military service
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2022 ◽  
pp. 1-10
Author(s):  
Shira Maguen ◽  
Brandon J. Griffin ◽  
Dawne Vogt ◽  
Claire A. Hoffmire ◽  
John R. Blosnich ◽  
...  

Abstract Background Our goal was to examine the association between moral injury, mental health, and suicide attempts during military service and after separation by gender in post-9/11 veterans. Methods A nationally representative sample of 14057 veterans completed a cross-sectional survey. To examine associations of exposure to potentially morally injurious events (PMIEs; witnessing, perpetrating, and betrayal) and suicidal self-directed violence, we estimated two series of multivariable logistic regressions stratified by gender, with peri- and post-military suicide attempt as the dependent variables. Results PMIE exposure accounted for additional risk of suicide attempt during and after military service after controlling for demographic and military characteristics, current mental health status, and pre-military history of suicidal ideation and attempt. Men who endorsed PMIE exposure by perpetration were 50% more likely to attempt suicide during service and twice as likely to attempt suicide after separating from service. Men who endorsed betrayal were nearly twice as likely to attempt suicide during service; however, this association attenuated to non-significance after separation in the fully adjusted models. In contrast, women who endorsed betrayal were over 50% more likely to attempt suicide during service and after separation; PMIE exposure by perpetration did not significantly predict suicide attempts before or after service among women in the fully adjusted models. Conclusions Our findings indicate that suicide assessment and prevention programs should consider the impact of moral injury and attend to gender differences in this risk factor in order to provide the most comprehensive care.


2022 ◽  
Vol 9 ◽  
Author(s):  
Jeanne M. Stellman ◽  
Steven D. Stellman ◽  
Avron Spiro ◽  
Anica Pless Kaiser ◽  
Brian N. Smith

Many Vietnam War veterans who experienced military trauma still exhibit PTSD symptomatology. Little is known about how new stressful situations, like the COVID-19 pandemic, affect previously traumatized people or whether they will react differently to them. We explore whether military combat experiences in Vietnam affect veterans' perceived abilities to cope with COVID-19 and whether current PTSD symptoms and later-adulthood reengagement with trauma memories are related to coping. We examine the extent that current PTSD symptoms and trauma reengagement relate to preventive practices. Participants were part of a randomly sampled cohort of American Legionnaires who responded to two previous surveys (1984, 1998), were born 1945-1953 and deployed to Vietnam 1963-1973, thus representing an aging veteran population. A survey supplement assessed coping with the pandemic and adherence to public health guidelines. The response rate was 74% (N = 507); 422 (61.6%) completed the COVID-19 supplement. Military experiences were found to affect coping with 41.4% reporting they affected ability to cope with COVID-19. Medium- and high-combat veterans were more likely to report that military experience affected coping than low-combat (OR 2.4, 95% CI 1.51–3.96; 2.6, 95% CI 1.41–4.61, respectively). Those with high PTSD scores had 7.7-fold (95% CI 4.3–13.17) increased likelihood of reporting that their coping was affected, compared to low-PTSD scorers. Few adopted social distancing (4%), staying at home (17%), or ceasing usual activities (32%); high-combat veterans were least likely to stay home. Veterans who practiced handwashing, sanitizer use, mask-wearing, and surface disinfection had significantly higher PTSD scores than those who did not. Veterans with higher scores on the LOSS-SF scale associated more reengagement with trauma memories and were more likely to engage in personal preventive strategies. Analysis of open-ended responses supported these findings. We conclude that fifty years after returning from Vietnam, PTSD scores were high for high-combat veterans, suggestive of PTSD diagnosis. Military experiences affected coping with COVID both positively and negatively, and may have helped instill useful personal health behaviors. Veterans, especially those with PTSD symptomatology, may have special needs during stressful times, like the COVID-19 pandemic, affecting compliance with recommended practices, as well as their overall health and well-being.


2022 ◽  
Vol 10 (1) ◽  
pp. 12-42
Author(s):  
Michael Tannen

Based upon the highly innovative Project TALENT Longitudinal Database, this study tracks the starting earnings and subsequent early earnings growth of young males who began their work careers at either a smaller (<100 employees) or larger private firm more than a generation ago.  Prior evidence based upon less rich databases found that earnings were systematically higher in larger firms but did not have access to many other variables that could affect projected earnings which are available in the TALENT database. Earnings regressions are estimated here including not only usual explanatory variables of years of schooling and labor market experience, but also adding other variables pertaining to prior job experience, military service, IQ, socioeconomic background and some other factors.  The findings indicate that while starting earnings of those in this database were indeed higher in larger firms, the gap evaporated fairly quickly with projected earnings of those in smaller firms featuring a small earnings premium. The results here suggest guidance based upon the body of prior evidence may have been less reliable than thought, and that evidence itself may not provide as useful a baseline as desired for subsequent research addressing whether this pattern continues for recent cohorts.


