在使用和不使用VA司法相关程序的退伍军人中,军事性创伤:一项国家审查
Ryan Holliday1, Nicholas Holder2, Alexandra A Smith3
1VA Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention, United States; University of Colorado Anschutz Medical Campus, Department of Psychiatry, United States; VA National Center on Homelessness among Veterans, United States.
Journal of psychiatric research
|June 13, 2023
概括
退伍军人正义计划 (VJP) 的退伍军人表现出更高的军事性创伤 (MST) 率. 在VJP服务中识别MST幸存者可以改善获得关键心理健康护理和支持的机会.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 退伍军人事务 退伍军人事务
背景情况:
- 退伍军人正义计划 (VJP) 用户表现出高水平的抑郁症,物质滥用和PTSD.
- 关于VJP服务用户中军事性创伤 (MST) 患病率的研究有限.
- 识别MST幸存者对于将他们与慢性健康状况的基于证据的护理联系起来至关重要.
研究的目的:
- 检查VJP服务使用和没有VJP服务使用的退伍军人之间MST流行率的差异.
- 为了确定VJP服务的使用是否与更高的MST查阳性的可能性有关.
- 为MST幸存者在VJP设置中的潜在干预提供信息.
主要方法:
- 对大量男性和女性退伍军人队伍的分析.
- 以性别分层的统计模型比较性传播疾病的流行率.
- 包括诸如年龄,种族/种族和VA服务利用等共变量.
主要成果:
- 与非VJP用户相比,访问VJP服务的退伍军人显著更有可能对性传播疾病呈阳性查 (男性PR=3.35,女性PR=1.82).
- 在调整了人口统计和医疗保健利用因素后,这种关联仍然很重要.
- VJP设置代表了MST识别的关键机会.
结论:
- VJP设置是识别男性和女性MST幸存者的关键接触点.
- 建议在VJP设置中采用创伤知情的方法和对MST进行查.
- 将MST编程整合到VJP服务中可能会加强对受影响退伍军人的支持.
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