scholarly journals Trend and Prevalence of Overweight and Obesity among The Military Population – A Systematic Review

2020 ◽  
Author(s):  
Azizan Omar ◽  
Hui Ling Leong ◽  
Foong Ming Moy
Keyword(s):  
United States ◽  
Military Personnel ◽  
Military Service ◽  
Work Productivity ◽  
The United States ◽  
Overweight And Obesity ◽  
Military Population ◽  
Strong Trend ◽  
Obesity Interventions ◽  
The Military

Prevalence of overweight and obesity are escalating globally among the general population. However, there are limited evidence on the trends and prevalence of overweight /obesity in the military setting. Increased rates of injuries, low work productivity, incurred higher healthcare costs and prematurely discharge from service are consequences of overweight/obesity among the military. Therefore, we aimed to systematically describe the trends and prevalence of overweight and obesity in the military population, by regions and military service branches. Databases including PubMed, Scopus, Web of Science and Google Scholar were used. Inclusion criteria were military population (inclusive of all service branches) with BMI reported as the overweight/obesity indicator. Population related to military but not exclusively military personnel such as the retirees, the veterans and their dependents were excluded. From the 27 included studies, 13 were published between year 2010 to 2014 and half were conducted in the United States. Overall, studies showed increasing trend in the prevalence of overweight (30% to 50%) and obesity (2% to 30%); only one study showed a decreasing trend of 0.9% and 0.6% for the prevalence of overweight and obesity respectively. However, the rates of increment differed between countries, where Asian countries demonstrated lower overweight prevalence compared to the United States and the European countries. In conclusion, the military population is not protected from overweight and obesity. Interventions should be implemented to prevent overweight / obesity among the military personnel.

Ajax in America, or Catharsis in the Time of Terrorism

2020 ◽  
Vol 36 (4) ◽  
pp. 306-319
Author(s):  
Matthew Roberts
Keyword(s):  
United States ◽  
Military Personnel ◽  
Military Service ◽  
World Literature ◽  
Assistant Professor ◽  
The United States ◽  
Military Bases ◽  
American Military ◽  
American Society ◽  
The Military

Originally funded by the US Department of Defense in 2009, Theater of War Productions’ first project, Theater of War, performs dramatic readings of Ajax at military bases, hospitals, and academic institutions throughout the United States. Developed by Bryan Doerries, Theater of War brings awareness to the epidemic of suicide and other forms of violence committed by American military service members in the wake of the United States’ so-called ‘war on terror’. But like Ajax, American military personnel typically turn to violence only after being betrayed by the institutions that they served. This article follows how Ajax’s more modern manifestation disrupts the tragic protagonist’s status as a sacrificial victim whose death precipitates tragedy’s cathartic effect, and challenges what René Girard calls the ‘scapegoat mechanism’ and its socio-political function. It argues that Ajax’s appearance as a cathartic figure in American society provokes spectators and artists to reckon with the conditions that can cause military personnel to act violently, and inspires protests against broader hegemonic socio-political structures and the military culture that sustains them. Matthew Roberts is Assistant Professor and Librarian for Comparative and World Literature, English, and Drama at the University of Illinois at Urbana-Champaign.

Health and Service-related Impact of Sexual and Stalking Victimization During United States Military Service on LGBT Service Members

2020 ◽  
pp. 088626052097031
Author(s):  
Cary Leonard Klemmer ◽  
Ashley C. Schuyler ◽  
Mary Rose Mamey ◽  
Sheree M. Schrager ◽  
Carl Andrew Castro ◽  
...  
Keyword(s):  
United States ◽  
Military Service ◽  
The United States ◽  
Active Duty ◽  
Service Members ◽  
United States Military ◽  
Service Outcomes ◽  
Study Participants ◽  
The Military ◽  
Stalking Victimization

