Gender Differences in Response to Deployment Among Military Healthcare Providers in Afghanistan and Iraq
Gender Differences in Response to Deployment Among Military Healthcare Providers in Afghanistan and Iraq
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DOI：
10.1089/jwh.2011.3097
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发表时间：
2012-05-01
影响因子：
3.5
通讯作者：
Watts, Dorraine D.
中科院分区：
文献类型：
--
作者：
Gibbons, Susanne W.;Hickling, Edward J.;Watts, Dorraine D.
背景资料：尽管她们在美国军队中的人数越来越多，但关于阿富汗和伊拉克冲突中的医疗保健提供者或女性服务人员的报道却很少。对2005年国防部（DoD）现役军人健康相关行为调查数据进行二次分析的目的是确定部署的军事医疗保健提供者对操作压力影响的反应存在性别差异。方法：选择用于此数据分析的未加权研究样本包括18岁以上的女性和男性现役军人的结果（n = 16，146）在过去3年内至少参加过一次持久自由行动（OEF）或伊拉克自由行动（OIF）（n = 1，425），最终样本包括军官（医疗保健官员）或士兵（医疗保健专家）人员（n = 455）（加权n = 23，440）。心理困扰和社会关系的指数进行了探讨和compared.Results：应征女性HCP更有可能是非洲裔美国人（42.3%）和单一（63.0%），并表示与显着的心理困难的更大的百分比，如严重的心理困扰背书（11.3%）和抑郁症的积极筛选结果（32.2%）。更有害的饮酒模式（酒精使用障碍识别测试[AUDIT]评分8-15）在更多女性HCP中发现（士兵61.8%，军官76.4%）与男性相比（士兵41.1%，军官67.1%）。在目前的军事冲突中服役的女性卫生保健人员报告说，她们有严重的心理困扰，这可能会对她们在军队中的表现产生不利影响，在战场上，在他们的家庭生活中。女性服务成员和退伍军人的临床护理的影响，目前的战争得到解决。
Background: Despite their growing numbers in the United States military, little has been published on healthcare providers (HCP) or female service members from conflicts in Afghanistan and Iraq. The purpose of this secondary analysis of data from the 2005 Department of Defense (DoD) Survey of Health Related Behaviors Among Active Duty Military Personnel was to determine gender differences in reaction to the impact of operational stress in deployed military healthcare providers.Methods: The unweighted study sample selected for this data analysis included results from female and male active duty military personnel over the age of 18 years (n = 16,146) deployed at least once to Operation Enduring Freedom (OEF) or Operation Iraqi Freedom (OIF) within the past 3 years (n = 1,425), for a final sample consisting of either officer (healthcare officer) or enlisted (healthcare specialist) personnel (n = 455) (weighted n = 23,440). Indices of psychologic distress and social relations were explored and compared.Results: Enlisted female HCPs were more likely to be African American (42.3%) and single (63.0%) and represented the greater percentage with significant psychologic difficulties, as shown by serious psychologic distress endorsement (11.3%) and positive screen results for depression (32.2%). More harmful drinking patterns (Alcohol Use Disorders Identifications Test [AUDIT] score 8-15) were found in more female HCPs (enlisted 61.8%, officers 76.4%) compared with males (enlisted 41.1%, officers 67.1%).Conclusions: Female HCPs serving in the current military conflicts are reporting significant psychologic distress that may adversely impact their performance within the military, in theaters of operations, and in their lives at home. Implications for clinical care of female service members and veterans of current wars are addressed.