加拿大武装部队成员及退伍军人的心理健康服务利用情况：来自2018年加拿大武装部队成员及退伍军人心理健康随访调查（CAFMVHS）的数据。
Mental health services use among Canadian Armed Forces members and Veterans: Data from the 2018 Canadian Armed Forces members and Veterans mental health follow-up survey (CAFMVHS).
作者信息
St Cyr Kate, Liu Aihua, Plouffe Rachel A, Nouri Maede S, Forchuk Callista A, Wanklyn Sonya G, Bird Brian M, Fikretoglu Deniz, Mahar Alyson L, Nazarov Anthony, Richardson J Don
机构信息
MacDonald Franklin OSI Research Centre, Lawson Health Research Institute, London, ON, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
出版信息
Front Health Serv. 2022 Aug 22;2:954914. doi: 10.3389/frhs.2022.954914. eCollection 2022.
BACKGROUND
Differences in healthcare delivery systems and pathways to mental healthcare for Canadian Armed Forces (CAF) members and Veterans may contribute to variations in mental health services use (MHSU) and the factors associated with it. We: (1) estimated the prevalence of past 12-month MHSU (≥1 visit with a medical or mental health professional); and (2) identified sociodemographic, military-, trauma-, and health-related variables associated with MHSU among CAF members and Veterans.
METHODS
The current study used data from the 2018 CAF Members and Veterans Mental Health Follow-Up Survey (CAFVMHS). Model variables were selected a priori, and their respective associations with MHSU were estimated among (1) CAF members and (2) Veterans using separate multivariable logistic regression models.
RESULTS
Similar proportions of CAF members and Veterans reported past 12-month MHSU (26.9 vs. 27.5%, respectively). For both CAF members and Veterans, meeting criteria for at least one past 12-month MH disorder was associated with past 12-month MHSU [adjusted odds ratio (AOR) = 7.80, 95% confidence interval (CI) = 7.18-8.46; and AOR = 11.82, 95% CI: 11.07-12.61, respectively). Past-year suicide ideation, a history of sexual trauma, and endorsement of adverse childhood experiences were also significantly associated with MHSU among CAF members and Veterans.
SIGNIFICANCE
Similar to previous research, meeting screening criteria for a past 12-month MH disorder was strongly associated with MHSU among both samples. This study extends our existing knowledge about factors associated with MHSU among CAF members and Veterans, and offers direction for future research to increase MHSU.
背景
加拿大武装部队（CAF）成员和退伍军人在医疗保健提供系统以及获得心理保健的途径方面存在差异，这可能导致心理健康服务使用（MHSU）及其相关因素出现差异。我们：（1）估计过去12个月MHSU的患病率（与医疗或心理健康专业人员至少就诊1次）；（2）确定CAF成员和退伍军人中与MHSU相关的社会人口统计学、军事、创伤和健康相关变量。
方法
本研究使用了2018年CAF成员和退伍军人心理健康随访调查（CAFVMHS）的数据。模型变量是预先选定的，并且使用单独的多变量逻辑回归模型在（1）CAF成员和（2）退伍军人中估计它们与MHSU的各自关联。
结果
报告过去12个月MHSU的CAF成员和退伍军人比例相似（分别为26.9%和27.5%）。对于CAF成员和退伍军人来说，符合至少一种过去12个月心理健康障碍标准均与过去12个月MHSU相关[调整后的优势比（AOR）=7.80，95%置信区间（CI）=7.18 - 8.46；AOR = 11.82，95% CI：11.07 - 12.61]。过去一年的自杀意念、性创伤史以及对童年不良经历的认可在CAF成员和退伍军人中也与MHSU显著相关。
意义
与先前的研究类似，在两个样本中，符合过去12个月心理健康障碍筛查标准均与MHSU密切相关。本研究扩展了我们对CAF成员和退伍军人中与MHSU相关因素的现有认识，并为未来增加MHSU的研究提供了方向。
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