Abstract:
OBJECTIVE:We investigated the mental health of deployed and nondeployed veterans compared with civilians, exploring gender differences. METHODS:We sampled 41,903 respondents from the Behavioral Risk Factor Surveillance System survey. Respondents self-reported how many of the previous 30 days mental health was not good; 14 days or more indicated adverse mental health. RESULTS:Women exhibited greater prevalence of adverse mental health than men among civilians (odds ratio [OR] = 1.783 (1.653, 1.924), p < 0.001), deployed veterans [OR = 1.879 (1.019, 3.467), p = 0.043], and nondeployed veterans [OR = 2.621 (1.796, 3.825), p < 0.001]. Compared with civilian status, deployed status was associated with adverse mental health for men [OR = 1.361 (1.055, 1.755), p = 0.018] and possibly women [OR = 1.521 (0.930, 2.487), p = 0.095]. Compared with civilian status, nondeployed status was associated with adverse mental health for women [OR = 1.525 (1.152, 2.018), p = 0.003], but not for men [OR = 1.169 (0.943, 1.448), p = 0.155]. We controlled for age, general health, employment status, marital status, education, race/ethnicity, and state of residence. CONCLUSIONS:Adverse mental health affects male and female combat veterans, as well as women in noncombat military occupations.
journal_name
Mil Medjournal_title
Military medicineauthors
Hoglund MW,Schwartz RMdoi
10.7205/MILMED-D-13-00235subject
Has Abstractpub_date
2014-01-01 00:00:00pages
19-25issue
1eissn
0026-4075issn
1930-613Xjournal_volume
179pub_type
杂志文章abstract::Recent studies suggest an increased risk of respiratory complaints associated with deployment. The objective measurement of lung function provided by portable spirometry is likely to improve the ability of military providers to diagnose and treat lung disease. A portable spirometer was taken to southern Afghanistan on...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00175
更新日期:2013-01-01 00:00:00
abstract::The proper treatment of younger patients who have suffered ischemic stroke and who have no stroke risk factors other than antiphospholipid antibodies is unsettled. We propose a rationale to support adding dietary supplementation with calcium and vitamin D to the present standard regimen of anticoagulant therapy for th...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-06-01 00:00:00
abstract::Mindfulness meditation training has been shown to reduce stress and improve short-term memory for military personnel. However, no studies have investigated the effects of in-person and virtual world (VW) mindfulness training on Post-Traumatic Stress Disorder (PTSD) or Attention Deficit Hyperactivity Disorder (ADHD) sy...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx227
更新日期:2018-03-01 00:00:00
abstract::The federal government is the largest single employer of clinically active physician assistants (PAs) in the United States, with > 3,000 PAs in 2008. PAs are present within the Departments of Defense, Veterans Affairs, Health and Human Services, Justice, and Homeland Security. Most are civil servants or hold a commiss...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.173.9.895
更新日期:2008-09-01 00:00:00
abstract::Acutely sprained ankles represent a frequent and common injury among active duty troops in training, and are a significant source of morbidity with respect to days lost to training. Swelling in the form of periarticular edema limits motion, causes pain, prevents wearing of normal foot gear, and slows the healing proce...
journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1993-02-01 00:00:00
abstract::The modern military battlefields are characterized by the use of nonconventional weapons such as encountered in the conflicts of the Gulf War I and Gulf War II. Recent warfare in Iraq, Afghanistan, and the Balkans has introduced radioactive weapons to the modern war zone scenarios. This presents the military medicine ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00256
更新日期:2017-03-01 00:00:00
abstract::Tibial nonunions are a challenging situation for both healing and reconstruction when infection is added. In this retrospective study, we discuss the cases in which we had managed to obtain union by aggressive debridement, circular external fixature, and internal bone transport. Fourteen cases had been treated between...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract::Like all health care delivery systems, the U.S. Department of Defense Military Health System (MHS) strives to achieve top preventative care and population health outcomes for its members while operating at an efficient level and containing costs. The objective of this study is to understand the overall efficiency perf...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00309
更新日期:2016-08-01 00:00:00
abstract::The Army experience with discharges against medical advice (AMA) from 1971 to 1988 is analyzed. AMA discharges have declined in a statistically significant manner in both medical centers and community hospitals. Discharges have decreased among men but increased among women. AMA discharges have decreased for both black...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1993-02-01 00:00:00
abstract::An outbreak of rubella occurred among visiting German troops involved in a combined military exercise at Fort Bragg, North Carolina, in April 1995. Public health and military operational concerns centered on the significant contact the German soldiers had had with host battalion dependents and the impact of the outbre...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-09-01 00:00:00
abstract::With people living longer today, averaging 73 years old, the type of patients with inguinal hernias are different than in the past. At the present time, to avoid the high incidence of recurrence due to the aged and weakened tissue component of the groin area, we reinforce the posterior wall of the inguinal canal with ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract::Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who do "people work" of some kind. Health care providers, including dentists, are at high risk for burnout because their occupations often require intense interactions between themselv...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract::We utilize a mixed methods approach to provide three new, separate analyses as part of the development of the next aeromedical evacuation (MEDEVAC) platform of the Future of Vertical Lift (FVL) program. The research questions follow: RQ1) What are the optimal capabilities of a FVL MEDEVAC platform given an Afghanistan...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-12-00370
