scholarly journals Montani Semper Liberi: Age And Depression Among Veterans In Appalachia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1020-1021
Author(s):  
Alex Dang ◽  
Maxwell Nimako ◽  
Amy Fiske
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Military Service ◽  
Behavioral Risk ◽  
Middle Aged ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance ◽  
Veteran Status ◽  
Selective Survival ◽  
Middle Aged Adults

Abstract Depression is higher in rural areas and military veterans (Kimron et al., 2019; Bedard-Gilligan et al., 2018). West Virginia, the only state contained entirely within Appalachia, has a higher percentage of military service among its citizenry than other states. Thus, the purpose of the current study was to examine the association between veteran status and depression among adults in WV. Using 2018 WV data from the CDC’s Behavioral Risk Factor Surveillance System, we examined depression as a function of veteran status and age, among 612 younger adults, 1813 middle-aged adults, and 2445 older adults (N = 4,870; 12.4% veterans). Our ANOVA revealed a significant overall effect, F(5, 4864) = 14.64, p < .001, a main effect for veteran status (18.8% of veterans and 26% of non-veterans reported depression), and an age effect emerged, with more younger (28.6%) and middle-aged adults (30.5%) reporting depression than did older adults (20.3%). No significant interaction between age and veteran status emerged, F(2, 4864) = 1.75, p = .175. Of note, 25% of the sample reported having depression. Given that place-based mental health disparities exist, this finding is not unexpected. But fewer older adults and fewer veterans reported depression. At least three possibilities warrant further investigation. Future studies should examine whether these age and veteran status differences in depression reflect differences in resilience, differences in reporting, and/or differences in selective survival.

Associations among ACEs, Health Behavior, and Veteran Health by Service Era

2020 ◽  
Vol 44 (6) ◽  
pp. 876-892
Author(s):  
Tyler C. Hein ◽  
Benjamin Muz ◽  
Halima Ahmadi-Montecalvo ◽  
Tyler Smith
Keyword(s):  
Physical Health ◽  
Military Service ◽  
Behavioral Risk ◽  
Childhood Experiences ◽  
Logistic Regression Models ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance ◽  
Adverse Childhood ◽  
Veteran Status ◽  
Trauma Informed

Objectives: Despite substantial research linking adverse childhood experiences (ACEs) and health, it is unclear how associations differ by veteran status and military service era (draft, volunteer era). The current study evaluated differences in ACEs and health by veteran status and era, increasing understanding important for service provision as the volunteer era veteran population increases. Methods: Behavioral Risk Factor Surveillance System 2012 data were used in univariate and weighted multivariable logistic regression models to assess associations among veteran status, service era, ACEs, and health. Results: Volunteer era veterans experienced the most ACEs (M = 2.42); draft era veterans experienced the fewest (M = 1.04). Individuals reporting 3 or more ACEs were 3.67 times (95% CI = 3.22-4.19) more likely to endorse depression, 1.32 times (95% CI = 1.17-1.48) more likely to report poorer general health, and 1.77 times (95% CI = 1.58-1.97) more likely to endorse poorer physical health, compared to those reporting none. Volunteer era veterans were 2.43 times more likely to report poorer physical health (95% CI = 1.49-3.97) than draft era veterans, adjusting for ACEs. Conclusions: ACEs were associated with poorer health independent of veteran status and service era. Volunteer era veterans experienced more ACEs; need for trauma-informed services supporting whole health may increase.

scholarly journals US Military Service and Racial/Ethnic Differences in Cardiovascular Disease: An Analysis of the 2011-2016 Behavioral Risk Factor Surveillance System

2019 ◽  
Vol 29 (3) ◽  
pp. 451-462 ◽  
Author(s):  
Lauren E. Walker ◽  
Eduard Poltavskiy ◽  
Jud C. Janak ◽  
Carl A. Beyer ◽  
Ian J. Stewart ◽  
...  
Keyword(s):  
Military Service ◽  
Surveillance System ◽  
Cross Sectional Study ◽  
Behavioral Risk ◽  
Cross Sectional ◽  
Us Military ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance ◽  
Prior Service ◽  
Race Ethnicity

