constituencies between April 2013 and April 2018 (created using mapchart.net).
6
Discussion
This investigation found that the British army recruits minors disproportionately from the most
deprived regions and constituencies of England. It adds to evidence showing that enlisted minors
tend to come from socioeconomically deprived backgrounds. This could be attributable to the
socioeconomic targeting of recruitment, to limited alternative economic opportunities for young
people in poorer areas, or, as seems likely, a combination of these factors.
Insofar as young age and stressful childhood experiences associated with socioeconomic deprivation
are both implicated in long-term susceptibility to stress, recruits with such a background carry
elevated vulnerability to the stressful conditions of initial military training and deployment.
Consequently, they may be more likely than other young people to experience stress-related mental
health and behavioural problems, such as anxiety and depression, alcohol misuse and violent
behaviour. This would be consistent with British research in the last decade finding that: common
mental disorders (i.e. anxiety and depression) were twice as common in the armed forces than
among working civilians; alcohol misuse was substantially more common among young personnel
than their civilian peers; and that the rate of violent and drug/alcohol-related offending by recruits
increased after enlistment, rising again after deployment to a war zone (Fear et al., 2010; MacManus
et al., 2013).
As noted earlier, the association between deprivation and underdeveloped literacy also jeopardises
the right of all minors not to be enlisted without being ‘fully informed’ about its risks and legal
obligations.
Our findings lend weight to concerns raised by public health and human rights bodies that
socioeconomic deprivation and other kinds of adversity, especially when combined with young age,
render enlisted minors a particularly vulnerable group in military settings.
July 2019
Contact Charlotte Cooper: charlotte@crin.org
Citation
Cooper, C. and Gee, D.. (2019). Youngest British army recruits come disproportionately from
England’s most deprived constituencies.
7
Acknowledgements
The authors give their thanks to Anna Goodman and Patrick Sugden for their assistance with this
study.
References
Abu-Hayyeh R and Singh G. (2019). ‘Adverse health effects of recruiting child soldiers’. BMJ
Paediatrics Open
3(1).
Baker KD, Den ML, Graham BM, et al. (2014). ‘A window of vulnerability: Impaired fear extinction in
adolescence’. Neurobiology of Learning and Memory
113, pp. 90–100.
British army. (2009). Letter from Headquarters Army Recruiting and Training Division to David Gee in
response to a request for information under the Freedom of Information Act. 11 December 2009.
British army. (2014). ‘Army Foundation College: Supervisory Care Directive (Edition 9)’.
British army. (2015a). Information obtained under the Freedom of Information Act (FOI2015/03426).
21 April 2015.
https://www.child-soldiers.org/Handlers/Download.ashx?IDMF=0d50449e-ae18-423c-8620-cb2c072
18ac3;
British army. (2015b). ‘Recruiting environment’, obtained under the Freedom of Information Act.
https://www.child-soldiers.org/Handlers/Download.ashx?IDMF=b84e20af-6f5f-4aeb-be27-d330016
519c6
British army/Capita. (2019). Media Buying Brief for the Your Army Needs You campaign.
https://www.parliament.uk/business/publications/written-questions-answers-statements/written-q
uestion/Commons/2019-03-15/233023/.
Child Soldiers International. (2016). ‘Open Letter to the Ministry of Defence’.
https://www.child-soldiers.org/News/open-letter-to-the-ministry-of-defence
Child Soldiers International. (2018). Why 18 Matters: A Rights-Based Analysis of Child Recruitment
,
https://www.child-soldiers.org/shop/why-18-matters.
Committee on the Rights of the Child. (2016). Concluding observations on the fifth periodic report of
the United Kingdom of Great Britain and Northern Ireland
.
http://tbinternet.ohchr.org/_layouts/treatybodyexternal/Download.aspx?symbolno=CRC%2fC%2fGB
R%2fCO%2f5&Lang=en.
CRC OPAC. (2000). Optional Protocol to the United Nations Convention on the Rights of the Child on
the Involvement of Children in Armed Conflict. 25 May 2000.
Den ML, Altmann SR, Richardson R. (2014). ‘A comparison of the short- and long-term effects of
corticosterone exposure on extinction in adolescence versus adulthood’. Behavioral Neuroscience
128(6), pp. 722–735.
8
Department for Communities and Local Government [DfCLG]. (2015a). ‘The English Indices of
Deprivation 2015: Research Report’.
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file
/464597/English_Indices_of_Deprivation_2015_-_Research_Report.pdf
Department for Communities and Local Government. (2015b). ‘File 10: Local Authority District
Summaries’. English Indices of Deprivation 2015.
https://www.gov.uk/government/statistics/english-indices-of-deprivation-2015
Department for Communities and Local Government. (2015c). ‘The English Index of Multiple
Deprivation (IMD) 2015 – Guidance’.
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file
/464430/English_Index_of_Multiple_Deprivation_2015_-_Guidance.pdf.
