Evidence map›Paper›PMID 39899533›Full record

SynthesisPloS one2025

A systematic review of military-to-civilian transition, The role of gender.

Alexandria Smith, Laura Rafferty, Bethany Croak, Neil Greenberg, Rafiyah Khan, Victoria Langston, Marie-Louise Sharp, Anne Stagg, Nicola Fear, Sharon Stevelink

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alexandria SmithKing's Centre for Military Health Research (KCMHR), King's College London, London, United Kingdom.ORCID 0000-0002-3192-4148
Laura RaffertyKing's Centre for Military Health Research (KCMHR), King's College London, London, United Kingdom.
Bethany CroakKing's Centre for Military Health Research (KCMHR), King's College London, London, United Kingdom.ORCID 0000-0002-6486-8154
Neil GreenbergKing's Centre for Military Health Research (KCMHR), King's College London, London, United Kingdom.
Rafiyah KhanKing's Centre for Military Health Research (KCMHR), King's College London, London, United Kingdom.
Victoria LangstonKing's Centre for Military Health Research (KCMHR), King's College London, London, United Kingdom.
Marie-Louise SharpKing's Centre for Military Health Research (KCMHR), King's College London, London, United Kingdom.ORCID 0000-0001-8516-0166
Anne StaggDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.ORCID 0000-0001-6959-9689
Nicola FearKing's Centre for Military Health Research (KCMHR), King's College London, London, United Kingdom.
Sharon StevelinkKing's Centre for Military Health Research (KCMHR), King's College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe military-to-civilian transition can be a challenging period for many service members; however, recent research suggests that female ex-service personnel (veterans) confront additional complexities during reintegration into civilian life. This systematic review aimed to identify and synthesise findings across qualitative studies exploring the impact of gender on this transition process.

methodsPeer-reviewed literature was drawn from a multi-database search, limited to qualitative studies. The studies included either female veterans or both male and female veterans aged 18 years or older who had previously served in the Armed Forces within the Five Eyes (FVEY) countries (Australia, Canada, New Zealand, the United Kingdom, and the United States). We used a Framework Analysis approach to guide the synthesis of the qualitative data. An assessment of study quality was conducted using the Joanna Briggs Institute (JBI) Qualitative Critical Appraisal Checklist for Qualitative Studies. The study protocol is registered with the Open Science Framework (registration: osf.io/5stuj).

resultsIn total, 10,113 articles were screened after the removal of duplicates, 161 underwent full-text review, with 19 meeting the eligibility criteria. The review identified eleven themes split across individual's experience whilst serving and after transitioning out of the military service. Both male and female veterans discussed a period of acculturation when they joined service and adapted to military norms, culture and identity. Female veterans faced additional challenges at this stage centred on the conflict between feminine norms and the military masculine ideal. Upon leaving service both male and female veterans experienced a loss of military identity and purpose, and dissonance with civilian norms illustrating a military-civilian divide. For female veterans, adjustments and adaptations learned in the military clashed with civilian feminine norms and stereotypically male veteran culture. Female veterans also struggled with the legacies of gender inequality, discrimination, and sexual assault which affected their development of a female veteran identity and affected the provision of services designed to meet their needs as a female. Despite these challenges, female veterans' expressed pride in their service and accomplishments.

conclusionsAny effort to improve the military-to-civilian transition should take account of the legacy of gender discrimination, especially within the military service, and the potential mismatch between historical civilian female norms and the more traditionally masculine norms of military life. DISCLOSURES: This project was supported by a grant from the Forces in Mind Trust (FiMT) 2202.

Indexed as

Military PersonnelVeteransAustraliaCanadaFemaleHumansMaleNew ZealandQualitative ResearchSex FactorsUnited KingdomUnited States

Identifiers

PMID39899533
PMCPMC11790093

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.