Health and Mental Health Outcomes Associated with Profiles of Risk and Resilience among Military-Connected Youth

与军事相关青年的风险和复原力状况相关的健康和心理健康结果

基本信息

批准号：
9123378
负责人：
Kathrine Sullivan
金额：
$ 3.7万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-05-15 至 2018-05-14
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9123378
关键词：
Accounting Address Affect Agreement Alcohol or Other Drugs use Appointment Area CSF2 gene California Child Child health care Code Conflict (Psychology)Consult Coping Skills Critical Illness Data Data Set Department of Defense Development Diagnosis Disasters Eligibility Determination Emotional Enrollment Environment Equilibrium Event Exposure to Face Family Health Healthcare Home environment Human Resources ICD-9 Individual Intervention Knowledge Laboratories Lead Link Mental Health Military Personnel Modeling National Institute of Child Health and Human Development Outcome Pattern Performance Personal Satisfaction Persons Policies Population Process Psyche structure Public Health Records Reporting Research Research Personnel Research Training Resources Risk Risk Factors Role Services Social support Soldier Spouses Staging Statistical Models Subgroup Suicide Supervision Surveys System Systems Theory Universities Violence War Work Youth adverse outcome base career coping experience fitness improved outcome interest man member novel parental role pediatric trauma person centered physical conditioning preventive intervention programs public health relevance resilience response skills social statistics stressor training opportunity

项目摘要

DESCRIPTION (provided by applicant): Although many military families appear to cope effectively with stressors associated with wartime military service, mounting empirical evidence has suggested that a sizeable subset of military-connected children are experiencing adverse outcomes, including increased rates of physical and mental health problems, substance use, and suicidality. These outcomes are a public health concern because of their long-term consequences for healthy, positive development. They suggest the need to explore the cumulative impact of stressors and protective factors that may contribute to resilient processes in military families and lead to better outcomes for military youth. This project, a secondary analysis of Army Comprehensive Soldier and Family Fitness (CSF2) data and linked Department of Defense administrative datasets, will use person-focused statistical models, including latent class analysis, to examine naturally occurring patterns of risk and protective factors in military families. Profiles of risk and protective factors will be associated with role performance and health and mental health outcomes for military spouses, who are critical to the well-being of youth in military families. The cascading effects of spouse outcomes on youth will be incorporated into risk and protective factor profiles associated with role performance and health and mental health outcomes for youth. Data on risk factors, including deployments, family relocations, and financial strain, will be drawn from administrative datasets including the Defense Enrollment Eligibility Reporting System and Defense Manpower Data Center. CSF2 data will inform protective factors, including access to social support and positive coping skills. Health and mental health outcomes, available through the Defense Health Agency for all service members and their dependents, will include health care appointments and ICD-9 codes for any diagnoses received. Datasets will be linked through the use of the Person-Event Data Environment, an online portal for analyzing the Army's vast administrative data holdings. Planned analyses will elucidate the collective impact of multiple, concurrent stressors on outcomes for military-connected dependents and may highlight possible points of intervention to improve outcomes for this population. Developing new knowledge in this area addresses program priorities of the Pediatric Trauma and Critical Illness Branch of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, including exploring consequences for child health of exposure to war, violence, and other man-made disasters. Further, the proposed project will provide the applicant with research and training opportunities to develop skills needed to become an independent researcher in a large, research- focused university setting at the next stage of her career.

描述（由适用提供）：尽管许多军事家庭似乎有效地应对与战时兵役相关的压力源，但越来越多的经验证据表明，大量的军事连接儿童却经历了不利的结果，包括增加身心健康问题的速度，毒品和毒品使用和使用。这些结果是公共卫生的关注，因为它们对健康，积极的发展产生了长期影响。他们建议有必要探索压力源和保护因素的累积影响，这可能导致军事家庭的弹性过程，并为军事青年带来更好的结果。该项目是对陆军综合士兵和家庭健身（CSF2）数据的次要分析，以及链接的国防部行政数据集，将使用以人为本的统计模型，包括潜在的阶级分析，以检查军人家庭中的自然发生风险和受保护因素的自然发生。风险和受保护因素的概况将与军事配偶的角色绩效，健康和心理健康成果有关，这对于军人家庭中的青年至关重要。配偶成果对青年的级联影响将纳入风险和受保护因素概况与角色绩效，健康和心理健康成果相关的受保护因素概况。有关风险因素的数据，包括部署，家庭搬迁和财务压力，将从管理数据集中获取，包括国防入学资格报告系统和国防人力数据中心。 CSF2数据将为保护因素提供信息，包括获得社会支持和积极应对技能。通过国防健康局为所有服务成员及其家属提供的健康和心理健康成果，将包括医疗保健任命和ICD-9代码，以供任何接受的诊断。数据集将通过使用人事数据环境（用于分析陆军庞大的行政数据持有量的在线门户网站）来链接。计划的分析将阐明多种，并发压力源对军事相关抚养人结果的集体影响，并可能突出可能的干预点，以改善该人群的结果。在这一领域发展新知识涉及尤尼斯·肯尼迪·史弗里夫（Eunice Kennedy Shriver）国家儿童健康与人类发展研究所的小儿创伤和重症疾病分支的计划优先事项，包括探索对儿童健康暴露于战争，暴力和其他人为灾难的后果。此外，拟议的项目将为申请人提供研究和培训机会，以开发在她职业生涯的下一阶段，成为一个以研究为重点的大型大学的独立研究人员所需的技能。