Fear NT, Jones M, Murphy D, et al. (2010). ‘What are the consequences of deployment to Iraq and
Afghanistan on the mental health of the UK armed forces? A cohort study’ (Supplementary
webappendix). The Lancet
375, pp. 1783–1797.
Francois M. (2017). Filling the Ranks: A Report for the Prime Minister on the State of Recruiting into
the United Kingdom Armed Forces
.
Galván A and McGlennen KM. (2012). ‘Daily stress increases risky decision-making in adolescents: A
preliminary study’. Developmental Psychobiology
54(4), pp. 433–440.
Giedd JN, Keshavan M, Paus T. (2008). ‘Why do many psychiatric disorders emerge during
adolescence?’. Nature Reviews Neuroscience
9(12), pp. 947–957.
Gee D. and Goodman A. (2010). ‘Army recruiters visit London's poorest schools most often’.
http://www.informedchoice.org.uk/armyvisitstoschools.pdf
Goodwin L, Wessely S, Hotopf M et al. (2015). ‘Are common mental disorders more prevalent in the
UK serving military compared to the general working population?’. Psychological Medicine
45(9), pp.
1881–1891.
Hackman D and Farah MJ. (2009). ‘Socioeconomic status and the developing brain’. Trends in
Cognitive Sciences
13(2), pp. 65–73.
Hines LA, Jawahar K, Wessely S. (2013). ‘Self-harm in the UK military’. Occupational Medicine
63(5),
pp. 354-357.
House of Commons and House of Lords Joint Committee on Human Rights [HC & HL JCHR]. (2009).
Children’s Rights
(Twenty-fifth Report of Session 2008-09).
https://publications.parliament.uk/pa/jt200809/jtselect/jtrights/157/157.pdf
House of Commons [HC] Library. (2015). ‘Deprivation in English Constituencies, 2015 (Briefing Paper
7327)’. https://researchbriefings.parliament.uk/ResearchBriefing/Summary/CBP-7327#fullreport
House of Commons [HC] Welsh Affairs Committee. (2019). ‘Oral evidence to Wales and the Armed
Forces Inquiry, 23 April 2019’.
9
http://data.parliament.uk/writtenevidence/committeeevidence.svc/evidencedocument/welsh-affair
s-committee/wales-and-the-armed-forces/oral/100851.html
Independent. (2017). ‘British Army targets recruitment of young working class, military document
reveals’.
https://www.independent.co.uk/news/british-army-targets-young-working-class-recruitment-militar
y-marketing-drive-campaign-uk-a7833086.html
Iversen AC et al. (2007). ‘Influence of childhood adversity on health among male UK military
personnel’. British Journal of Psychiatry
191, pp. 506-511.
Iversen AC, Van Staden L, Hacker Hughes J et al. (2009). ‘The prevalence of common mental
disorders and PTSD in the UK military: using data from a clinical interview-based study’. BMC
Psychiatry
9(68), n.p.
Jones M, Rona RJ, Hooper R, Wessely S. (2006). ‘The burden of psychological symptoms in UK Armed
Forces’. Occupational Medicine
56, pp. 322–328.
Jones M, Sundin J, Goodwin L et al. (2013). ‘What explains posttraumatic stress disorder (PTSD) in UK
service personnel: deployment or something else?’. Psychological Medicine
43(8), pp. 1703–1712.
Kapur N, While D, Blatchley N, et al. (2009). ‘Suicide after Leaving the UK Armed Forces — A Cohort
Study’, Public Library of Medicine
6(3), n. p.
Kishiyama MM, Boyce WT, Jimenez AM et al. (2009). ‘Socioeconomic disparities affect prefrontal
function in children’. Journal of Cognitive Neuroscience
21(6), pp. 1106–1115.
MacManus D, Dean K, Iversen AC. (2001). ‘Impact of pre-enlistment antisocial behaviour on
behavioural outcomes among UK military personnel’. Social Psychiatry and Psychiatric Epidemiology
47(8), pp. 1353–1358.
MacManus D, Dean K., Al Bakir M et al. (2012). ‘Violent behaviour in UK military personnel returning
home after deployment’. Psychological Medicine
42(8), pp. 1663–1673.
MacManus D, Dean K, Jones M et al. (2013). ‘Violent offending by UK military personnel deployed to
Iraq and Afghanistan: a data linkage cohort study’. The Lancet
381(9870), pp. 907–917.
McGurk D, Cotting DI, Britt TW, & Adler AB. (2006). ‘Joining the ranks: The role of indoctrination in
transforming civilians to service members’. In Adler A, Castro CA and Britt TW (eds.), Military life: The
psychology of serving in peace and combat
(Vol. 2: 'Operational Stress'), pp. 13-31.
Medact (2016). ‘The Recruitment of Children by the UK Armed Forces: A Critique from Health
Professionals’.
