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The Health and Social Isolation of American Veterans Denied Veterans Affairs Disability Compensation

机译:美国退伍军人的健康与社会孤立否认退伍军人事务残疾赔偿

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摘要

Authors comparatively analyzed health and social isolation between U. S. military veterans denied Veterans Affairs (VA) disability compensation and veterans awarded VA disability compensation. The 2001 National Survey of Veterans was used to create a sample of 4,522 veterans denied or awarded VA disability compensation. Using the Andersen health services utilization model as a conceptual framework, multivariate logistic regression was applied to assess relationships between VA disability compensation award status, three separate domains of health, and correlates of social isolation. Results indicate that denied applicants were more likely than those awarded to have poor overall health (odds ratio [OR] = 1.45, 95% confidence interval [CI]: 1.23, 1.70), and limitations in activities of daily living (OR = 1.12, 95% CI: 1.03, 1.21). Denied applicants' physical functioning (40.3) and mental functioning (41.2) composite summary scores were not clinically different from those of awarded applicants (39.0 and 40.1, respectively), indicating that both were comparably impaired. Veterans denied VA disability compensation had poor health and functional impairments. They also experienced poverty and isolation, suggesting that they may be in need of additional supportive services. Connecting veterans to community resources could be a vital service to provide to all veterans applying for disability compensation.
机译:作者在美国军事退伍军人之间的健康和社会孤立相比分析了退伍军人事务(VA)残疾赔偿和退伍军人授予VA残疾赔偿。 2001年全国退伍军人调查用于创造4,522退伍军人的样本否认或授予VA残疾赔偿。使用Andersen卫生服务利用率模型作为概念框架,应用多变量逻辑回归来评估VA残疾补偿奖励状态,三个单独的健康领域之间的关系,以及社会隔离的相关性。结果表明,否认的申请人比整体健康状况差的申请更有可能(赔率率[或] = 1.45,95%置信区间[CI]:1.23,1.70),以及日常生活活动的限制(或= 1.12, 95%CI:1.03,1.21)。拒绝申请人的身体功能(40.3)和心理运作(41.2)综合总结得分与授予申请人(分别为39.0和40.1分别)临床上没有临床不同,表明两者都相当受损。退伍军人否认VA残疾赔偿健康和功能损害差。他们还经历了贫困和孤立,这表明他们可能需要额外的支持服务。将退伍军人与社区资源联系起来可能是为所有申请残疾补偿的退伍军人提供重要服务。

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