TY - JOUR
T1 - Chronic health conditions among US veterans discharged from military service for misconduct
AU - Brignone, Emily
AU - Fargo, J. D.
AU - Blais, R. K.
AU - Gundlapalli, A. V.
N1 - Funding Information:
The authors received administrative support from the Informatics, Decision Enhancement, and Analytic Sciences Center (IDEAS 2.0) at VA Salt Lake City, the University of Utah, and Utah State University. This study was not directly funded through a grant, although study authors receive research support from VA Health Services Research and Development (PI: A.V. Gundlapalli). The US Department of Veterans Affairs had no role in the design, conduct, or interpretation of this study or the decision to submit the manuscript for publication. The views expressed in this article are those of the authors and do not necessarily represent the views, position, or policy of the US Department of Veterans Affairs or the US government. No copyrighted materials, surveys, instruments, or tools were used in this paper.
Publisher Copyright:
© 2018 Centers for Disease Control and Prevention (CDC).
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Veterans who are discharged from military service due to misconduct are vulnerable to negative health-related outcomes, including homelessness, incarceration, and suicide. We used national data from the Veterans Health Administration for 218,608 veterans of conflicts in Iraq and Afghanistan that took place after the events of September 11, 2001, to compare clinical diagnoses between routinely-discharged (n = 203,174) and misconduct-discharged (n = 15,433) veterans. Misconduct-discharged veterans had significantly higher risk for all mental health conditions (adjusted odds ratio [AOR] range, 2.5-8.0) and several behaviorally linked chronic health conditions (AOR range, 1.2-5.9). Misconduct-discharged veterans have serious and complex health care needs; prevention efforts should focus on behavioral risk factors to prevent the development and exacerbation of chronic health conditions among this vulnerable population.
AB - Veterans who are discharged from military service due to misconduct are vulnerable to negative health-related outcomes, including homelessness, incarceration, and suicide. We used national data from the Veterans Health Administration for 218,608 veterans of conflicts in Iraq and Afghanistan that took place after the events of September 11, 2001, to compare clinical diagnoses between routinely-discharged (n = 203,174) and misconduct-discharged (n = 15,433) veterans. Misconduct-discharged veterans had significantly higher risk for all mental health conditions (adjusted odds ratio [AOR] range, 2.5-8.0) and several behaviorally linked chronic health conditions (AOR range, 1.2-5.9). Misconduct-discharged veterans have serious and complex health care needs; prevention efforts should focus on behavioral risk factors to prevent the development and exacerbation of chronic health conditions among this vulnerable population.
UR - http://www.scopus.com/inward/record.url?scp=85054894756&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85054894756&partnerID=8YFLogxK
U2 - 10.5888/pcd15.180238
DO - 10.5888/pcd15.180238
M3 - Article
C2 - 30316307
AN - SCOPUS:85054894756
SN - 1545-1151
VL - 15
JO - Preventing Chronic Disease
JF - Preventing Chronic Disease
IS - 10
M1 - 180238
ER -