Gender differences among veterans deployed in support of the wars in Afghanistan and Iraq.

Gender differences among veterans deployed in support of the wars in Afghanistan and Iraq.
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DOI:
10.1007/s11606-013-2333-4
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发表时间:
2013-07
影响因子:
5.7
通讯作者:
Resick, Patricia A.
Resick, Patricia A.
中科院分区:
医学2区
文献类型:
--
作者:
Street, Amy E.;Gradus, Jaimie L.;Giasson, Hannah L.;Vogt, Dawne;Resick, Patricia A.

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妇女在作战行动中的作用范围不断变化,导致人们越来越关注妇女的部署经验和部署后的调整。量化不同性别的部署压力源频率,包括性骚扰和非性骚扰、缺乏社会支持和战斗风险。量化特定性别的部署后心理健康状况以及部署压力源和创伤后应激障碍(PTSD)之间的关联,以告知从当前冲突中返回的退伍军人的护理。对持久自由行动/法语国家组织退伍军人进行的全国邮件调查按性别随机抽样,妇女抽样过多。社会各界共有1 207名女性和1 137名男性退伍军人来自持久自由行动/伊拉克自由行动退伍军人名册。有效率为48.6%。部署压力源(包括战斗和骚扰压力),创伤后应激障碍,抑郁,焦虑和酒精使用,所有通过自我报告测量。女性更可能报告性骚扰(OR = 8.7,95%CI:6.9,11),但不太可能报告战斗(OR = 0.62,95%CI:0.50,0.76)。女性和男性报告与可能的创伤后应激障碍(OR = 0.87,95%CI:0.70,1.1)和症状性焦虑(OR = 1.1,95%CI:0.86,1.3)一致的症状的可能性相同。女性更可能报告可能的抑郁症(OR = 1.3,95%CI:1.1,1.6),更不可能报告有问题的饮酒(OR = 0.59,95%CI:0.47,0.72)。随着骚扰压力的5点变化,女性PTSD的调整优势比为1.36(95%CI:1.23,1.52),男性为1.38(95%CI:1.19,1.61)。战斗压力和PTSD之间的类似关联分别为1.31(95%CI:1.24,1.39)和1.31(95%CI:1.26,1.36)。尽管在部署压力源(包括女性人际压力源风险增加)和部署后调整方面存在重要的性别差异,但也存在显著的相似性。我们国家不断增长的女性退伍军人人口的部署后调整似乎与我们国家的男性退伍军人相当。
The changing scope of women’s roles in combat operations has led to growing interest in women’s deployment experiences and post-deployment adjustment. To quantify the gender-specific frequency of deployment stressors, including sexual and non-sexual harassment, lack of social support and combat exposure. To quantify gender-specific post-deployment mental health conditions and associations between deployment stressors and posttraumatic stress disorder (PTSD), to inform the care of Veterans returning from the current conflicts. National mail survey of OEF/OIF Veterans randomly sampled within gender, with women oversampled. The community. In total, 1,207 female and 1,137 male Veterans from a roster of all Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans. Response rate was 48.6 %. Deployment stressors (including combat and harassment stress), PTSD, depression, anxiety and alcohol use, all measured via self-report. Women were more likely to report sexual harassment (OR = 8.7, 95% CI: 6.9, 11) but less likely to report combat (OR = 0 .62, 95 % CI: 0.50, 0.76). Women and men were equally likely to report symptoms consistent with probable PTSD (OR = 0 .87, 95 % CI: 0.70, 1.1) and symptomatic anxiety (OR  =  1.1, 9 5% CI: 0.86, 1.3). Women were more likely to report probable depression (OR = 1.3, 95 % CI: 1.1, 1.6) and less likely to report problematic alcohol use (OR  = 0 .59, 9 5% CI: 0.47, 0.72). With a five-point change in harassment stress, adjusted odds ratios for PTSD were 1.36 (95 % CI: 1.23, 1.52) for women and 1.38 (95 % CI: 1.19, 1.61) for men. The analogous associations between combat stress and PTSD were 1.31 (95 % CI: 1.24, 1.39) and 1.31 (95 % CI: 1.26, 1.36), respectively. Although there are important gender differences in deployment stressors—including women’s increased risk of interpersonal stressors—and post-deployment adjustment, there are also significant similarities. The post-deployment adjustment of our nation’s growing population of female Veterans seems comparable to that of our nation’s male Veterans.
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