Physical health of Post-9/11 U.S. Military veterans in the context of Healthy People 2020 targeted topic areas: Results from the Comparative Health Assessment Interview Research Study Article Swipe
Yasmin Cypel
,
Dawne Vogt
,
Shira Maguen
,
Paul A. Bernhard
,
Elizabeth Lowery
,
William J. Culpepper
,
Irvine Armand-Gibbs
,
Aaron Schneiderman
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1016/j.pmedr.2023.102122
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1016/j.pmedr.2023.102122
Large-scale epidemiological studies suggest that veterans may have poorer physical health than nonveterans, but this has been largely unexamined in post-9/11 veterans despite research indicating their high levels of disability and healthcare utilization. Additionally, little investigation has been conducted on sex-based differences and interactions by veteran status. Notably, few studies have explored veteran physical health in relation to national health guidelines. Self-reported, weighted data were analyzed on post-9/11 U.S. veterans and nonveterans (n = 19,693; 6,992 women, 12,701 men; 15,160 veterans, 4,533 nonveterans). Prevalence was estimated for 24 physical health conditions classified by Healthy People 2020 targeted topic areas. Associations between physical health outcomes and veteran status were evaluated using bivariable and multivariable analyses. Back/neck pain was most reported by veterans (49.3 %), twice that of nonveterans (22.8 %)(p < 0.001). Adjusted odds ratios (AORs) for musculoskeletal and hearing disorders, traumatic brain injury, and chronic fatigue syndrome (CFS) were 3-6 times higher in veterans versus nonveterans (p < 0.001). Women versus men had the greatest adjusted odds for bladder infections (males:females, AOR = 0.08, 95 % CI:0.04-0.18)(p < 0.001), and greater odds than men for multiple sclerosis, CFS, cancer, irritable bowel syndrome/colitis, respiratory disease, some musculoskeletal disorders, and vision loss (p < 0.05). Cardiovascular-related conditions were most prominent for men (p < 0.001). Veteran status by sex interactions were found for obesity (p < 0.03; greater for male veterans) and migraine (p < 0.01; greater for females). Healthy People 2020 targeted topic areas exclude some important physical health conditions that are associated with being a veteran. National health guidelines for Americans should provide greater consideration of veterans in their design.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.pmedr.2023.102122
- OA Status
- gold
- Cited By
- 12
- References
- 104
- Related Works
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- OpenAlex ID
- https://openalex.org/W4318825550
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4318825550Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.pmedr.2023.102122Digital Object Identifier
- Title
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Physical health of Post-9/11 U.S. Military veterans in the context of Healthy People 2020 targeted topic areas: Results from the Comparative Health Assessment Interview Research StudyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-02-01Full publication date if available
- Authors
-
Yasmin Cypel, Dawne Vogt, Shira Maguen, Paul A. Bernhard, Elizabeth Lowery, William J. Culpepper, Irvine Armand-Gibbs, Aaron SchneidermanList of authors in order
- Landing page
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https://doi.org/10.1016/j.pmedr.2023.102122Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1016/j.pmedr.2023.102122Direct OA link when available
- Concepts
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Medicine, Epidemiology, Context (archaeology), Fibromyalgia, Irritable bowel syndrome, Odds ratio, Psychosocial, Odds, Gerontology, Physical therapy, Internal medicine, Psychiatry, Logistic regression, Paleontology, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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12Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 8, 2023: 1Per-year citation counts (last 5 years)
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104Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.disability | 29 |
| abstract_inverted_index.disorders, | 139, 196 |
| abstract_inverted_index.guidelines | 258 |
| abstract_inverted_index.healthcare | 31 |
| abstract_inverted_index.indicating | 24 |
| abstract_inverted_index.infections | 169 |
| abstract_inverted_index.sclerosis, | 186 |
| abstract_inverted_index.unexamined | 18 |
| abstract_inverted_index.Large-scale | 0 |
| abstract_inverted_index.differences | 41 |
| abstract_inverted_index.guidelines. | 60 |
| abstract_inverted_index.nonveterans | 71, 126, 155 |
| abstract_inverted_index.respiratory | 192 |
| abstract_inverted_index.Associations | 99 |
| abstract_inverted_index.interactions | 43, 217 |
| abstract_inverted_index.nonveterans, | 12 |
| abstract_inverted_index.utilization. | 32 |
| abstract_inverted_index.Additionally, | 33 |
| abstract_inverted_index.consideration | 264 |
| abstract_inverted_index.investigation | 35 |
| abstract_inverted_index.multivariable | 112 |
| abstract_inverted_index.nonveterans). | 82 |
| abstract_inverted_index.Self-reported, | 61 |
| abstract_inverted_index.(males:females, | 170 |
| abstract_inverted_index.CI:0.04-0.18)(p | 176 |
| abstract_inverted_index.epidemiological | 1 |
| abstract_inverted_index.musculoskeletal | 136, 195 |
| abstract_inverted_index.syndrome/colitis, | 191 |
| abstract_inverted_index.Cardiovascular-related | 203 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5087411404 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 8 |
| corresponding_institution_ids | https://openalex.org/I1322918889, https://openalex.org/I4210130077 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/1 |
| sustainable_development_goals[0].score | 0.47999998927116394 |
| sustainable_development_goals[0].display_name | No poverty |
| sustainable_development_goals[1].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[1].score | 0.4300000071525574 |
| sustainable_development_goals[1].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.9822294 |
| citation_normalized_percentile.is_in_top_1_percent | True |
| citation_normalized_percentile.is_in_top_10_percent | True |