Identifying Risk and Protective Factors for Attrition Among Recently Enlisted Navy Personnel Using Variable Importance Measures.

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Military Medicine Pub Date : 2025-09-01 DOI:10.1093/milmed/usaf101
James M Zouris, Andrew J MacGregor, Nathan C Carnes
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Abstract

Introduction: Approximately 1 in 4 Navy recruits will not complete their obligated service. Identifying factors associated with Navy attrition is essential to retaining a skilled and motivated fighting force. This study utilized machine learning and variable importance measures (VIM) extracted from random forest (RF) and extreme gradient boosting (XGBoost) decision trees to identify factors that contribute to Navy attrition. These methods are more robust and sensitive when assessing hundreds of predictor variables, offering superior performance relative to regression analyses. Leveraging advanced analytics is crucial to better understand these factors to maximize military retention.

Materials and methods: The study population included Navy personnel with an accession date in 2016. The outcome of interest was a discharge date before the end of obligated service (i.e., attrition). The analysis incorporated 542 independent variables, including demographic factors, medical outpatient visits, and outpatient pharmacy medications. RF, XGBoost, and logistic regression models were trained with different subsets of features to determine which set of variables best predicted attrition. Model performance metrics were generated describing the sensitivity, specificity, positive and negative predictive values, area under the curve, and classification accuracy for the validation data.

Results: Overall, there were 39,866 Navy personnel with accessions in 2016 and, of these, 28.15% (n = 11,177) did not complete their obligated service. The RF model provided the best accuracy for predicting attrition (81.7%) and area under the curve (90.0%). Both the RF and XGBoost models outperformed the logistic regression model. VIMs were then assessed, including mean decrease accuracy, mean decrease Gini impurity, gain, and cover. The resulting VIM identified five groups described as: mental health, occupations, demographics/sex-related issues, pain management, and medical compliance. The top 3 VIM and their overall relative risk on attrition were adjustment disorders (RR = 1.39 higher), Seaman Specialists (RR = 3.01 higher), and Electronic Equipment Repairers (RR = 0.44 lower).

Conclusions: Five groups of variables were found to be predictive of Navy attrition: Mental health (MH) disorder, alcohol-related problems, occupations, sex, medical appointment compliance, and pain management. These results demonstrate the utility of machine learning models in predicting attrition compared with regression analyses. VIM is a valuable tool that could be used in decision-making processes in the context of military personnel management and retention. Furthermore, ensemble approaches, compared with a single decision tree, improve overall predictive performance and result in a more robust model that is resistant to overfitting.

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使用可变重要度量方法识别新入伍海军人员减员的风险和保护因素。
简介:大约四分之一的海军新兵不会完成他们的义务服务。确定与海军减员相关的因素对于保持一支熟练和积极的战斗力量至关重要。本研究利用机器学习和从随机森林(RF)和极端梯度提升(XGBoost)决策树中提取的可变重要性度量(VIM)来识别导致海军减员的因素。这些方法在评估数百个预测变量时更加稳健和敏感,相对于回归分析提供了优越的性能。利用先进的分析对于更好地理解这些因素以最大限度地提高军队留存率至关重要。材料和方法:研究人群包括入职日期为2016年的海军人员。利息的结果是在义务服务结束前的遣散日期(即减员)。分析纳入了542个独立变量,包括人口因素、门诊就诊和门诊药房用药。使用不同的特征子集训练RF、XGBoost和逻辑回归模型,以确定哪一组变量最能预测磨损。生成模型性能指标,描述验证数据的敏感性、特异性、阳性和阴性预测值、曲线下面积和分类准确性。结果:总体而言,2016年有39,866名海军人员加入,其中28.15% (n = 11,177)未完成义务服务。RF模型对磨耗(81.7%)和曲线下面积(90.0%)的预测精度最高。RF和XGBoost模型都优于逻辑回归模型。然后评估VIMs,包括平均减少准确性,平均减少基尼杂质,增益和覆盖。由此产生的VIM确定了五个群体:心理健康、职业、人口统计/性别相关问题、疼痛管理和医疗依从性。排在前3位的VIM及其总体相对磨耗风险分别是调整障碍(RR = 1.39高)、海员专家(RR = 3.01高)和电子设备维修人员(RR = 0.44低)。结论:发现五组变量可预测海军减员:心理健康障碍、酒精相关问题、职业、性别、医疗预约依从性和疼痛管理。与回归分析相比,这些结果证明了机器学习模型在预测人员流失方面的实用性。VIM是一种宝贵的工具,可用于军事人员管理和保留方面的决策过程。此外,与单一决策树相比,集成方法提高了整体预测性能,并产生了更健壮的模型,可以抵抗过拟合。
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来源期刊
Military Medicine
Military Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.20
自引率
8.30%
发文量
393
审稿时长
4-8 weeks
期刊介绍: Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.
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