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:A cavum septum pellucidum is an anatomical variant that is usually considered an incidental finding of little clinical significance. This is a fluid-containing structure between the lateral ventricles whose walls exhibit lateral bowing and are 10-mm apart or greater. It has been hypothesized that enlarged cys...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00009
更新日期:2011-10-01 00:00:00
abstract::This study surveyed 2,287 U.S. Navy health care providers (HCPs) regarding patient-care practices and attitudes related to tobacco use. Almost 80% of HCPs reported that they usually asked new patients about tobacco use. Of 11 recommended practices, two-thirds to three-quarters of HCPs engaged in only 4 behaviors with ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:OBJECTIVE:To determine whether the presence of insulin resistance in obese subjects would adversely affect the rate of ovulation induction by clomiphene citrate. RESULTS:Fasting hyperinsulinemia was associated with the failure to ovulate in response to clomiphene. In addition, other parameters found to correlate with ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract::The authors describe the case of a giant osteochondroma emanating from the L5 vertebral body and extending into the retroperitoneum of a 40-year-old man, causing low back pain. Osteochondromas are benign bony tumors that typically occur within the appendicular skeleton, although in the sporadic form, up to 4% occur in...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00239
更新日期:2015-01-01 00:00:00
abstract::Several biochemical tests are available to screen for heavy drinking in patients. Most of these (e.g., liver function tests and macrocytic volume) rise due to adverse effects of alcohol on organs or the organ's functions. Carbohydrate-deficient transferrin, however, seems to elevate because of the direct action of alc...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:2003-05-01 00:00:00
abstract::The purpose of this study was to evaluate the effects of the M17 and M43 protective masks on stereoacuity. Twelve subjects were tested on the Keystone diagnostic series stereopsis test at nearpoint and the Howard-Dolman apparatus at 40 cm and 6 m. Stereopsis was evaluated without a mask and with the M43 and M17 masks....
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-12-01 00:00:00
abstract::Burkholderia pseudomallei and B. mallei are two highly pathogenic bacteria responsible for melioidosis and glanders, respectively. Our laboratory developed hydrolysis probe-based real-time polymerase chain reaction assays targeting type three secretion system (TTS) and transposase family protein (TFP) of B. pseudomall...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00232
更新日期:2012-02-01 00:00:00
abstract:INTRODUCTION:Despite greater than 60,000 nonfatal firearm injuries per year in the United States, retained shrapnel is a relatively rare cause of systemic lead toxicity with less than 100 cases reported in the medical literature since 1867. While intra-articular retained shrapnel as a cause of lead toxicity is well-des...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00231
更新日期:2017-03-01 00:00:00
abstract:INTRODUCTION:The French army has implemented an algorithm based on the acronym "MARCHE RYAN," each letter standing for a key action to complete in order to help first care providers during emergency casualty care. On the battlefield, the risk of error is increased, and the use of cognitive aids (CAs) might be helpful t...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz482
更新日期:2020-08-14 00:00:00
abstract:Introduction:This is an empirical study to better understand commonly used medical school admission measures and disenrollment decisions during undergraduate medical education as well as graduate medical education (GME) probation or termination decisions. Materials and Methods:Based on the data of USUHS medical studen...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy069
更新日期:2018-11-01 00:00:00
abstract::Since the 1960s there have been concerted efforts to initiate, develop, and promulgate quality assurance policies and protocols in healthcare facilities in the United States. These activities were spurred mainly by the Joint Commission on Accreditation of Healthcare Organizations, which ensures that hospitals monitor ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-06-01 00:00:00
abstract::While on the surface the future of military GME appears uncertain, closer inspection demonstrates opportunities to achieve excellence in education. In many cases, programs will emerge with larger and more diverse faculty and increased collaboration with local institutions. On an individual level, military faculty will...
journal_title:Military medicine
pub_type: 社论
doi:
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE:To increase accessibility and availability of secondary medical care, 10 secondary unit specialist clinics were established side-by-side with five existing regional specialist centers, thus achieving decentralization. The purpose was to analyze the impact of this reorganization on overall consumption of secon...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.171.12.1229
更新日期:2006-12-01 00:00:00
abstract::Chaplains play a unique role in the Veterans Affairs (VA) health care systems and have numerous responsibilities. Compassion satisfaction (CS), compassion fatigue (CF), and burnout (BO) are three major phenomenons that have been documented in other helping professions, but little is known about VA Chaplains' professio...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00021
更新日期:2013-06-01 00:00:00
abstract::Several international legal instruments and ethical guidelines bestow rights and impose duties on detainees and military physicians, respectively. Ideological totalism, moral disengagement, and victim blame can facilitate the abuse of detainees, and this mindset must be avoided by military physicians. Physicians shoul...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.supplement_2.15
更新日期:2007-12-01 00:00:00
abstract::Post-residency fellowship education has traditionally been a transitionary phase toward a possible career involving medical research and teaching. The increasing sophistication required for performing medical research, the emphasis on molecular medicine, significant overcrowding in specialty disciplines, high student ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract::Suicide is currently the second leading cause of death in the U.S. military. Little recent research has been done on a well-defined cohort at high risk for death by suicide, which consist of military patients who attempt suicide or are admitted for suicidal ideation. As a pilot investigation based on a literature revi...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00