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优势与弱点:比较9·11事件后美国退伍军人与非退伍军人对健康及更广泛幸福的认知

Strengths and vulnerabilities: Comparing post-9/11 U.S. veterans' and non-veterans' perceptions of health and broader well-being.

作者信息

Vogt Dawne, Borowski Shelby, Maguen Shira, Blosnich John R, Hoffmire Claire A, Bernhard Paul A, Iverson Katherine M, Schneiderman Aaron

机构信息

Women's Health Sciences Division, National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, Boston, MA, USA.

Department of Psychiatry, Boston University School of Medicine, Boston, MA, USA.

出版信息

SSM Popul Health. 2022 Aug 11;19:101201. doi: 10.1016/j.ssmph.2022.101201. eCollection 2022 Sep.

Abstract

BACKGROUND

Prior research has examined how the post-military health and well-being of both the larger veteran population and earlier veteran cohorts differs from non-veterans. However, no study has yet to provide a holistic examination of how the health, vocational, financial, and social well-being of the newest generation of post-9/11 U.S. military veterans compares with their non-veteran peers. This is a significant oversight, as accurate knowledge of the strengths and vulnerabilities of post-9/11 veterans is required to ensure that the needs of this population are adequately addressed, as well as to counter inaccurate veteran stereotypes.

METHODS

Post-9/11 U.S. veterans' (N = 15,160) and non-veterans' (N = 4,533) reported on their health and broader well-being as part of a confidential web-based survey in 2018. Participants were drawn from probability-based sampling frames, and sex-stratified weighted logistic regressions were conducted to examine differences in veterans' and non-veterans' reports of health, vocational, financial, and social outcomes.

RESULTS

Although both men and women post-9/11 veterans endorsed poorer health status than non-veterans, they reported greater engagement in a number of positive health behaviors (healthy eating and exercise) and were more likely to indicate having access to health care. Veterans also endorsed greater social well-being than non-veterans on several outcomes, whereas few differences were observed in vocational and financial well-being.

CONCLUSION

Despite their greater vulnerability to experiencing health conditions, the newest generation of post-9/11 U.S. veterans report experiencing similar or better outcomes than non-veterans in many aspects of their lives. Findings underscore the value of examining a wider range of health and well-being outcomes in veteran research and highlight a number of important directions for intervention, public health education, policy, and research related to the reintegration of military veterans within broader civilian society.

摘要

背景

先前的研究探讨了广大退伍军人群体以及早期退伍军人队列在退伍后的健康和福祉状况与非退伍军人有何不同。然而,尚无研究全面考察9·11事件后新一代美国退伍军人在健康、职业、财务和社会福祉方面与非退伍军人同龄人相比的情况。这是一个重大疏忽,因为要确保满足这一群体的需求并纠正对退伍军人的错误刻板印象,就需要准确了解9·11事件后退伍军人的优势和弱点。

方法

作为2018年一项基于网络的保密调查的一部分,9·11事件后美国退伍军人(N = 15160)和非退伍军人(N = 4533)报告了他们的健康和更广泛的福祉情况。参与者来自基于概率的抽样框架,并进行了按性别分层的加权逻辑回归分析,以检验退伍军人和非退伍军人在健康、职业、财务和社会结果报告方面的差异。

结果

尽管9·11事件后的退伍军人无论男女都认可自己的健康状况比非退伍军人差,但他们报告在一些积极的健康行为(健康饮食和锻炼)方面参与度更高,并且更有可能表示能够获得医疗保健。在一些结果方面,退伍军人也认可自己的社会福祉比非退伍军人更高,而在职业和财务福祉方面观察到的差异很少。

结论

尽管9·11事件后新一代美国退伍军人更容易出现健康问题,但他们在生活的许多方面报告的结果与非退伍军人相似或更好。研究结果强调了在退伍军人研究中考察更广泛的健康和福祉结果的价值,并突出了与退伍军人重新融入更广泛的平民社会相关的干预、公共卫生教育、政策和研究的一些重要方向。

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