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始终如一的荣誉,持续存在的劣势:全国退伍军人调查中的美国印第安人和阿拉斯加原住民退伍军人健康状况。

Consistent Honor, Persistent Disadvantage: American Indian and Alaska Native Veteran Health in the National Survey of Veterans.

机构信息

Department of Sociology, 8166University of British Columbia, Vancouver, BC, Canada.

Department of Sociology, 170285University of New Mexico, Albuquerque, NM, USA.

出版信息

J Aging Health. 2021 Aug-Sep;33(7-8_suppl):68S-81S. doi: 10.1177/08982643211014034.

DOI:10.1177/08982643211014034
PMID:34167347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8236669/
Abstract

: To examine self-rated health and activities of daily living (ADLs) limitations among American Indian and Alaska Native (AI/AN) veterans relative to white veterans. : We use the 2010 National Survey of Veterans and limit the sample to veterans who identify as AI/AN or non-Hispanic white. We calculated descriptive statistics, confidence intervals, and used logistic regression. : AI/AN veterans are younger, have lower levels of income, and have higher levels of exposure to combat and environmental hazards compared to white veterans. We found that AI/AN veterans are significantly more likely to report fair/poor health controlling for socioeconomic status and experience an ADL controlling for age, health behaviors, socioeconomic status, and military factors. The results indicate that AI/AN veterans are a disadvantaged population in terms of their health and disability compared to white veterans. AI/AN veterans may require additional support from family members and/or Veteran Affairs to address ADLs.

摘要

:为了考察美国印第安人和阿拉斯加原住民(AI/AN)退伍军人与白人退伍军人相比的自评健康和日常生活活动(ADLs)受限情况。:我们使用了 2010 年全国退伍军人调查,并将样本限制在自认为是 AI/AN 或非西班牙裔白人的退伍军人中。我们计算了描述性统计数据、置信区间,并使用了逻辑回归。:与白人退伍军人相比,AI/AN 退伍军人更年轻,收入水平更低,并且接触战斗和环境危害的程度更高。我们发现,在控制社会经济地位和 ADL 控制年龄、健康行为、社会经济地位和军事因素后,AI/AN 退伍军人报告健康状况一般/较差的可能性显著更高。结果表明,与白人退伍军人相比,AI/AN 退伍军人在健康和残疾方面处于不利地位。AI/AN 退伍军人可能需要家庭成员和/或退伍军人事务部提供额外的支持,以解决 ADL 问题。

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本文引用的文献

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Institutional Castling: Military Enlistment and Mass Incarceration in the United States.制度性“易位”:美国的军事征兵与大规模监禁
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2
Rural and Urban American Indian and Alaska Native Veteran Health Disparities: a Population-Based Study.美国农村和城市印第安人和阿拉斯加原住民退伍军人健康差异:一项基于人群的研究。
J Racial Ethn Health Disparities. 2020 Dec;7(6):1071-1078. doi: 10.1007/s40615-020-00730-w. Epub 2020 Mar 18.
3
Black/white differences in mortality among veteran and non-veteran males.退伍军人和非退伍军人男性的死亡率的黑/白差异。
Soc Sci Res. 2019 Mar;79:101-114. doi: 10.1016/j.ssresearch.2019.02.006. Epub 2019 Feb 15.
4
Job Characteristics Associated With Self-Rated Fair or Poor Health Among U.S. Workers.美国劳动者自评健康状况一般或较差与工作特征的关系。
Am J Prev Med. 2017 Aug;53(2):216-224. doi: 10.1016/j.amepre.2017.03.023. Epub 2017 May 8.
5
Telemedicine Use in Rural Native American Communities in the Era of the ACA: a Systematic Literature Review.《平价医疗法案》时代美国本土农村社区的远程医疗应用:一项系统文献综述
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Duty, Honor, Country, Disparity: Race/Ethnic Differences in Health and Disability among Male Veterans.责任、荣誉、国家、差异:男性退伍军人健康与残疾方面的种族/族裔差异
Popul Res Policy Rev. 2015 Dec;34(6):785-804. doi: 10.1007/s11113-015-9358-9. Epub 2015 Mar 21.
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Race/ethnicity and gender differences in mental health diagnoses among Iraq and Afghanistan veterans.伊拉克和阿富汗退伍军人的心理健康诊断中的种族/民族和性别差异。
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Improving access to noninstitutional long-term care for American Indian veterans.改善美国印第安退伍军人获得非机构长期护理的机会。
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Asian American and Pacific Islander military veterans in the United States: health service use and perceived barriers to mental health services.美国的亚裔美国人和太平洋岛民退伍军人:医疗服务利用情况及心理健康服务的感知障碍
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