Learning from women veterans who navigate invisible injuries, caregiving, and reintegration challenges.

Learning from women veterans who navigate invisible injuries, caregiving, and reintegration challenges.
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DOI:
10.1186/s12905-023-02815-0
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发表时间:
2023-12-11
期刊:
影响因子:
2.5
通讯作者:
True, Gala
True, Gala
中科院分区:
医学3区
文献类型:
--
作者:
Rattray, Nicholas A.;Natividad, Diana;Spontak, Katrina;Kukla, Marina;Do, Ai-Nghia L.;Danson, Leah;Frankel, Richard M.;True, Gala

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由于妇女在军人中所占比例越来越大,人们日益认识到,她们在从军事到文职过渡的早期阶段的经历如何对其健康和重返社会的结果产生重要影响。女性退伍军人的定性描述可以为支持过渡服务成员的计划提供信息。我们研究了女性退伍军人重返平民社会的叙述,以了解她们在应对心理健康挑战的同时适应社区生活的经历。我们采访了16名在5年内从军队服役中分离出来的911后女性,并根据三名参与者进行了一项案例研究。对访谈进行了录音和逐字记录。进行了归纳性专题分析,以确定重返社会的类别。沉浸/结晶技术被用来确定示范案例,说明突出的主题。女性退伍军人确定建立一个未来的职业方向,利用社会支持,导航医疗保健服务的主要因素影响他们如何适应平民生活。此外,与会者还强调了复杂和交叉身份的导航(即,妻子、母亲、雇员、朋友、老兵、病人等),再加上性别不平等。这些妇女进行情绪劳动,这往往是无形的,面向他们的家人和亲人,同时监测自我护理活动。在重返社会的早期,他们描述了与军人配偶和男性退伍军人同龄人相比,他们在获得医疗保健方面如何感到被边缘化。我们的案例研究表明,有关键的差距,在解决医疗保健和重新调整的需要,为妇女服务,一个高度优先的VA组,因为他们过渡到后军事生活。重要的是要考虑创新的方法,在以退伍军人为重点的政策和方案中解决妇女的具体需求。在线版本包含补充材料,可通过10.1186/s12905-023-02815-0获得。
As women comprise a greater proportion of military service members, there is growing recognition of how their experiences in the early phase of military to civilian transitions have an important influence on their health and reintegration outcomes. Qualitative accounts of women veterans can inform programs that support transitioning service members. We examined narratives of civilian reintegration among women veterans to understand their experiences of adjusting to community life while coping with mental health challenges. We interviewed 16 post-911 era women who were within 5 years of separating from military service and developed a case study based on three participants. Interviews were audio-recorded and transcribed verbatim. Inductive thematic analysis was conducted to establish categories about reintegration. Immersion/crystallization techniques were used to identify exemplary cases that illustrated salient themes. Women veterans identified establishing a future career direction, drawing on social support, and navigating health care services as major factors influencing how they adjusted to civilian life. In addition, participants also highlighted the navigation of complex and intersecting identities (i.e., wife, mother, employee, friend, veteran, patient, etc.), further magnified by gender inequalities. These women performed emotional labor, which is often rendered invisible and oriented toward their family and loved ones, while simultaneously monitoring self-care activities. During the early period of reintegration, they described how they felt marginalized in terms of accessing healthcare compared to their military spouses and male veteran peers. Our case study suggests that there are key gaps in addressing healthcare and readjustment needs for women servicemembers, a high priority VA group, as they transition into post-military life. It is important to consider innovative ways to address specific needs of women in veteran-focused policies and programs. The online version contains supplementary material available at 10.1186/s12905-023-02815-0.
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发表时间: 2013-11-01
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发表时间: 2017-07
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