Correlates of Incarceration History Among Military Veterans.

Correlates of Incarceration History Among Military Veterans.
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军事退伍军人的监禁历史相关。

DOI:
10.1080/08995605.2022.2141049
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发表时间:
2022-11-21
影响因子:
1.1
通讯作者:
Dillon, Kirsten
Dillon, Kirsten
中科院分区:
心理学4区
文献类型:
--
作者:
Kelton, Katherine;Van Voorhees, Elizabeth E.;Elbogen, Eric B.;Dillon, Kirsten

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有监禁史的退伍军人的身体和精神健康状况较差的风险更大,但以前对这一人群的研究主要集中在退伍军人的特定子集或狭窄的预测因素上。我们利用Bronfenbrenner社会生态模型作为框架,在四个层面上评估了伊拉克和阿富汗时代退伍军人的大样本中监禁历史的相关性:人口统计学,历史,临床和背景。参与者为2,904名退伍军人(76.9%为男性; 49.5%为白色,46.5%为黑人;平均年龄38.08岁,SD = 10.33),其中700人报告有监禁史。四个逻辑回归模型预测历史的监禁进行了测试,增加人口统计学,历史,临床和上下文变量分层。在最后一个模型中,(OR=0.99,95%CI =0.98-1.00),男性(女性的OR =0.28,95% CI=0.21-0.38),属于历史边缘化群体(白色的OR =0.69,95% CI=0.56-0.84),家族监禁史(OR=1.47,95%CI =1.10-1.94),成人人际创伤(OR=1.39,95%CI =1.28-1.51),有问题的饮酒(OR=1.03,95%CI =1.02-1.05),药物滥用(OR=1.15,95%CI =1.11-1.19),失业(被雇用的OR =0.76,95%CI =0.62-0.92)与监禁史显著相关。这些研究结果的影响,制定干预措施和支持系统,以有效地针对这一高风险人群的退伍军人进行了讨论。
Veterans with histories of incarceration are at greater risk for poor physical and mental health outcomes, yet prior research in this population has focused on specific subsets of veterans or a narrow range of predictors. We utilized the Bronfenbrenner Socioecological Model as the framework to evaluate correlates of incarceration history in a large sample of Iraq and Afghanistan-era veterans at four levels: demographic, historical, clinical, and contextual. Participants were 2,904 veterans (76.9% male; 49.5% White and 46.5% Black; mean age 38.08, SD = 10.33), 700 of whom reported a history of incarceration. Four logistic regression models predicting history of incarceration were tested, adding demographic, historical, clinical, and contextual variables hierarchically. In the final model, younger age (OR=0.99, 95% CI=0.98–1.00), male gender (OR of being female =0.28, 95% CI=0.21–0.38), belonging to a historically marginalized group (OR of being White =0.69, 95% CI=0.56–0.84), family history of incarceration (OR=1.47, 95% CI=1.10–1.94), adult interpersonal trauma (OR=1.39, 95% CI=1.28–1.51), problematic alcohol use (OR=1.03, 95% CI=1.02–1.05), drug abuse (OR=1.15, 95% CI=1.11–1.19), and unemployment (OR for being employed=0.76, 95% CI=0.62–0.92) were significantly associated with a history of incarceration. Implications of these findings for developing interventions and supporting systems to effectively target this high-risk population of veterans are discussed.
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