Gender Differences in the Impact of Warfare Exposure on Self-Rated Health |
| |
| Affiliation: | 1. VA Boston Healthcare System, Boston, Massachusetts;2. Boston University School of Public Health, Boston, Massachusetts;3. Boston University School of Medicine, Boston, Massachusetts;4. Boston University School of Dental Medicine, Boston, Massachusetts;1. Department of Obstetrics and Gynecology, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts;2. Department of Medicine, Division of General Internal Medicine, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts;3. Department of Medicine, Division of Geriatrics, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts;4. Boston University School of Public Health, Edith Nourse Rogers Veterans Hospital, Boston, Massachusetts;5. Veterans Affairs Boston Healthcare System, Boston University School of Medicine, Boston, Massachusetts;1. Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota;2. Department of Health Policy and Management, Milken Institute School of Public Health, George Washington University, Washington, DC;3. Department of Cardiology-Mieres, Hofstra North Shore- LIJ School of Medicine, Hempstead, New York;4. WomenHeart: The National Coalition for Women With Heart Disease, Washington, DC;5. Emory University School of Medicine, Emory Heart and Vascular Center, Atlanta, Georgia;1. Department of Obstetrics & Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina;2. WakeMed Health & Hospitals, Raleigh, North Carolina;3. Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina;4. Center for Maternal and Infant Health, University of North Carolina, Chapel Hill, North Carolina;5. Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina;1. Department of Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania;2. Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania;3. School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania;4. Department of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania;5. Department of Medicine, University of California, Davis, Sacramento, California |
| |
| Abstract: | BackgroundThis study examined gender differences in the impact of warfare exposure on self-reported physical health.MethodsData are from the 2010 National Survey of Veterans, a nationally representative survey of veterans from multiple eras of service. Regression analyses assessed gender differences in the association between warfare exposure (deployment to a war zone, exposure to casualties) and health status and functional impairment, adjusting for sociodemographics.FindingsWomen reported better health status but greater functional impairment than men. Among men, those who experienced casualties only or both casualties and deployment to a war zone had worse health compared with those who experienced neither stressor or deployment to a war zone only. Among women, those who experienced casualties only or both stressors reported worse health than those who experienced war zone only, who did not differ from the unexposed. No association was found between warfare exposure and functional impairment in women; in men, however, those who experienced exposure to casualties or both stressors had greater odds of functional impairment compared with those who experienced war zone only or neither stressor.ConclusionsExposure to casualties may be more predictive of health than deployment to a war zone, especially for men. We did not find a stronger association between warfare exposure and health for women than men. Given that the expansion of women's military roles has allowed them to serve in direct combat, their degree and scope of warfare exposure is likely to increase in the future. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
