Racial, Ethnic, and Sex Disparities in Mental Health Among US Service Members and Veterans: Findings From the Millennium Cohort Study.
| Autor: | Sharifian, Neika, Kolaja, Claire A, LeardMann, Cynthia A, Castañeda, Sheila F, Carey, Felicia R, Seay, Julia S, Carlton, Keyia N, Rull, Rudolph P, Team, for the Millennium Cohort Study |
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| Předmět: |
COMPETENCY assessment (Law)
MENTAL depression risk factors NATIVE Americans SOCIAL support ALASKA Natives HISPANIC Americans RACE POST-traumatic stress disorder SEX distribution INTERSECTIONALITY PACIFIC Islanders DESCRIPTIVE statistics RESEARCH funding VETERANS HEALTH equity LOGISTIC regression analysis ANXIETY ANGER SOCIODEMOGRAPHIC factors MILITARY personnel SECONDARY analysis |
| Zdroj: | American Journal of Epidemiology; Mar2024, Vol. 193 Issue 3, p500-515, 16p |
| Abstrakt: | Although disparities in mental health occur within racially, ethnically, and sex-diverse civilian populations, it is unclear whether these disparities persist within US military populations. Using cross-sectional data from the Millennium Cohort Study (2014–2016; n = 103,184; 70.3% male; 75.7% non-Hispanic White), a series of logistic regression analyses were conducted to examine whether racial, ethnic, and/or sex disparities were found in mental health outcomes (posttraumatic stress disorder (PTSD), depression, anxiety, and problematic anger), hierarchically adjusting for sociodemographic, military, health-related, and social support factors. Compared with non-Hispanic White individuals, those who identified as American Indian/Alaska Native, non-Hispanic Black, Hispanic/Latino, or multiracial showed greater risk of PTSD, depression, anxiety, and problematic anger in unadjusted models. Racial and ethnic disparities in mental health were partially explained by health-related and social support factors. Women showed greater risk of depression and anxiety and lower risk of PTSD than men. Evidence of intersectionality emerged for problematic anger among Hispanic/Latino and Asian or Pacific Islander women. Overall, racial, ethnic, and sex disparities in mental health persisted among service members and veterans. Future research and interventions are recommended to reduce these disparities and improve the health and well-being of diverse service members and veterans. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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