scholarly journals Impact of military service on physical health later in life: a qualitative study of geriatric UK veterans and non-veterans

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e028189
Author(s):  
Victoria Williamson ◽  
Hannah Harwood ◽  
Karla Greenberg ◽  
Sharon A M Stevelink ◽  
N Greenberg

ObjectivesMilitary veterans often experience physical health problems in later life; however, it remains unclear whether these problems are due to military service or are a feature of the ageing process. This study aimed to explore veteran and non-veteran perceptions of the impact of their occupation on their physical well-being later in life.DesignSemi-structured qualitative interviews analysed using thematic analysis.SettingInterviews were conducted face-to-face in participants’ homes or via telephone.Participants35 veterans (≥65 years), 25 non-veterans (≥65 years) were recruited, as well as a close companion of all participants for triangulation (n=60).ResultsMost veterans reported good physical health later in life which they attributed to the fitness they developed during military service. However, several veterans described challenges in maintaining their desired level of physically activity due to new commitments and limited sports facilities when they left service. Fewer non-veterans had experienced work-related fitness activities or exercise in their civilian jobs. Ongoing physical health difficulties, such as deafness, were perceived to be due to exposure to workplace hazards and appeared more common in veterans compared with non-veterans. Veterans also described greater reluctance than non-veterans to seek medical treatment for physical health difficulties, which could be challenging for close companions who had to provide informal care.ConclusionsMilitary service was largely perceived to be beneficial for physical well-being; although when occupation-related physical health problems were experienced, many veterans were unwilling to seek treatment. These findings may inform clinicians of the needs of older veterans and highlight potential barriers to care.

Author(s):  
Oriol Ríos-González ◽  
Mimar Ramis-Salas ◽  
Juan Carlos Peña-Axt ◽  
Sandra Racionero-Plaza

Background: Men who develop behaviors connected with the model of hegemonic masculinity present several health problems. Previous research has shown the types of problems that men commonly suffer in this regard such as chronic diseases, dietary disorders, and traffic accidents. To combat and overcome this situation, several campaigns, policies and recommendations have been undertaken, and consequently, their influence has been analyzed. However, there have been few investigations into the role of men’s friendship in the reduction of these physical health problems. The findings presented in this article are focused on this issue, illustrating the impact of male friendship on the shaping of healthy behaviors. Methods: Drawing upon a qualitative-based methodology articulated in a case study of the Men in Dialogue association, located in Spain, the study has followed the premises of the communicative approach, a total of 15 structured online open-ended questionnaires have been performed and analyzed. The median age of the participants is 37.5 years. Results: The findings show how men involved in Men in Dialogue are promoting a kind of masculine friendship that is improving men’s emotional well-being and, consequently, their physical health.


2020 ◽  
Vol 19 (1) ◽  
pp. 40
Author(s):  
Sari Monik Agustin ◽  
Agatha Josephine

Previous research also shows that social media has positive and negative roles related to interpersonal relationships and mental health. The social media used significantly increases social capital and mental well-being, which benefits people with low self-esteem and life satisfaction. Some psychotherapists even use an Instagram platform as their therapeutic medium. This preliminary study frameworks are Stuart Hall’s reception theory, the concept elaborations of social support and online social support, as well as a discussion of the character of social media, Instagram. This paper is based on a qualitative research with data from interviews with 3 female informants on 20-29 years old and gethappy.id account followers. This research succeeded in identifying 2 receptions that emerged from the female group of Instagram account followers gethappy.id. The dominant reader comes from informants who have severe physical health problems and mental health problems related to these physical health problems. Meanwhile, negotiating reader arise from informants who do not have personal physical and mental health problems, but who have a social environment with physical and mental health problems. Another important finding is that the main social support remains family and friends. Social media support is needed when the two main social supports are not present.


