Cohen Sara I, Suri Pradeep, Amick Melissa M, Yan Kun
Braintree Rehabilitation Hospital, Braintree, MA, USA.
Work. 2013;44(2):213-9. doi: 10.3233/WOR-2012-1417.
To determine the association between clinical and demographic factors with employment status in post-deployment US military veterans returning from Iraq and Afghanistan.
169 OIF/OEF veterans seen at a post-deployment clinic between December of 2009 and May of 2010.
Data was collected retrospectively on employment status, age, marital status, gender, pre-deployment education, ratings of sleep disturbance, pain, and depression, and mild traumatic brain injury (mTBI) or PTSD diagnosis.
Unemployment was highly prevalent in this sample (45%). Of the demographic and clinical factors examined, only a self-report of global depression severity was significantly associated with a higher prevalence of unemployment in multivariate analysis (odds ratio [OR] 0.21, 95% confidence interval [CI] 0.10-0.47). Age greater than 40 demonstrated a positive association with employment status that was of borderline statistical significance ([OR] 2.8, 95% confidence interval [CI] 1.0-8.1). Prior diagnoses of mTBI or PTSD, and current sleep or pain symptoms, were not associated with employment status.
Individuals with more severe self-reported depression had a higher prevalence of unemployment. Future prospective studies are needed to better understand which factors determine employment status in returning veterans.
确定从伊拉克和阿富汗回国的美国退伍军人临床及人口统计学因素与就业状况之间的关联。
2009年12月至2010年5月间在部署后诊所就诊的169名伊拉克自由行动/持久自由行动退伍军人。
回顾性收集就业状况、年龄、婚姻状况、性别、部署前教育程度、睡眠障碍、疼痛及抑郁评分以及轻度创伤性脑损伤（mTBI）或创伤后应激障碍（PTSD）诊断等数据。
该样本中失业率很高（45%）。在所研究的人口统计学和临床因素中，多变量分析显示，仅全球抑郁严重程度的自我报告与较高的失业率显著相关（优势比[OR]0.21，95%置信区间[CI]0.10 - 0.47）。40岁以上年龄与就业状况呈正相关，具有临界统计学意义（[OR]2.8，95%置信区间[CI]1.0 - 8.1）。既往mTBI或PTSD诊断以及当前睡眠或疼痛症状与就业状况无关。
自我报告抑郁较严重的个体失业率较高。需要未来进行前瞻性研究以更好地了解哪些因素决定回国退伍军人的就业状况。