2022 ◽  
Author(s):  
Catherine E Runge ◽  
Katrina M Moss ◽  
Judith A Dean ◽  
Michael Waller

ABSTRACT Introduction Post-deployment health surveys completed by military personnel ask about a range of deployment experiences. These surveys are conducted to determine if there are links between experiences and poor health. Responses to open-ended questions in these surveys can identify experiences that might otherwise go unreported. These responses may increase knowledge about a particular deployment and inform future surveys. This study documented deployment experiences described by Australian Defence Force personnel who were deployed to the Middle East. Materials and Methods A survey completed by 14,032 personnel examined health outcomes and over 100 experiences relating to their Middle East deployment. Responses to two open-ended questions captured additional experiences. Descriptive statistics reveal the characteristics of those who did and did not describe additional experiences, and a content analysis details the nature and frequency of the experiences reported. The study was approved by an Institutional Review Board. Results Five percentage (n = 692) of personnel who completed the survey described additional deployment experiences. The most frequently reported experiences were specific Navy experiences; experiences of poor leadership; administrative or organizational issues; the anthrax vaccine; and traumatic events/potentially morally injurious experiences. Conclusions The findings suggest that post-deployment health surveys should have questions about certain deployment experiences tailored by military service (i.e., Air Force, Army, and Navy). Researchers could consider including questions about personnel experiences of leadership for its impact on health and about potentially morally injurious experiences that may help explain adverse mental health. Clear wording of open-ended questions and participant instructions may improve response rates and reduce response biases.


2022 ◽  

Royall Tyler (b. 1757–d. 1826) was born to a prominent merchant family in Boston and came of age in the decades leading up to the American Revolution. He entered Harvard College in 1771 and earned his bachelor of arts degree three months after the Declaration of Independence was signed in 1776. Tyler then enlisted in the Revolutionary Army, although he remained in Boston and Cambridge studying law. His active military service seems to have been limited to serving as a brigade major during the unsuccessful 1778 attempt to capture Newport, Rhode Island. As the war continued, Tyler earned his master of arts degree from Harvard in 1779 and engaged in a failed courtship of Abigail Adams, the daughter of future president John Adams. After the war, Tyler became involved in the suppression of Shays’ Rebellion in 1786. When Daniel Shays fled to Vermont, Tyler was assigned to negotiate with authorities in New York, which still laid claim to the territory, to ensure that the rebel did not find safe harbor. In New York City Tyler launched his literary career; in April 1787, The Contrast began its run in New York as the first professionally produced American comic drama and one of the first successful American plays. Months later Tyler produced a second play, May Day in Town, that is no longer extant. In 1790, Tyler returned to Boston and married Mary Palmer, who would later publish the first American manual for infant care. They relocated to Vermont, where the couple remained for the rest of their lives. In the years to follow, Tyler published numerous poems and essays, including a popular series of essays in collaboration with Joseph Dennie under the title of “Colon & Spondee.” In 1797, Tyler published the novel The Algerine Captive, which achieved moderate success and was one of the first American books to be republished in Great Britain. In the 1800s and 1810s Tyler served for six years as the chief justice of the Vermont Supreme Court and launched a failed bid for the U.S. Senate. He completed several new plays, including his biblical dramas and the epistolary satire The Yankey in London (1809). At the time of his death in 1826 he was rewriting the first half of The Algerine Captive as a New England picaresque titled The Bay Boy, which would remain unpublished until 1968.


2022 ◽  
pp. 0095327X2110654
Author(s):  
Joseph Paul Vasquez ◽  
Walter W. Napier

Research suggests that marginalized groups can use military service to win greater governmental and social acceptance by using civic republican rhetoric, however, conditions in which claims-making rhetoric is coercive are underspecified. Because rhetorical effectiveness requires sympathetic ears, we examine the influence of (1) expectations and political efforts of marginalized group members seeking greater acceptance, (2) whether majority group economic status is outpacing marginalized groups seeking improved treatment, and (3) whether marginalized groups have influential military veterans from majority groups as allies. We apply these factors to explain the claims-making failure of German Jews following the First World War and the success of African Americans after the Second World War. From the African American case, we also conclude that military service led to greater socio-political inclusion and rights based on development of future political actors through leadership development processes and inter-group contact, especially regarding Presidents Truman and Eisenhower.


