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军事服役对社会决定因素的影响作为女性退伍军人自杀的预测因素

The Impact of Military Service on Social Determinants as Predictive Factors for Suicide among Female Veterans.

作者信息

Straus Amanda, Larson Rachel, Wright Wanda

机构信息

College of Health Solutions, Arizona State University, Phoenix, AZ, USA.

College of Integrative Sciences and Arts, Arizona State University, Tempe, AZ, USA.

出版信息

J Community Health. 2025 Jun;50(3):483-490. doi: 10.1007/s10900-024-01427-5. Epub 2024 Dec 25.

DOI:10.1007/s10900-024-01427-5
PMID:39720973
Abstract

Female Veterans experience disproportionately poorer outcomes in mental health and physical health, as well as other conditions, compared to their male counterparts and non-Veteran females. The Arizona Veteran Survey aims to understand the unique experiences of female Veterans in the state of Arizona and assess how these experiences impact their health. The goal is to identify key risk factors contributing to health challenges among this population, enabling the development of targeted interventions. The statewide Arizona Veteran Survey was conducted to analyze the current impact of common social determinants of health for several demographics of Veterans. There were a total of 841 female Veteran respondents. The data on female Veterans' social determinants of health and the association with suicidality was analyzed using chi-square and logistic regression. A variety of social determinants were analyzed to evaluate their association with suicidality. Female Veteran respondents were 1.4 times more likely to experience suicidality if they were seeking care for mental health concerns, 1.8 times more likely if they felt isolated or lonely, 1.7 times more likely if they felt depressed or hopeless, and 2.5 times more likely to experience suicidality if they struggled to pay for or access medication in the past 12 months leading up to the survey. Female Veterans are a growing population disproportionately affected by experiences that elevate their risk of suicidality. The findings in this paper highlight the need for expanding services and resources while addressing inequities to improve overall well-being.

摘要

与男性退伍军人和非退伍军人女性相比,女性退伍军人在心理健康、身体健康以及其他方面的状况要差得多。亚利桑那州退伍军人调查旨在了解该州女性退伍军人的独特经历,并评估这些经历如何影响她们的健康。目标是确定导致这一人群健康挑战的关键风险因素,以便制定有针对性的干预措施。开展全州范围的亚利桑那州退伍军人调查,以分析常见健康社会决定因素对几类退伍军人群体的当前影响。共有841名女性退伍军人受访者。使用卡方检验和逻辑回归分析了女性退伍军人健康社会决定因素的数据及其与自杀倾向的关联。分析了各种社会决定因素,以评估它们与自杀倾向的关联。如果女性退伍军人受访者因心理健康问题寻求治疗,那么她们出现自杀倾向的可能性要高1.4倍;如果她们感到孤立或孤独,可能性高1.8倍;如果她们感到沮丧或绝望,可能性高1.7倍;如果在调查前的过去12个月里她们难以支付或获取药物,那么出现自杀倾向的可能性要高2.5倍。女性退伍军人这一群体在不断壮大,她们受到一些经历的影响尤为严重,这些经历增加了她们自杀的风险。本文的研究结果凸显了在解决不平等问题以改善整体福祉的同时,扩大服务和资源的必要性。

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本文引用的文献

1
The Social Determinants of Suicide among Female Service Members and Veterans : Running Title: Social Determinants of Suicide.女性军人和退伍军人自杀的社会决定因素:标题:自杀的社会决定因素。
J Community Health. 2024 Oct;49(5):935-941. doi: 10.1007/s10900-024-01359-0. Epub 2024 Apr 21.
2
Association between modifiable social determinants and mental health among post-9/11 Veterans: A systematic review.9·11事件后退伍军人中可改变的社会决定因素与心理健康之间的关联:一项系统综述。
J Mil Veteran Fam Health. 2023 Jun;9(3):8-26. doi: 10.3138/jmvfh-2022-0025.
3
Improving Support for Veteran Women: Veterans' Issues in Focus.
改善对退伍女兵的支持:聚焦退伍军人问题
Rand Health Q. 2023 May 15;10(2):10. eCollection 2023 May.
4
Exploring the trajectory and correlates of social isolation for veterans across a 6-month period during COVID-19.探索新冠疫情期间退伍军人在 6 个月期间社会孤立的轨迹和相关因素。
PLoS One. 2023 Mar 1;18(3):e0281575. doi: 10.1371/journal.pone.0281575. eCollection 2023.
5
Women Veterans' Healthcare Needs, Utilization, and Preferences in Veterans Affairs Primary Care Settings.女性退伍军人在退伍军人事务部初级保健环境中的医疗需求、利用和偏好。
J Gen Intern Med. 2022 Sep;37(Suppl 3):791-798. doi: 10.1007/s11606-022-07585-3. Epub 2022 Aug 30.
6
Psychosocial Risk Factors for Transitions Into Housing Instability Among Women Veterans.女性退伍军人住房不稳定转变的心理社会风险因素。
J Am Board Fam Med. 2021 Mar-Apr;34(2):387-391. doi: 10.3122/jabfm.2021.02.200333.
7
Risk and protective factors associated with mental health among female military veterans: results from the veterans' health study.女性退伍军人心理健康相关的风险和保护因素:退伍军人健康研究的结果。
BMC Womens Health. 2021 Feb 8;21(1):55. doi: 10.1186/s12905-021-01181-z.
8
Accelerating Research on Suicide Risk and Prevention in Women Veterans Through Research-Operations Partnerships.通过研究-运营伙伴关系加速女性退伍军人的自杀风险和预防研究。
Med Care. 2021 Feb 1;59:S11-S16. doi: 10.1097/MLR.0000000000001432.
9
Suicidal ideation, suicide attempt, and non-suicidal self-injury among female veterans: Prevalence, timing, and onset.女性退伍军人中的自杀意念、自杀企图和非自杀性自伤:流行率、时间和发病。
J Affect Disord. 2020 Aug 1;273:350-357. doi: 10.1016/j.jad.2020.04.017. Epub 2020 May 12.
10
Mortality Among Veterans with Major Mental Illnesses Seen in Primary Care: Results of a National Study of Veteran Deaths.在初级保健中接受治疗的患有重大精神疾病的退伍军人的死亡率:一项全国退伍军人死亡研究的结果。
J Gen Intern Med. 2020 Jan;35(1):112-118. doi: 10.1007/s11606-019-05307-w. Epub 2019 Oct 30.