Kelton Katherine, Van Voorhees Elizabeth E, Elbogen Eric B, Dillon Kirsten H
Durham VA Health Care System, Durham, NC.
Duke University Medical Center, Durham, NC.
Mil Psychol. 2022 Nov 21;2022(6):577-89. doi: 10.1080/08995605.2022.2141049.
Veterans with histories of incarceration are at greater risk for poor physical and mental health outcomes, yet prior research in this population has focused on specific subsets of veterans or a narrow range of predictors. We utilized the Bronfenbrenner Socioecological Model as the framework to evaluate correlates of incarceration history in a large sample of Iraq and Afghanistan-era veterans at four levels: demographic, historical, clinical, and contextual. Participants were 2,904 veterans (76.9% male; 49.5% White and 46.5% Black; mean age 38.08, = 10.33), 700 of whom reported a history of incarceration. Four logistic regression models predicting history of incarceration were tested, adding demographic, historical, clinical, and contextual variables hierarchically. In the final model, younger age (=0.99, 95% =0.98-1.00), male gender ( of being female =0.28, 95% =0.21-0.38), belonging to a historically marginalized group ( of being White =0.69, 95% =0.56-0.84), family history of incarceration (=1.47, 95% =1.10-1.94), adult interpersonal trauma (=1.39, 95% =1.28-1.51), problematic alcohol use (=1.03, 95% =1.02-1.05), drug abuse (=1.15, 95% =1.11-1.19), and unemployment ( for being employed=0.76, 95% =0.62-0.92) were significantly associated with a history of incarceration. Implications of these findings for developing interventions and supporting systems to effectively target this high-risk population of veterans are discussed.
有入狱史的退伍军人身心健康状况较差的风险更高,但此前针对这一群体的研究主要集中在退伍军人的特定子集或范围狭窄的预测因素上。我们以布朗芬布伦纳社会生态模型为框架,从人口统计学、历史、临床和背景四个层面评估了一大群伊拉克和阿富汗战争时期退伍军人入狱史的相关因素。研究参与者为2904名退伍军人(76.9%为男性;49.5%为白人,46.5%为黑人;平均年龄38.08岁,标准差 = 10.33),其中700人报告有入狱史。我们测试了四个预测入狱史的逻辑回归模型,分层添加了人口统计学、历史、临床和背景变量。在最终模型中,年龄较小(β = 0.99,95%置信区间 = 0.98 - 1.00)、男性(女性的比值比 = 0.28,95%置信区间 = 0.21 - 0.38)、属于历史上被边缘化的群体(白人的比值比 = 0.69,95%置信区间 = 0.56 - 0.84)、入狱家族史(β = 1.47,95%置信区间 = 1.10 - 1.94)、成人人际创伤(β = 1.39,95%置信区间 = 1.28 - 1.51)、有问题的酒精使用(β = 1.03,95%置信区间 = 1.02 - 1.05)、药物滥用(β = 1.15,95%置信区间 = 1.11 - 1.19)以及失业(就业的比值比 = 0.76,95%置信区间 = 0.62 - 0.92)与入狱史显著相关。本文讨论了这些研究结果对于制定干预措施和支持系统以有效针对这一高危退伍军人群体的意义。