Prior research among military personnel has indicated that sexual harassment, stalking, and sexual assault during military service are related to negative health sequelae. However, research specific to LGBT U.S. service members is limited. The current study aimed to explore the health, service utilization, and service-related impact of stalking and sexual victimization experiences in a sample of active-duty LGBT U.S. service members ( N = 248). Respondent-driven sampling was used to recruit study participants. U.S. service members were eligible to participate if they were 18 years or older and active-duty members of the U.S. Army, U.S. Navy, U.S. Marine Corps, or U.S. Air Force. This study included a sizeable portion of transgender service members ( N = 58, 23.4%). Sociodemographic characteristics, characteristics of military service, health, and sexual and stalking victimization in the military were assessed. Regression was used to examine relationships between health and service outcomes and sexual and stalking victimization during military service. Final adjusted models showed that experiencing multiple forms of victimization in the military increased the odds of visiting a mental health clinician and having elevated somatic symptoms, posttraumatic stress disorder symptomatology, anxiety, and suicidality. Sexual and stalking victimization during U.S. military service was statistically significantly related to the mental and physical health of LGBT U.S. service members. Interventions to reduce victimization experiences and support LGBT U.S. service members who experience these types of violence are indicated. Research that examines the role of LGBT individuals’ experiences and organizational and peer factors, including social support, leadership characteristics, and institutional policies in the United States military is needed.

Selected weight management interventions for military populations in the United States: a narrative report

2017 ◽  
Vol 23 (2) ◽  
pp. 67-74 ◽  
Author(s):  
Jessica Murray ◽  
Basil H Aboul-Enein ◽  
Joshua Bernstein ◽  
Joanna Kruk
Keyword(s):  
Military Personnel ◽  
The United States ◽  
Overweight And Obesity ◽  
Program Outcomes ◽  
Public Health Burden ◽  
Management Interventions ◽  
The Us ◽  
Obesity Interventions ◽  
Military Populations ◽  
Narrative Report

Overweight and obesity continues to be a significant public health burden in the US and particularly among military personnel. Although the US Department of Defense mandates standardized physical activity requirements for military members, incidence and prevalence of overweight and obesity among military personnel continue to increase. Each military department controls their own interventional strategies for physical fitness and weight control. However, unique challenges such as geographic transients, lack of central standardization and empirical efficacy data across military departments, and chronic stress associated with military service adversely affect program outcomes. This brief narrative report explores overweight and obesity interventions among military populations from 2006 to 2016 and includes programmatic reviews of eight overweight and obesity interventions: The Prevention of Obesity in Military Community; Health Eating, Activity, and Lifestyle Training Headquarters (H.E.A.L.T.H); ArmyMOVE!; L.I.F.E.; Look AHEAD; Nutrition-focused Wellness Coaching; Go for Green; and LE3AN. A majority of these interventions did not report significant weight loss 6 months post intervention, and did not mention a theoretical foundation within the interventions. Further research to examine the importance of theory-based programming is warranted to improve process and outcome objectives.

LGBT Military Service Policies in the United States

2020 ◽  
Author(s):  
Andrew Goodhart ◽  
Jami K. Taylor
Keyword(s):  
United States ◽  
Military Service ◽  
The United States ◽  
Psychological Disorder ◽  
Service Members ◽  
Transgender People ◽  
And Bisexual ◽  
Lgbt People ◽  
The Military ◽  
The U.S

For most of its history, the U.S. military has maintained a policy of exclusion toward lesbian, gay, bisexual, and transgender (LGBT) people serving in uniform. The justifications for these exclusions have included the view that being homosexual or transgender is a psychological disorder, that it undermines military morale and effectiveness, and a fear that LGBT people would be vulnerable to foreign espionage. Explicit policies banning consensual homosexual sex—and excluding from service those who engage in it—date to the period between World Wars I and II, but de facto efforts at exclusion have existed since the early days of the republic. Regulations governing homosexuals in the military came under pressure in the 1970s and 1980s as societal views toward lesbian, gay, and bisexual (LGB) people changed, and those LGB service members discharged under the policy increasingly challenged their treatment in court. (Public pressure to change regulations governing transgender people in the military arose mostly in the 2000s, though litigation efforts date to the 1970s.) In addition to general shifts in public and legal opinion, the debate over LGB people serving in the U.S. military was affected by the experience of foreign militaries that allow LGB people to serve. United States law began to loosen formal restrictions on LBG people serving in uniform with the passage of “Don’t Ask, Don’t Tell” (DADT) in 1994, but it still required LGB people to serve in secret. Changing public perceptions of LGB people and problems implementing the ban galvanized support for eliminating such restrictions. In 2010, President Obama signed legislation repealing DADT and removing all restrictions on LGB people serving in the military. However, transgender people do not enjoy the same rights. The Trump administration has revised Obama-era rules on transgender service members to enable greater exclusion. The issue is being contested in the courts and appears ripe for further political and legal dispute.