2022 ◽  
Author(s):  
Regina Oeschger ◽  
Lilian Roos ◽  
Thomas Wyss ◽  
Mark J Buller ◽  
Bertil J Veenstra ◽  
...  

ABSTRACT Introduction In military service, marching is an important, common, and physically demanding task. Minimizing dropouts, maintaining operational readiness during the march, and achieving a fast recovery are desirable because the soldiers have to be ready for duty, sometimes shortly after an exhausting task. The present field study investigated the influence of the soldiers’ cardiorespiratory fitness on physiological responses during a long-lasting and challenging 34 km march. Materials and Methods Heart rate (HR), body core temperature (BCT), total energy expenditure (TEE), energy intake, motivation, and pain sensation were investigated in 44 soldiers (20.3 ± 1.3 years, 178.5 ± 7.0 cm, 74.8 ± 9.8 kg, body mass index: 23.4 ± 2.7 kg × m−2, peak oxygen uptake ($\dot{\rm{V}}$O2peak): 54.2 ± 7.9 mL × kg−1 × min−1) during almost 8 hours of marching. All soldiers were equipped with a portable electrocardiogram to record HR and an accelerometer on the hip, all swallowed a telemetry pill to record BCT, and all filled out a pre- and post-march questionnaire. The influence of aerobic capacity on the physiological responses during the march was examined by dividing the soldiers into three fitness groups according to their $\dot{\rm{V}}$O2peak. Results The group with the lowest aerobic capacity ($\dot{\rm{V}}$O2peak: 44.9 ± 4.8 mL × kg−1 × min−1) compared to the group with the highest aerobic capacity ($\dot{\rm{V}}$O2peak: 61.7 ± 2.2 mL × kg−1 × min−1) showed a significantly higher (P &lt; .05) mean HR (133 ± 9 bpm and 125 ± 8 bpm, respectively) as well as peak BCT (38.6 ± 0.3 and 38.4 ± 0.2 °C, respectively) during the march. In terms of recovery ability during the break, no significant differences could be identified between the three groups in either HR or BCT. The energy deficit during the march was remarkably high, as the soldiers could only replace 22%, 26%, and 36% of the total energy expenditure in the lower, middle, and higher fitness group, respectively. The cardiorespiratory fittest soldiers showed a significantly higher motivation to perform when compared to the least cardiorespiratory fit soldiers (P = .002; scale from 1 [not at all] to 10 [extremely]; scale difference of 2.3). A total of nine soldiers (16%) had to end marching early: four soldiers (21%) in the group with the lowest aerobic capacity, five (28%) in the middle group, and none in the highest group. Conclusion Soldiers with a high $\dot{\rm{V}}$O2peak showed a lower mean HR and peak BCT throughout the long-distance march, as well as higher performance motivation, no dropouts, and lower energy deficit. All soldiers showed an enormous energy deficit; therefore, corresponding nutritional strategies are recommended.


2022 ◽  
pp. 193864002110682
Author(s):  
Ezra Goodrich ◽  
Bryan Vopat ◽  
Ashley Herda

Background The high incidence of ankle sprain within the military sets the stage for prevalent chronic ankle instability. The purpose of this review was to compare and evaluate chronic ankle instability treatment strategies in the military population. Methods Electronic databases were systematically searched in accordance with the Preferred Reporting Items for Systematic Reviews guidelines for English-language, human studies with a military patient population that had been diagnosed with and treated for chronic ankle instability. Exclusion criteria were animal, cadaver, and review studies and case reports. Results Eight studies met the inclusion criteria, representing 695 military service members—625 males (89.9%) and 70 females (10.1%)—and 4 treatment strategies: Broström-related procedures, modified Watson-Jones procedure, Colville’s technique, and anatomic lateral ligament reconstruction using semitendinosus tendon allograft. The percentage of satisfactory outcomes was 100% for Colville’s technique, and ranged from 73.2% to 94.7% for Broström-related procedures and 72% to 80% for the modified Watson-Jones procedure. Mean American Orthopaedic Foot and Ankle Society scores, anterior drawer displacement, talar tilt, and visual analogue scale scores were also reported. Conclusion This review demonstrates that the Bröstrom procedure has consistently satisfactory outcomes within the military population, and Colville’s technique is another promising option for this patient population but would require additional studies to support this claim. Levels of Evidence: Level IV


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