Work and Family Functioning in Women Veterans: Implications for VA Service Use

女性退伍军人的工作和家庭功能：对 VA 服务使用的影响

• 批准号: 8589981
• 负责人: Brian N Smith
• 金额: --
• 依托单位: VA BOSTON HEALTH CARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-10-01 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8589981
• 关键词: Address; Advisory Committees; Chi-Square Tests; Clinical; Complex; Data Collection; Divorce; Education; Employment; Ensure; Equation; Event; Exposure to; Face; Family; Female; Freedom; Funding; Future; Gender; Gossypium; Health; Healthcare; Investigation; Life; Literature; Longitudinal Studies; Mental Health; Mental Health Services; Methods; Military Personnel; Minority; Modeling; Nature; Occupational; Patient-Centered Care; Population; Post-Traumatic Stress Disorders; Recontacts; Regression Analysis; Reporting; Research; Risk; Role; Sampling; Services; Sex Characteristics; Stress; Testing; Time; Underemployment; Unemployment; Veterans; Vocational rehabilitation; Woman; Work; arm; combat; experience; follow-up; help-seeking behavior; interest; longitudinal design; male; meetings; men; operation; patient population; programs; sexual trauma; stressor

DESCRIPTION (provided by applicant): Anticipated Impact on Veterans' Healthcare: Findings regarding female Veterans' compared to male Veterans', occupational and family functioning following return from deployment, as well as associated implications for Veterans' need for and use of VA services, can be applied to better tailor VA programs and services to meet the gender-specific needs of returning Veterans. Project Background: Both employment and family problems have been identified as key issues for returning Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) Veterans. Given the role of work and family experiences in Veterans' readjustment to civilian life, it is critical to understand the impact that Veterans' post deployment mental health has on their functioning in these domains, as well as the implications of Veterans' occupational and work functioning for their need for and use of VA programs and services. With women's increasing representation in the armed forces, their associated risk for posttraumatic stress disorder (PTSD), and the lack of research on their work and family experiences after deployment, female Veterans represent an underserved and important population for additional investigation. The proposed project builds on an existing study with a large national sample of female and male OEF/OIF Veterans (HSR&D study DHI 09-086), by proposing two follow-up data collections to examine longitudinal relationships involving female Veterans', as compared to male Veterans', occupational and family functioning over time. Specifically, this project will examine gender differences in the effects of deployment stressors and their associated mental health sequelae on Veterans' post deployment functioning in both work and family domains, as well as association between Veterans' post deployment functioning and their need for and use of a broad range of VA programs and services (i.e., health-care, employment, and education services). Project Objectives: The specific aims of the proposed project are to document: (1) female Veterans' functioning, as it compares to male Veterans' functioning, in work and family domains following return from deployment; (2) gender differences in the role of exposure to potentially traumatic experiences during deployment (e.g., combat and military sexual trauma) and subsequent mental health sequelae (e.g., PTSD) in Veterans' functioning in work and family domains; and (3) gender differences in associations among post deployment mental health, occupational and family functioning and their complex interplay, and Veterans' use of VA services. The longer-term objective of this project is to provide information that can be applied t better target VA programs and services to the unique needs of female versus male Veterans. Project Methods: In an earlier study, deployment-related stressors and post deployment mental health were assessed in a national sample of female and male OEF/OIF Veterans (N=1,048; 54% female Veterans; 46% male Veterans). This project proposes to recontact this sample approximately 2 years later to assess occupational and family functioning, mental health symptomatology, and VA service use. An additional follow-up is targeted for approximately 1 year after the first, yielding 3 total assessment points that will allow for an examination of change over time. Proposed relationships will be tested using structural equation modeling (SEM), and supplemented by chi square tests and regression analyses as appropriate. Gender comparisons will be tested directly via multi-group SEM.

DESCRIPTION (provided by applicant): Anticipated Impact on Veterans' Healthcare: Findings regarding female Veterans' compared to male Veterans', occupational and family functioning following return from deployment, as well as associated implications for Veterans' need for and use of VA services, can be applied to better tailor VA programs and services to meet the gender-specific needs of returning Veterans. Project Background: Both employment and family problems have been identified as key issues for returning Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) Veterans. Given the role of work and family experiences in Veterans' readjustment to civilian life, it is critical to understand the impact that Veterans' post deployment mental health has on their functioning in these domains, as well as the implications of Veterans' occupational and work functioning for their need for and use of VA programs and services. With women's increasing representation in the armed forces, their associated risk for posttraumatic stress disorder (PTSD), and the lack of research on their work and family experiences after deployment, female Veterans represent an underserved and important population for additional investigation. The proposed project builds on an existing study with a large national sample of female and male OEF/OIF Veterans (HSR&D study DHI 09-086), by proposing two follow-up data collections to examine longitudinal relationships involving female Veterans', as compared to male Veterans', occupational and family functioning over time. Specifically, this project will examine gender differences in the effects of deployment stressors and their associated mental health sequelae on Veterans' post deployment functioning in both work and family domains, as well as association between Veterans' post deployment functioning and their need for and use of a broad range of VA programs and services (i.e., health-care, employment, and education services). Project Objectives: The specific aims of the proposed project are to document: (1) female Veterans' functioning, as it compares to male Veterans' functioning, in work and family domains following return from deployment; (2) gender differences in the role of exposure to potentially traumatic experiences during deployment (e.g., combat and military sexual trauma) and subsequent mental health sequelae (e.g., PTSD) in Veterans' functioning in work and family domains; and (3) gender differences in associations among post deployment mental health, occupational and family functioning and their complex interplay, and Veterans' use of VA services. The longer-term objective of this project is to provide information that can be applied t better target VA programs and services to the unique needs of female versus male Veterans. Project Methods: In an earlier study, deployment-related stressors and post deployment mental health were assessed in a national sample of female and male OEF/OIF Veterans (N=1,048; 54% female Veterans; 46% male Veterans). This project proposes to recontact this sample approximately 2 years later to assess occupational and family functioning, mental health symptomatology, and VA service use. An additional follow-up is targeted for approximately 1 year after the first, yielding 3 total assessment points that will allow for an examination of change over time. Proposed relationships will be tested using structural equation modeling (SEM), and supplemented by chi square tests and regression analyses as appropriate. Gender comparisons will be tested directly via multi-group SEM.