Objective: To determine: 1) rates of cardio­vascular disease (CVD) among individuals with and without prior US military service; and 2) variation in CVD outcomes by race/ ethnicity.Methods: We performed a cross-sectional study of the 2011-2016 Behavioral Risk Fac­tor Surveillance System during 2018-2019. Groups with (n=369,844) and without (n=2,491,784) prior service were compared overall, and by race/ethnicity. CVD odds were compared using logistic regression. Rate-difference decomposition was used to estimate relative contributions of covariates to differences in CVD prevalence.Results: CVD was associated with military service (OR=1.34; P<.001). Among non- Hispanic Blacks, prior service was associ­ated with a lower odds of CVD (OR=.69; P<.001), fully attenuating the net differ­ence in CVD between individuals with and without prior service. Non-Hispanic Whites who served had the highest odds of CVD, while Hispanics with prior service had the same odds of CVD as non-Hispanic Whites without prior service. After age, smoking and body mass index status were the largest contributors to CVD differences by race/ ethnicity.Conclusions: Results from this study sup­port an association between prior military service and CVD and highlight differences in this association by race/ethnicity. Knowledge of modifiable health behaviors that contrib­ute to differences in CVD outcomes could be used to guide prevention efforts. Ethn Dis. 2019;29(3):451-462; doi:10.18865/ ed.29.3.451

Physical Inactivity during Leisure Time among Older Adults—Behavioral Risk Factor Surveillance System, 2005

2008 ◽  
Vol 16 (3) ◽  
pp. 280-291 ◽  
Author(s):  
Judy Kruger ◽  
Sandra A. Ham ◽  
Serena Sanker
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Risk Factor ◽  
Surveillance System ◽  
Physical Inactivity ◽  
Leisure Time ◽  
Behavioral Risk ◽  
Behavioral Risk Factor ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance

Background:Physical inactivity is associated with increased morbidity and mortality. This study provides prevalence estimates of inactivity by select characteristics among older adults.Methods:Respondents ≥50 years of age were selected from the 2005 Behavioral Risk Factor Surveillance System (N = 185,702).Results:Overall, 30.0% of older adults did not engage in leisure-time physical activity. Within each racial/ethnic group, the prevalence of inactivity was highest among Hispanic men (41.9%) and women (42.4%). Among men with and without disabilities, chronic disease conditions associated with inactivity were angina or coronary artery disease. Among women with disabilities, chronic disease conditions associated with inactivity were stroke and diabetes; among women without disabilities only diabetes was significantly associated with inactivity.Conclusion:Regular physical activity is an important means to maintaining independence, because it substantially reduces the risk for developing many diseases; contributes to healthy bones, muscles, and joints; and can reduce the risk for falling. Health care providers are encouraged to discuss concerns regarding physical activity with their patients.

Cross-Sectional Relationship Between Physical Activity and Falls in Older Adults, United States 2003

2006 ◽  
Vol 3 (4) ◽  
pp. 390-404 ◽  
Author(s):  
Susan A. Carlson ◽  
Judy Kruger ◽  
Harold W. Kohl ◽  
David M. Buchner
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Behavioral Risk ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Major Health ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance ◽  
Falls In Older Adults ◽  
Adjusted Incidence

Background:Falls are a major health problem for older adults. The purpose of this study is to examine the cross-sectional association between non-occupational physical activity and falls and fall-related injuries in US adults age 65 y or older.Methods:Respondents age 65 y or older were selected from the 2003 Behavioral Risk Factor Surveillance System (n = 47,619).Results:The age-adjusted incidence of falls was significantly higher among inactive respondents (16.3%, 95% CI: 15.2–17.6) than insufficiently active (12.3%, 95% CI: 11.4–13.2) or active (12.6%, 95% CI: 11.6–13.7) respondents. After controlling for sex, age, education, and body-mass index, active and insufficiently active respondents were significantly less likely to have fallen and were significantly less likely to have had a fall-related injury than their inactive peers.Conclusion:These results show that active and insufficiently active older adults experience a lower incidence of falls than their inactive peers.

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