Consistent Honor, Persistent Disadvantage: American Indian and Alaska Native Veteran Health in the National Survey of Veterans

Objective: To examine self-rated health and activities of daily living (ADLs) limitations among American Indian and Alaska Native (AI/AN) veterans relative to white veterans. Methods: We use the 2010 National Survey of Veterans and limit the sample to veterans who identify as AI/AN or non-Hispanic white. We calculated descriptive statistics, confidence intervals, and used logistic regression. Results: AI/AN veterans are younger, have lower levels of income, and have higher levels of exposure to combat and environmental hazards compared to white veterans. We found that AI/AN veterans are significantly more likely to report fair/poor health controlling for socioeconomic status and experience an ADL controlling for age, health behaviors, socioeconomic status, and military factors. Discussion: The results indicate that AI/AN veterans are a disadvantaged population in terms of their health and disability compared to white veterans. AI/AN veterans may require additional support from family members and/or Veteran Affairs to address ADLs.

A National Survey of Veterans Treatment Court Actors

Several controversies surround Veterans Treatment Courts (VTCs), such as excluding veterans who commit violent offenses and requiring a direct relationship between a veteran’s charges and mental health diagnosis. The aim of this study was to examine VTC actors’ perceptions of these issues via a national survey. VTC Judges, Coordinators, and Veterans Affairs liaisons were presented two randomly assigned hypothetical clients and asked their perceptions of the hypothetical clients’ eligibility for VTC. The violent crime committed by the clients and their mental health diagnoses were manipulated in these scenarios. Participants were also asked for their perceptions of VTC issues and to describe the current practices of their VTCs. Results indicated participants were supportive of the domestic violence client’s participation in VTC, regardless of diagnosis, however most were not supportive of the involuntary manslaughter clients’ participation. Implications for future research and policy are discussed.

The Digital Divide and Veterans’ Health: Differences in Self-Reported Health by Internet Usage

The digital divide's implications on health inequality among American Military veterans has been discussed extensively in research; however, it remains unclear what is the association between Internet usage and health specifically among Veterans. We examine this question by addressing the growing digital gaps in the veteran population, looking at the association of Internet use and self-reported health. Using the National Survey of Veterans we find that compared to those who use the Internet daily, those who use the Internet less frequently have significantly higher odds of reporting “fair” or “poor” self-rated health. The significant association remained when demographic, socioeconomic, and military factors were controlled. While our results indicate that veterans that use the Internet more frequently report more favorable self-reported health, given our data we are unable to distinguish a causal relationship. We conclude by discussing potential policy interventions, targeting helping those who are left behind.