Military Service and Health Outcomes in Later Life

服兵役和晚年的健康状况

• 批准号: 7259211
• 负责人: JANET M WILMOTH
• 金额: $ 20.69万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-06-01 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7259211
• 关键词: Accounting; Age; Aging; Attention; Cessation of life; Characteristics; Condition; Data; Data Collection; Disadvantaged; Education; Elderly; Fathers; Growth; HGS gene; Health; Health Services; Health Status; Health behavior; Institutes; Institution; Korea; Length; Life; Life Cycle Stages; Life Experience; Literature; London; Magnetic Resonance Spectroscopy; Marital Status; Mediating; Mental Health; Military Personnel; Modeling; Occupational; Outcome; Process; Race; Rate; Reporting; Research; Research Project Grants; Retirement; Risk; Science; Score; Services; Shapes; Socioeconomic Status; Specific qualifier value; Surveys; Time; To specify; Veterans; Vietnam; War; cohort; disability; health disparity; insight; men; mortality; social

DESCRIPTION (provided by applicant): The question of how military service shapes men's life course trajectories has received limited but sustained attention in the literature for more than 25 years. Although there have been many studies that have examined psychological health, research on the impact of military service on physical health outcomes in later-life has been limited. There is a substantial literature on the physical health of veterans; however this literature focuses on veterans only or on comparisons of veterans from different wars, and often does not examine differences in health trajectories between veterans and nonveterans. Therefore, this project will use nationally representative longitudinal data from the Health and Retirement Survey (MRS) to investigate the trajectories of health conditions, self-rated health, functional limitations, and disability among men who did and did not serve in the military. The specific project aims are to: 1) Describe how health trajectories vary in relation to military service. 2) Specify whether enlistment age, wartime service, length of service, and military-related disability have different effects on later life health trajectories. 3) Examine whether military service mediates or moderates the effects of early-life disadvantage on health trajectories. 4) Consider whether mid- to late-life characteristics mediate the effects of early-life disadvantages or military service on later-life health trajectories. 5) Determine the extent to which these effects vary across cohorts who served during different historical time periods. Growth curve models will be estimated separately for four cohorts that include veterans of WWI, WWII, Korea, and Vietnam. In addition, we consider the effects of selection into military service, unobserved pre- HRS mortality selection, and mortality selection that occurred during the MRS data collection period. Overall, this project will contribute to the science of aging by providing insight into whether early-life participation in a particular social institution (i.e., the military) in specific historical periods shapes the process of cumulative (dis)advantage that leads to later-life health disparities.

描述（由申请人提供）：兵役如何塑造男人的生命历程轨迹的问题已经得到了有限的，但在文献中持续关注超过25年。虽然有许多研究已经检查了心理健康，但关于服兵役对晚年身体健康结果影响的研究有限。关于退伍军人的身体健康有大量的文献;然而，这些文献只关注退伍军人或比较来自不同战争的退伍军人，并且通常不检查退伍军人和非退伍军人之间的健康轨迹差异。因此，该项目将使用来自健康和退休调查（MRS）的全国代表性纵向数据，以调查在军队服役和未服役的男性的健康状况，自测健康，功能限制和残疾的轨迹。该项目的具体目标是：1）描述健康轨迹如何与兵役有关。2)具体说明入伍年龄、战时服役、服役时间和与军事有关的残疾是否对晚年健康轨迹有不同的影响。3)检查是否军事服务中介或缓和的影响，早期生活的不利健康轨迹。4)考虑中年到晚年的特征是否介导了早期生活的不利因素或兵役对晚年健康轨迹的影响。5)确定这些影响在不同历史时期服役的队列之间的差异程度。将分别估计四个队列的生长曲线模型，包括一战、二战、韩国和越南的退伍军人。此外，我们还考虑了选择服兵役、未观察到的HRS前死亡率选择和MRS数据收集期间发生的死亡率选择的影响。总的来说，这个项目将有助于老龄化科学提供洞察力是否早期生活参与一个特定的社会机构（即，在特定的历史时期，军事力量形成了导致晚年健康差距的累积（不利）优势过程。