有和没有接受 VA 服务的伊拉克和阿富汗退伍军人中心理健康问题的流行率。
Prevalence of mental health problems among Iraq and Afghanistan veterans who have and have not received VA services.
出版信息
Psychiatr Serv. 2014 Jun 1;65(6):833-5. doi: 10.1176/appi.ps.201300111.
Abstract
OBJECTIVE
Roughly half of veterans who served in Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) have not received services from the Veterans Health Administration (VHA). This study assessed probable posttraumatic stress disorder (PTSD) and depression among OEF/OIF veterans by receipt of VHA services.
METHODS
In 2010 a mixed-mode survey assessing symptoms and VHA services utilization was fielded in a random sample of 913 New York State OEF/OIF veterans.
RESULTS
Probable PTSD and depression were roughly three times more common among veterans who had received VHA services (N=537) (PTSD, 23%; depression, 21%) than those who had not (N=376) (PTSD, 6%; depression, 8%).
CONCLUSIONS
Studies of veterans receiving VHA services likely overstate the prevalence of mental health problems among the broader OEF/OIF veteran population. However, many veterans with mental health problems are not receiving VHA services. Policies that improve outreach to this population may improve health outcomes.
摘要
目的
在曾参加持久自由行动（OEF）和伊拉克自由行动（OIF）的退伍军人中，约有一半尚未接受退伍军人健康管理局（VHA）的服务。本研究通过评估 VHA 服务的利用情况，来评估 OEF/OIF 退伍军人中可能患有创伤后应激障碍（PTSD）和抑郁症的情况。
方法
2010 年，采用混合模式调查方法，对纽约州 913 名 OEF/OIF 退伍军人进行了症状和 VHA 服务利用情况的随机抽样调查。
结果
与未接受 VHA 服务的退伍军人（N=376）相比，接受过 VHA 服务的退伍军人（N=537）中可能患有 PTSD 和抑郁症的比例大约高出三倍（PTSD，23%；抑郁症，21%）。
结论
对接受 VHA 服务的退伍军人进行的研究可能夸大了更广泛的 OEF/OIF 退伍军人群体中精神健康问题的流行率。然而，许多有精神健康问题的退伍军人并未接受 VHA 服务。改善针对这一人群的外展政策可能会改善健康结果。
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