Table 2.

Stepwise approaches to social marketing

CharacteristicPerceptions of support servicesPerceptions of military drinking cultureEmotional regulationChildhood trauma
ProblematicHigher stigma, harder accessProminent drinking cultureRumination, catastrophizing, blaming othersHigh prevalence
Harmful but copingLess stigma, easier accessLess prominent drinking culturePositive reappraisal, perspective settingLower prevalence
Social marketing interventionsInterventions focus on getting to know support service personnel. Peer testimonials on how support services have helped. Destigma campaigns. Pre-booked mandatory support service sessionsStructural meso level social marketing interventions to decrease ease of access and increase price of alcohol on base. Policy change to prohibit purchasing of alcohol by a senior officerInterventions to teach positive emotion regulation strategies, application of strategies to the military life, and application of strategies to the civilian lifeStructural meso social marketing with measurement of childhood trauma on arrival in military and subsequent compulsory counselling

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