关键词: Veterans chronic conditions depression diabetes employment psychological distress

来  源:   DOI:10.1016/j.focus.2024.100242   PDF(Pubmed)

Abstract:
UNASSIGNED: Veterans commonly experience both poor health and employment difficulty. However, the research examining potential relationships between chronic physical and mental health conditions and employment in veterans has important limitations. This study examines those potential relationships using large-scale, nationally representative data. The authors\' hypothesis was that veterans experiencing these conditions would be less likely to be employed than veterans without the conditions and, further, that there may be differences in these relationships when comparing male veterans with female veterans.
UNASSIGNED: The study team conducted a pooled cross-sectional analysis of nationally representative data from the 2004-2019 administrations of the Medical Expenditures Panel Survey, which had items addressing health conditions, employment, and military experience. The authors assessed the relationship between health conditions and employment using multivariate logistic regression. Control variables included demographics, SES, family size, and survey year.
UNASSIGNED: Veterans experiencing diabetes, high blood pressure, stroke, emphysema, arthritis, serious hearing loss, poor self-reported mental health, poor self-reported health, depression, or psychological distress were less likely to be employed than veterans without those conditions, even after adjusting for potential confounding factors. Veterans with diabetes had 25% lesser odds of being employed than veterans without the condition (95% CI=0.65, 0.85). Veterans with increased likelihood of depression had 35% lesser odds of being employed than veterans without depression (95% CI=0.52, 0.81).
UNASSIGNED: This study adds evidence to the understanding of the role of chronic health conditions in employment status of veterans. The results support arguments for programs that aid veterans with both their health and their employment.
摘要:
退伍军人通常会遇到健康状况不佳和就业困难。然而,这项研究检查了退伍军人的慢性身心健康状况与就业之间的潜在关系,具有重要的局限性。本研究使用大规模,全国代表性数据。作者的假设是,经历这些条件的退伍军人比没有条件的退伍军人更不可能被雇用,进一步,在比较男性退伍军人和女性退伍军人时,这些关系可能会有所不同。
研究小组对2004-2019年医疗支出小组调查的国家代表性数据进行了汇总横截面分析,其中有解决健康状况的项目,employment,和军事经验。作者使用多变量逻辑回归评估了健康状况与就业之间的关系。控制变量包括人口统计,SES,家庭大小,和调查年。
患有糖尿病的退伍军人,高血压,中风,肺气肿,关节炎,严重的听力损失,自我报告的心理健康很差,自我报告的健康状况不佳,抑郁症,或者心理困扰比没有这些条件的退伍军人更不可能被雇用,即使在调整了潜在的混杂因素之后。与没有糖尿病的退伍军人相比,糖尿病退伍军人的就业几率要低25%(95%CI=0.65,0.85)。抑郁症可能性增加的退伍军人的就业几率比没有抑郁症的退伍军人低35%(95%CI=0.52,0.81)。
这项研究为了解慢性健康状况在退伍军人就业状况中的作用增加了证据。结果支持支持退伍军人健康和就业计划的论点。
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