Sayer Nina A, Orazem Robert J, Noorbaloochi Siamak, Gravely Amy, Frazier Patricia, Carlson Kathleen F, Schnurr Paula P, Oleson Heather
Center for Chronic Disease Outcomes Research, Minneapolis VA Healthcare System, One Veterans Drive, Minneapolis, MN, 55417, USA,
Adm Policy Ment Health. 2015 Jul;42(4):493-503. doi: 10.1007/s10488-014-0564-2.
We studied 1,292 Iraq and Afghanistan War veterans who participated in a clinical trial of expressive writing to estimate the prevalence of perceived reintegration difficulty and compare Veterans Affairs (VA) healthcare users to nonusers in terms of demographic and clinical characteristics. About half of participants perceived reintegration difficulty. VA users and nonusers differed in age and military background. Levels of mental and physical problems were higher in VA users. In multivariate analysis, military service variables and probable traumatic brain injury independently predicted VA use. Findings demonstrate the importance of research comparing VA users to nonusers to understand veteran healthcare needs.
我们研究了1292名伊拉克和阿富汗战争退伍军人，他们参与了一项关于表达性写作的临床试验，以估计感知到的重新融入困难的患病率，并在人口统计学和临床特征方面比较退伍军人事务部（VA）医疗保健使用者与非使用者。约一半的参与者感知到重新融入困难。VA使用者和非使用者在年龄和军事背景方面存在差异。VA使用者的心理和身体问题水平更高。在多变量分析中，军事服役变量和可能的创伤性脑损伤独立预测了VA的使用情况。研究结果表明，比较VA使用者与非使用者的研究对于了解退伍军人的医疗保健需求具有重要意义。