2010 ◽  
Vol 25 (S2) ◽  
pp. S29-S33 ◽  
Author(s):  
H.L. Millar

AbstractMedical morbidity and mortality levels remain elevated in people with schizophrenia compared with the general population. Despite the increasing recognition of an excess of physical health problems in this population, health screening remains limited. Medical risk in this population can be related to a variety of sources. The disease process itself as well as poor diet and sedentary lifestyle contribute to the overall physical health problems. In addition antipsychotic medication can contribute to the risk of cardiovascular and metabolic problems. The Dundee Health Screening Clinic was developed to address the needs of this population by monitoring physical health and providing follow-up to ensure that patients received the necessary care. The Clinic demonstrates how a coordinated approach can be used to take simple steps to improve the overall well-being of these patients. It was set up by adapting the manpower resources and procedures of the community mental health team and local resource centre, without specific additional funding. Simple clinical measurements and tests were conducted in the Clinic and patients clearly demonstrated on a satisfaction questionnaire that they considered the health checks important. This Clinic is an example of how a holistic approach can impact on both the physical and mental well-being of patients and offer them improved care and therefore a better quality of life.


Author(s):  
Jieun Song ◽  
Marsha R. Mailick ◽  
Jan S. Greenberg ◽  
Jinkuk Hong

Parenting a child with developmental or mental health problems is a lifelong process with unique challenges and adjustments. Parents of children with these conditions often experience chronic stress and an elevated risk of mental and physical health problems and cognitive decline in later life, although profiles of resilience have been noted. This chapter reviews Midlife in the United States (MIDUS) studies that have examined the lifelong effects of parenting children with developmental or mental health problems. MIDUS research has found that midlife and older parents of children with these conditions have poorer physical and mental health profiles and poorer cognitive functioning in later life than counterparts whose children do not have such conditions, and that mental and physical health disparities increase as parents age. Possible mechanisms underlying these differences have been examined in studies utilizing the multidisciplinary data of MIDUS, which include a variety of psychosocial, cognitive, and biological assessments.


2018 ◽  
Vol 64 (4) ◽  
pp. 381-388 ◽  
Author(s):  
Juliana Onwumere ◽  
Sophia Howes ◽  
David Shiers ◽  
Fiona Gaughran

Background: Reduced life expectancies are recorded in adults with psychotic disorders. Informal carers play key roles in improving illness outcomes for patients, including significantly reducing rates of relapse and hospitalisation. There is, however, a dearth of literature detailing carers’ perspectives on physical health problems in the relatives they care for and implications for those in the caregiving role. The study sought to explore carers’ subjective experiences of supporting a relative with psychosis and physical health problems. Methods: Carers of adults with psychosis were interviewed individually, or as part of a group, about physical health problems in the relatives they care for. Results: Five key themes were identified from the interviews that reflected (1) ubiquity of physical health problems in psychosis, (2) gaps in service provision for those living with mental and physical health problems, (3) carers’ role in responding to service gaps, (4) difficult conversations and (5) impact on carer health. Conclusion: Service initiatives that are designed to improve patient physical health in psychosis should not overlook the role that informal carers might have in supporting this process. The implications that patient physical health problems present for carer well-being and the quality of the caregiving relationship in psychosis deserve further investigation.


Author(s):  
Tanvir Abir ◽  
Uchechukwu Levi Osuagwu ◽  
Dewan Muhammad Nur-A Yazdani ◽  
Abdullah Al Mamun ◽  
Kaniz Kakon ◽  
...  

Previous studies on internet use frequency were focused on mental health impact, with little known about the impact on physical health during the COVID-19 lockdown. This study examined the impact of internet use frequency on self-reported physical health during the COVID-19 lockdown in Bangladesh. A web-based cross-sectional study on 3242 individuals was conducted from 2 August–1 October 2020. The survey covered demographics, internet use frequency and self-reported physical health questions. Linear regression analyses were used to examine the impact of internet use frequency on physical health. 72.5%, 69.9%, 65.1% and 55.3% respondents reported headache, back pain, numbness of the fingers and neck pain, respectively. The analyses showed increased physical health impact among regular (coefficient β = 0.52, 95% confidence interval [CI]: 0.18–0.85, p = 0.003), frequent (β = 1.21, 95% CI: 0.88–1.54, p < 0.001) and intense (β = 2.24, 95% CI: 1.91–2.57, p < 0.001) internet users. Other important predictors were gender, income, occupation, regions, and working status. Frequent and extensive uses of the internet were strong predictors of physical health problems, and our findings suggest the need for increased awareness about the physical health problems that can be triggered by excessive internet usage.


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