Objective: To determine whether recruits entering the U.S. Air Force w
ith a history of sexual abuse had a higher attrition rate from basic m
ilitary training (BRIT). Methods: Retrospective, case-control study in
volving 28,918 recruits entering BRIT from October 1, 1991, to Septemb
er 30, 1992. Self-report questionnaires were given to all recruits on
the second day of BMT, We compared recruits revealing a history of sex
ual abuse to all other recruits at the end of BMT and at the end of th
e next fiscal year, Results: We found that victims of sexual abuse had
a higher attrition rate from BMT than non-victims (10.6 versus 4.1%,
p < 0.0001). Four and one-tenth percent of all recruits (1,289) report
ed a history of sexual abuse, and fewer male than female recruits repo
rted a history of sexual abuse (1.5 versus 15.1%, p < 0.0001). However
, after BMT there were no differences in any job performance indicator
s between victims and non-victims, Conclusion: We conclude that recrui
ts with a history of sexual abuse had a higher attrition rate from BMT
than those without a history of abuse; however, those recruits who di
d complete BMT were as successful as those who did not report a simila
r history of abuse.