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Hearing Loss, Health Outcomes, and Health Behavior Differences Between Active Duty Service Members and Recently
Elan Bresslour-Rashap1, Charlotte K Hughes1, Samrita Thapa2,3
1Department of Otolaryngology, Naval Medical Center San Diego, San Diego, CA 92134, United States.
Military Medicine
|September 23, 2025
Summary
Recently separated Veterans face significant health challenges compared to Active Duty Service Members (ADSM), including higher rates of hearing loss and mental health conditions. These findings highlight the need for targeted support during military transition.
Area of Science:
- Military Health
- Epidemiology
- Public Health
Background:
- Health disparities between Active Duty Service Members (ADSM) and Veterans are not well understood.
- Research is needed to compare health outcomes and behaviors during the transition from military to civilian life.
Purpose of the Study:
- To compare hearing, health outcomes, and health behaviors in ADSM and recently separated Veterans.
- To identify potential factors influencing post-service health trajectories.
Main Methods:
- Analysis of data from the Noise Outcomes In Service Members Epidemiology study.
- In-person audiologic examinations and self-reported data on military exposures, health, lifestyle, and quality of life.
- Bivariable and multivariable logistic regression to assess associations between military status and health outcomes.
Main Results:
- Veterans showed higher odds of low-frequency hearing loss (OR: 1.9), physical health conditions (OR: 2.2), and mental health conditions (OR: 1.8) compared to ADSM.
- Veterans were more likely to report poor/fair health (OR: 2.8) and smoking habits (OR: 1.7).
- No significant differences in age or years of military service were observed between groups.
Conclusions:
- Significant health challenges exist for individuals transitioning from active duty to civilian life.
- Health outcome and behavior disparities underscore the need for targeted interventions for Veterans.
- Support systems are crucial to address the health concerns of Veterans post-service.
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