“Immaculate War”: Constraints on Humanitarian Intervention

2000 ◽  
Vol 14 ◽  
pp. 55-65 ◽  
Author(s):  
Martin L. Cook
Keyword(s):  
United States ◽  
Military Personnel ◽  
Humanitarian Intervention ◽  
Nation Building ◽  
The United States ◽  
The Political ◽  
American Military ◽  
Political Constraints ◽  
Military Forces ◽  
The Military

In recent years, American military forces have been deployed in an ever-expanding array of humanitarian, peacekeeping, peacemaking, and nation-building operations. In practice American forces have often been reluctantly committed, and almost always with an extreme emphasis on force-protection and the avoidance of American casualties. Often this issue is discussed in the framework of perceived political constraints on American use of the military – in terms of how many casualties the American public will accept in exchange for a given mission. Beneath the level of the political constraints on American leaders, there lies a deeper tension having to do with the implicit moral contract between the United States and its military personnel. Although military personnel are required to follow all legal orders, morally the traditional contract between soldier and state rests on shared assumptions about the purposes for which national militaries will and will not be used.

“The Army is a Service, Not a Job”: Unionization, Employment, and the Meaning of Military Service in the Late-Twentieth Century United States

2011 ◽  
Vol 80 (1) ◽  
pp. 29-52
Author(s):  
Jennifer Mittelstadt
Keyword(s):  
United States ◽  
Military Personnel ◽  
Military Service ◽  
Armed Forces ◽  
The United States ◽  
Military Leaders ◽  
American Federation ◽  
United States Armed Forces ◽  
Public Unions ◽  
Institutional Benefits

AbstractThis article tells the story of an often-forgotten attempt to unionize the United States armed forces in the 1970s. The American Federation of Government Employees (AFGE), an AFL-CIO-affiliated union representing federal employees, voted to allow military personnel to join its union in 1976. Military personnel proved far more open to the bid than expected. Nursing grievances from threatened congressional cuts to their institutional benefits, between one-third and one-half welcomed the union. Though a worried Congress, a powerful military leadership, and skeptical public opinion quashed unionization within the year, the brief episode nevertheless left an influential legacy. Coming just after the difficult transition from the draft to the volunteer force, the union bid forced military leaders, soldiers, and supporters in Congress to defend both military service and military benefits from encroachments of an “occupational” model symbolized by unionization. Their successful distinction between military service and employment elevated the former as uniquely honorable and arduous—and thus deserving of unwavering congressional support. Public unions, the embodiment of the occupational threat to military service, emerged bruised by the comparisons to vaunted military service and endured a decades-long decline in membership and congressional protection.

Military Service Members’ Satisfaction With Outness: Implications for Mental Health

2018 ◽  
Vol 45 (1) ◽  
pp. 140-154 ◽  
Author(s):  
Wyatt R. Evans ◽  
Sebastian J. Bliss ◽  
Christina M. Rincon ◽  
Scott L. Johnston ◽  
Jagruti P. Bhakta ◽  
...  
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Care Providers ◽  
Military Service ◽  
The United States ◽  
Service Members ◽  
Care Providers ◽  
Policy Makers ◽  
And Bisexual ◽  
The Military

This study is among the first examining lesbian, gay, and bisexual (LGB) service members in the United States following the “don’t ask, don’t tell” policy repeal. Higher levels of outness predict better mental health among general LGB populations. The military environment, like other traditional/conservative settings, may alter this relation; however, no data are available on outness among LGB service members in the United States. We examined 236 service members’ level of outness and satisfaction with outness in relation to depression and anxiety symptoms. Results revealed greater level of outness was related to higher satisfaction with outness, with each variable related to better mental health. Importantly, satisfaction fully mediated the relation between level of outness and mental health, indicating satisfaction to be a more salient predictor than level alone. Findings relevant to military policy makers and health-care providers are discussed along with recommendations for advancement of research into outness among LGB people.

