Mental health status in veterans residing in rural <italic style="font-style: italic">versus</italic> non-rural areas: results from the veterans’ health study

Joseph J. Boscarino; Charles R. Figley; Richard E. Adams; Thomas G. Urosevich; H. Lester Kirchner; Joseph A. Boscarino

doi:10.1186/s40779-020-00272-6

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Mental health status in veterans residing in rural versus non-rural areas: results from the veterans’ health study

RESEARCH | Updated：2023-02-28

- Mental health status in veterans residing in rural versus non-rural areas: results from the veterans’ health study
- Mental health status in veterans residing in rural versus non-rural areas: results from the veterans’ health study
- 解放军医学杂志（英文版） 2021年8卷第1期页码：79-89
- 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：
  
  Funding for this research was provided by: Geisinger Auxiliary Fund, the Kline & Ditty Health Fund, the National Institute of Mental Health(R21-MH-086317);the Wounded Warrior Organization, and Department of Defense(W81XWH-15-1-0506)
- DOI：10.1186/s40779-020-00272-6
  中图分类号：
- 纸质出版：2021-03
- Accepted：
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Mental health status in veterans residing in rural versus non-rural areas: results from the veterans’ health study[J]. 解放军医学杂志（英文版）, 2021,8(1):79-89.

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.
Mental health status in veterans residing in rural versus non-rural areas: results from the veterans’ health study[J]. 解放军医学杂志（英文版）, 2021,8(1):79-89. DOI： 10.1186/s40779-020-00272-6.

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:

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:

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:

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 (

=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:

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.

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Keywords

references

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Mental health status in veterans residing in rural versus non-rural areas: results from the veterans’ health study

Mental health status in veterans residing in rural versus non-rural areas: results from the veterans’ health study

DOI：10.1186/s40779-020-00272-6

摘要

Abstract

关键词

Keywords

references