Sheehan Connor M, Hummer Robert A, Moore Brenda L, Huyser Kimberly R, Butler John Sibley
Department of Sociology and Population Research Center, University of Texas at Austin.
Sociology Department, State University of New York at Buffalo.
Popul Res Policy Rev. 2015 Dec;34(6):785-804. doi: 10.1007/s11113-015-9358-9. Epub 2015 Mar 21.
Given their unique occupational hazards and sizable population, military veterans are an important population for the study of health. Yet veterans are by no means homogeneous, and there are unanswered questions regarding the extent of, and explanations for, racial and ethnic differences in veterans' health. Using the 2010 National Survey of Veterans, we first documented race/ethnic differences in self-rated health and limitations in Activities of Daily Living among male veterans aged 30-84. Second, we examined potential explanations for the disparities, including socioeconomic and behavioral differences, as well as differences in specific military experiences. We found that Black, Hispanic, and other/multiple race veterans reported much worse health than White veterans. Using progressively adjusted regression models, we uncovered that the poorer self-rated health and higher levels of activity limitations among minority veterans compared to Whites was partially explained by differences in their socioeconomic status and by their military experiences. Minority veterans are a vulnerable population for poor health; future research and policy efforts should attempt to better understand and ameliorate their health disadvantages relative to White veterans.
鉴于其独特的职业危害和庞大的人口规模,退伍军人是健康研究的重要群体。然而,退伍军人绝非同质化群体,关于退伍军人健康方面种族和族裔差异的程度及原因,仍存在未解答的问题。利用2010年全国退伍军人调查,我们首先记录了30 - 84岁男性退伍军人自评健康状况以及日常生活活动受限方面的种族/族裔差异。其次,我们研究了造成这些差异的潜在原因,包括社会经济和行为差异,以及特定军事经历的差异。我们发现,黑人、西班牙裔以及其他/多种族退伍军人报告的健康状况比白人退伍军人差得多。通过逐步调整的回归模型,我们发现,与白人相比,少数族裔退伍军人较差的自评健康状况和较高的活动受限水平,部分原因在于他们的社会经济地位差异和军事经历差异。少数族裔退伍军人是健康状况不佳的弱势群体;未来的研究和政策努力应尝试更好地理解并改善他们相对于白人退伍军人的健康劣势。