Boakye Eric Adjei, Buchanan Paula, Wang Jing, Stringer Lisa, Geneus Christian, Scherrer Jeffrey F
Saint Louis University Center for Outcomes Research (SLUCOR), 3545 Lafayette Avenue, Salus Center 4th Floor, SLUCOR Suite, Saint Louis, MO 63104.
Department of Biostatistics, College for Public Health and Social Justice, Saint Louis University, 3545 Lafayette Avenue, Salus Center 4th Floor, Saint Louis, MO 63104.
Mil Med. 2017 Mar;182(3):e1691-e1696. doi: 10.7205/MILMED-D-16-00119.
Limited research exists comparing the prevalence of lifetime depression and current mental distress between veterans and nonveterans by military service era. We compared the prevalence of self-reported lifetime depression and current mental distress between veterans and nonveterans of the World War II, Korea, Vietnam, and Gulf War eras.
Data from the 2012 Behavior Risk Factor Surveillance System were analyzed for 243,561 survey participants aged 18 years and older. Separate multivariable logistic regression models were computed for each service era to estimate the association between veteran status and lifetime depression and current mental distress.
Lifetime depression was lower among veterans vs. nonveterans who served in the military during World War II era (adjusted odds ratio [aOR] = 0.54; 95% confidence interval [CI] = 0.43-0.66) and the Korean War era (aOR = 0.50; 95% CI = 0.42-0.59) but higher among veterans vs. nonveterans of the Vietnam War era (aOR = 1.39; 95% CI = 1.43-1.73). Similarly, current mental distress was lower among veterans vs. nonveterans of the World War II era (aOR = 0.56; 95% CI = 0.44-0.71) and the Korean War era (aOR = 0.47; 95% CI = 0.37-0.60) but higher among veterans vs. nonveterans of the Vietnam War era (aOR = 1.14; 95% CI = 1.02-1.28).
Both lifetime depression rates and current mental distress differed among veterans compared to nonveterans within each service era. Understanding the burden of depressive disorder among veterans of all eras may facilitate efficient and effective treatment and allocation of mental health care resources.
关于按军事服役时期比较退伍军人和非退伍军人终生抑郁患病率及当前心理困扰情况的研究有限。我们比较了二战、朝鲜战争、越南战争和海湾战争时期退伍军人与非退伍军人自我报告的终生抑郁患病率及当前心理困扰情况。
对2012年行为危险因素监测系统中243,561名年龄在18岁及以上的调查参与者的数据进行分析。针对每个服役时期分别计算多变量逻辑回归模型，以估计退伍军人身份与终生抑郁及当前心理困扰之间的关联。
在二战时期（调整优势比[aOR]=0.54；95%置信区间[CI]=0.43 - 0.66）和朝鲜战争时期（aOR = 0.50；95% CI = 0.42 - 0.59）服役的退伍军人中，终生抑郁患病率低于非退伍军人，但在越南战争时期的退伍军人中高于非退伍军人（aOR = 1.39；95% CI = 1.43 - 1.73）。同样，在二战时期（aOR = 0.56；95% CI = 0.44 - 0.71）和朝鲜战争时期（aOR = 0.47；95% CI = 0.37 - 0.60）的退伍军人中，当前心理困扰低于非退伍军人，但在越南战争时期的退伍军人中高于非退伍军人（aOR = 1.14；95% CI = 1.02 - 1.28）。
在每个服役时期内，退伍军人与非退伍军人相比，终生抑郁率和当前心理困扰均存在差异。了解各时期退伍军人中抑郁症的负担可能有助于高效且有效地治疗和分配心理健康护理资源。