Ministry of Defence [MoD]. (2016). Response to Written question – 56526. 7 December 2016.
https://www.parliament.uk/business/publications/written-questions-answers-statements/written-q
uestion/Commons/2016-12-07/56526
10
Ministry of Defence. (2017). Response to Written question – 6915. 11 September 2017.
https://www.parliament.uk/business/publications/written-questions-answers-statements/written-q
uestion/Commons/2017-09-04/6915/
Ministry of Defence. (2018a). ‘Table 9a: Intake to UK Regulars by Age’. UK armed forces biannual
diversity statistics: 2019
.
https://www.gov.uk/government/statistics/uk-armed-forces-biannual-diversity-statistics-2019
Ministry of Defence. (2018b). ‘Table: Regular and Reserves by Parliamentary Constituency’.
https://www.parliament.uk/business/publications/written-questions-answers-statements/written-q
uestion/Commons/2018-12-03/198353.
Ministry of Defence. (2019). ‘Suicides in the UK Regular Armed Forces: Annual
Summary and Trends Over Time 1 January 1984 to 31 December 2018’.
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file
/789799/20190328_UK_AF_Suicide_National_Statistic_2019_O.pdf.
Office for National Statistics [ONS]. 2018. ‘Dataset: Parliamentary constituency population estimates
(Mid-2015: SAPE20DT7: Revised)’.
https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestim
ates/datasets/parliamentaryconstituencymidyearpopulationestimates#main
Pinder RJ, Iversen A, Kapur N et al. (2012). ‘Self-harm and attempted suicide among UK Armed
Forces personnel: Results of a cross-sectional survey’. International Journal of Social Psychiatry
58(4),
pp. 433–439.
Spear LP. (2000). ‘The adolescent brain and age-related behavioral manifestations’. Neuroscience
and Behavioral Reviews
24(4), pp. 417–463.
Strasburger VC, Wilson BJ, Jordan AB. (2009). Children, adolescents and the media
(Chapter 1,
'Children and adolescents: Unique audiences'), 2nd ed. Thousand Oaks, CA: Sage.
United Nations Committee on the Rights of the Child [UN CRC]. (2008). ‘Concluding observations:
United Kingdom of Great Britain and Northern Ireland’ (CRC/C/OPAC/GBR/CO/1).
United Nations Committee on the Rights of the Child. (2016). ‘Concluding observations on the fifth
periodic report of the United Kingdom of Great Britain and Northern Ireland’ (CRC/C/GBR/CO/5).
Ursano RJ, Kessler RC, Stein MB et al. (2016). ‘Risk factors, methods, and timing of suicide attempts
among US army soldiers’. JAMA Psychiatry
73(7), pp. 741–749.
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Conference Paper
Full-text available
The British Regular Army visits schools as a major part of its recruitment programme and a third of new soldier recruits are aged under 18. These recruits may face serious personal risk and challenging moral dilemmas, yet their terms of service can prevent them from leaving the army for up to six years. Given that minors are less able than adults to make free, informed and responsible decisions about enlisting, the UN Committee on the Rights of the Child and the House of Commons/Lords Joint Committee on Human Rights have recommended raising the minimum age of recruitment to 18. Both Committees also recommend that the UK ensure that disadvantaged communities are not targeted for recruitment. These concerns raise ethical questions about allowing the army to use schools to recruit, particularly those containing students from disadvantaged communities. Focusing on the Greater London area we investigated 1) the proportion of mainstream state secondary schools visited by army recruiters between September 2008 and April 2009 and 2) how this proportion varied by school socioeconomic disadvantage, measured using the percentage of pupils eligible for free school meals. We found that army recruiters visited 40% of schools. Army recruiters were particularly likely to visit the most disadvantaged schools: 51% in the most disadvantaged fifth were visited vs. 29% in the middle fifth and 40% of schools in the richest fifth (p=0.01). We believe the large proportion of army visits to schools, particularly the most disadvantaged, may put minors at risk and merits wider debate.
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Although the military is considered to be a stressful occupation, there are remarkably few studies that compare the prevalence of common mental disorder (CMD) between the military and the general population. This study examined the prevalence of probable CMD in a serving UK military sample compared to a general population sample of employed individuals. Method Data for the general population was from the 2003 and 2008 collections for the Health Survey for England (HSE) and for the serving military from phases 1 (2004���2006) and 2 (2007���2009) of the King's Centre for Military Health Research (KCMHR) cohort study. Probable CMD was assessed by the General Health Questionnaire (GHQ-12). The datasets were appended to calculate the odds of CMD in the military compared to the general population. The odds of probable CMD was approximately double in the military, when comparing phase 1 of the military study to the 2003 HSE [odds ratio (OR) 2.4, 95% confidence interval (CI) 2.1���2.7], and phase 2 to the 2008 HSE (OR 2.3, 95% CI 2.0���2.6) after adjustment for sex, age, social class, education and marital status. Serving military personnel are more likely to endorse symptoms of CMD compared to those selected from a general population study as employed in other occupations, even after accounting for demographic characteristics. This difference may be partly explained by the context of the military study, with evidence from previous research for higher reports of symptoms from the GHQ in occupational compared to population studies, in addition to the role of predisposing characteristics.
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