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Mental health status in veterans residing in rural
versus non-rural areas: results from the veterans’ health study- Military Medical Research Vol. 8, Issue 1, Pages: 79-89(2021)
- Affiliations：
1.Clinical Psychology Department, William James College, Newton, MA 02459, USA
2.School of Social Work, Tulane University, New Orleans, LA 70112, USA
3.Department of Sociology, Kent State University, Kent, OH 44242, USA
4.Ophthalmology Service, Geisinger Clinic, Mount Pocono, PA 18344, USA
5.Department of Population Health Sciences, Geisinger Clinic, 100 N. Academy Avenue, 44-00, Danville, PA 17822, USA
- Author bio：
* jaboscarino@geisinger.edu
- Funds：
DOI：10.1186/s40779-020-00272-6
CLC：-
Published：2021-03
- Accepted：
Scan QR Code
Boscarino et al.: Mental health status in veterans residing in rural versus non-rural areas: results from the veterans’ health study. Mil Med Res, 2020, 7: 44.
Boscarino et al.: Mental health status in veterans residing in rural versus non-rural areas: results from the veterans’ health study. Mil Med Res, 2020, 7: 44. DOI： 10.1186/s40779-020-00272-6.
摘要
Abstract
Background:
2
The majority of Veterans Affair (VA) hospitals are in urban areas. We examined whether veterans residing in rural areas have lower mental health service use and poorer mental health status.
Methods:
2
Veterans with at least 1 warzone deployment in central and northeastern Pennsylvania were randomly selected for an interview. Mental health status
including posttraumatic stress disorder (PTSD)
major depression
alcohol abuse and mental health global severity
were assessed using structured interviews. Psychiatric service use was based on self-reported utilization in the past 12 months. Results were compared between veterans residing in rural and non-rural areas. Data were also analyzed using multivariate logistic regression to minimize the influence by confounding factors.
Results:
2
A total of 1730 subjects (55% of the eligible veterans) responded to the survey and 1692 of them had complete geocode information. Those that did not have this information (
n
=38)
were excluded from some analyses. Veterans residing in rural areas were older
more often of the white race
married
and experienced fewer stressful events. In comparison to those residing in non-rural areas
veterans residing in rural areas had lower global mental health severity scores; they also had fewer mental health visits. In multivariate logistic regression
rural residence was associated with lower service use
but not with PTSD
major depression
alcohol abuse
and global mental health severity score after adjusting confounding factors (e.g.
age
gender
marital status and education).
Conclusions:
2
Rural residence is associated with lower mental health service use
but not with poor mental health in veterans with former warzone deployment
suggesting rural residence is possibly protective.
关键词
Keywords
references
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