scholarly journals Latent Lyme Disease Resulting in Chronic Arthritis and Early Career Termination in a United States Army Officer

2019 ◽  
Vol 184 (7-8) ◽  
pp. e368-e370 ◽  
Author(s):  
Thomas Weiss ◽  
Peter Zhu ◽  
Hannah White ◽  
Matthew Posner ◽  
J Kenneth Wickiser ◽  
...  
Keyword(s):  
United States ◽  
Lyme Disease ◽  
United States Army ◽  
Military Personnel ◽  
Military Service ◽  
Comprehensive Evaluation ◽  
Military Training ◽  
The United States ◽  
Chronic Arthritis ◽  
Early Career

Abstract Lyme disease is a continuing threat to military personnel operating in arboriferous and mountainous environments. Here we present the case of a 24-year-old Second Lieutenant, a recent graduate from the United States Military Academy, with a history of Lyme disease who developed recurrent knee effusions following surgery to correct a hip impingement. Although gonococcal arthritis was initially suspected from preliminary laboratory results, a comprehensive evaluation contradicted this diagnosis. Despite antibiotic therapy, aspiration of the effusions, and steroid treatment to control inflammation, the condition of the patient deteriorated to the point where he was found to be unfit for duty and subsequently discharged from active military service. This case illustrates the profound effect that latent Lyme disease can have on the quality of life and the career of an active duty military member. It highlights the need for increased surveillance for Borrelia burgdorferi (B. burgdorferi) in military training areas and for the early and aggressive diagnosis and treatment of military personnel who present with the symptoms of acute Lyme disease.

Does Military Service Make the Experience of Prison Less Painful? Voices From Incarcerated Veterans

2016 ◽  
Vol 28 (8) ◽  
pp. 770-789 ◽  
Author(s):  
David C. May ◽  
Kristen L. Stives ◽  
Makeela J. Wells ◽  
Peter B. Wood
Keyword(s):  
United States ◽  
Military Service ◽  
Military Veterans ◽  
The United States ◽  
Future Research ◽  
Willingness To Serve ◽  
The Military ◽  
Community Sanctions ◽  
Black Inmates ◽  
Alternative Sanctions

There are more than 100,000 military veterans incarcerated in prisons throughout the United States. Nevertheless, almost nothing is known about these veterans or their incarceration experiences. In this article, we present results from a survey of more than 1,100 inmates in a large state correctional system to determine how inmates who are military veterans compare with inmates who have not served in the military in terms of their willingness to serve alternative sanctions to avoid imprisonment. The data reveal that, with the exception of military service, inmates who are military veterans are significantly less likely than their counterparts who have not served in the military to accept a variety of community sanctions over prison. In addition, Black inmates who have not served in the military are somewhat different than White inmates who have served in the military in those choices. Implications of these findings for future research are discussed.

scholarly journals Socioeconomic issues of United States military neurosurgery

2002 ◽  
Vol 12 (4) ◽  
pp. 1-6 ◽  
Author(s):  
Ross R. Moquin ◽  
James M. Ecklund
Keyword(s):  
United States ◽  
Military Service ◽  
Armed Forces ◽  
The United States ◽  
Third Party ◽  
Case Volume ◽  
Related Case ◽  
Direct Exposure ◽  
Military Neurosurgery ◽  
The Military

Although the practice of neurosurgery in the United States (US) Armed Forces is in many ways similar to the civilian practice of neurosurgery, there are many differences as well. The unique challenges, duties, and opportunities US military neurosurgeons are given, both in peacetime and in times of conflict, are discussed, as are pathways for entering into service. The advantages of military service for neurosurgeons include sponsored training, decreased direct exposure to tort actions, little involvement with third-party payers, significant opportunities for travel, and military-specific experiences. The most appealing aspect of military practice is serving fellow members of the US Armed Forces. Disadvantages include the extreme gap between the military and civilian pay scales, lack of support personnel, and in some areas low surgery-related case volume. The greatest concern faced by the military neurosurgical community is the failure to retain experienced neurosurgeons after their obligated service time has been completed, for which several possible solutions are described. It is hoped that future changes will make the practice of military neurosurgery attractive enough so that it will be seen as a career in itself and not an obligation to endure before starting practice in the “real world.”

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