Demographic, Military, and Health Characteristics of VA Health Care Users and Nonusers Who Served in or During Operation Enduring Freedom or Operation Iraqi Freedom, 2009-2011
Demographic, Military, and Health Characteristics of VA Health Care Users and Nonusers Who Served in or During Operation Enduring Freedom or Operation Iraqi Freedom, 2009-2011
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DOI：
10.1177/0033354916676279
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发表时间：
2016-11-01
影响因子：
3.3
通讯作者：
Schneiderman, Aaron I.
中科院分区：
文献类型：
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作者：
Dursa, Erin K.;Barth, Shannon K.;Schneiderman, Aaron I.
据估计，截至2015年3月31日，所有“持久自由行动”/“伊拉克自由行动”（OEF/OIF）退伍军人中有60%曾向美国退伍军人事务部（VA）申请医疗保健服务。然而，目前尚不清楚的是，使用退伍军人管理局医疗保健的OEF/OIF退伍军人与不使用退伍军人管理局医疗保健的OEF/OIF退伍军人在人口、军事和健康特征方面的差异。我们使用了2009-2011年美国新一代退伍军人全国健康研究的数据来探索这些差异。我们发现，退伍军人事务部医疗保健使用者比非退伍军人事务部医疗保健使用者更有可能是非西班牙裔黑人，未婚，曾在现役和军队服役，曾被部署到OEF/OIF，年收入低于35000美元。21种慢性疾病在退伍军人医疗保健使用者中的患病率高于非退伍军人医疗保健使用者。OEF/OIF退伍军人在人口统计、军事和健康特征方面与非退伍军人不同。这些数据可能有助于制定计划和政策，以解决观察到的健康差异，并为退伍军人保险受益人群体实现最大利益。
An estimated 60% of all Operation Enduring Freedom / Operation Iraqi Freedom (OEF/OIF) veterans who have left the military had used the US Department of Veterans Affairs (VA) for health care services as of March 31, 2015. What is not known, however, are the differences in demographic, military, and health characteristics between OEF/OIF veterans who use the VA for health care and OEF/OIF veterans who do not. We used data from the 2009-2011 National Health Study for a New Generation of US Veterans to explore these differences. We found that VA health care users were more likely than non-VA health care users to be non-Hispanic black, to be unmarried, to have served on active duty and in the army, to have been deployed to OEF/OIF, and to have an annual income less than $35000. The prevalence of 21 chronic medical conditions was higher among VA health care users than among non-VA health care users. OEF/OIF veterans using the VA for health care differ from nonusers with respect to demographic, military, and health characteristics. These data may be useful for developing programs and policies to address observed health disparities and achieve maximum benefit for the VA beneficiary population.