Coker Kendell L, Rosenheck Robert
Forensic Drug Diversion Program (ForDD), Yale University School of Medicine, 1 Long Wharf, Suite 7, New Haven, CT, 06511, USA,
Psychiatr Q. 2014 Mar;85(1):79-89. doi: 10.1007/s11126-013-9272-4.
Cross sectional studies have addressed the incarceration of Vietnam veterans with post-traumatic stress disorder (PTSD), but no studies have examined changes in incarceration as they age. This study examines patterns of incarceration among Vietnam veterans treated in specialized veterans affairs (VA) intensive PTSD programs over time. Data was drawn from admission data from the initial episode of treatment of Caucasian and African American Vietnam veterans entering VA specialized intensive PTSD programs between 1993 and 2011 (N = 31,707). Bivariate correlations and logistic regression were used to examine associations among race and incarceration over time and the potentially confounding influence of demographic and clinical covariates on this relationship. Rates of reported incarceration declined from 63 to 43%. Over time, African American veterans were 34% more likely than Caucasian veterans to have a lifetime history of incarceration while interaction analysis showed steeper declines for Caucasians than African Americans. Rates of incarceration among these Vietnam veterans declined as they aged. Furthermore, African American veterans were substantially more likely than Caucasian veterans to have been incarcerated and showed less decline as the cohort aged. While reduced, needs for clinical PTSD services remain among aging combat veterans.
横断面研究探讨了患有创伤后应激障碍（PTSD）的越南退伍军人的监禁情况，但尚无研究考察其随着年龄增长监禁情况的变化。本研究考察了随着时间推移，在退伍军人事务部（VA）专门的PTSD强化项目中接受治疗的越南退伍军人的监禁模式。数据取自1993年至2011年期间进入VA专门的PTSD强化项目的白人和非裔美国越南退伍军人首次治疗发作的入院数据（N = 31,707）。采用双变量相关性和逻辑回归来检验种族与监禁随时间的关联，以及人口统计学和临床协变量对这种关系的潜在混杂影响。报告的监禁率从63%降至43%。随着时间的推移，非裔美国退伍军人有终身监禁史的可能性比白人退伍军人高34%，而交互分析显示白人的下降幅度比非裔美国人更大。这些越南退伍军人的监禁率随着年龄增长而下降。此外，非裔美国退伍军人被监禁的可能性比白人退伍军人高得多，并且随着队列年龄增长，下降幅度较小。虽然需求有所减少，但老年战斗退伍军人对PTSD临床服务的需求仍然存在。
