Race/ethnicity and gender differences in mental health diagnoses among Iraq and Afghanistan Veterans
Abstract: Veterans who served in Operation Enduring Freedom (OEF; predominantly in Afghanistan) and Operations Iraqi Freedom and New Dawn (OIF and OND; predominantly in Iraq) and are enrolled in the VA are comprised of a growing cohort of women and higher proportions of racial/ethnic minorities than civilians. To compare rates of mental health disorders by race/ethnicity and gender for this diverse cohort, we conducted a retrospective analysis of existing records from OEF/OIF/OND veterans who were seen at the VA 10/7/01-8/1/2013 (N=792,663). We found that race/ethnicity was related to diagnoses of mental health disorders. Asian/Pacific Islanders (A/PIs) were diagnosed with all disorders at lower rates than whites, and American Indian/Alaska Native (AI/AN) males were diagnosed with most disorders at higher rates than white males. Research is needed to identify contributing factors to differential rates of diagnoses based on race/ethnicity and gender. A/PIs and AI/ANs have unique patterns of mental health diagnoses indicating they should be considered separately to present a comprehensive picture of veteran mental health.
Abstract:United States military veterans face challenges when reintegrating into civilian society. Among these difficulties often exist barriers for veterans in navigating work and career experiences. This study tested factors that may contribute to experiences of decent work and reintegration in a sample of 90 United States veterans. Utilizing the Psychology of Working Theory as a framework, veterans' social support was hypothesized to be a moderating factor in the relationship between veterans' experiences of marginalization and decent work. Additionally, decent work was examined as a potential mediator in the association between veterans' career adaptability and reintegration. Separate moderation and mediation models were tested to examine the study's hypotheses. Results did not find social support to moderate the relationship between marginalization and decent work. However, decent work significantly and partially mediated the relationship between career adaptability and reintegration. Interpretation of these findings in the context of the literature is discussed, as well as implications for practice and theory, limitations, and future directions.