Aiming High: Explaining the Earnings Advantage for Female Veterans
Abstract: This study investigates how veteran status influences earnings for working-age American women. Recent increases in women’s participation in the U.S. military mean that the proportion of female veterans is rising and is forecast to increase over the next 30 years. Yet we still know relatively little about the relationship between women’smilitary experience and later labor-market outcomes. Drawing on American Community Survey data from 2008 to 2010 and employing a new set of occupational categories better suited to veterans, we investigate how occupation and race/ethnicity influence the effect of veteran status on women’s earnings. Findings corroborate previous support for the ‘‘bridging hypothesis’’ in two ways. First, veterans are overrepresented in higher paying occupations and underrepresented in the lowest paying ones, partially accounting for their higher earnings. Second, military experience particularly enhances the earnings of disadvantaged race/ethnic minority women.
Abstract: Introduction: Persistent inequities exist in obstetric and neonatal outcomes in military families despite universal health care coverage. Though the exact underlying cause has not been identified, social determinants of health may uniquely impact military families. The purpose of this study was to qualitatively investigate the potential impact of social determinants of health and the lived experiences of military individuals seeking maternity care in the Military Health System. Materials and methods: This was an Institutional Review Board-approved protocol. Nine providers conducted 31 semi-structured interviews with individuals who delivered within the last 5 years in the direct or purchased care market. Participants were recruited through social media blasts and clinic flyers with both maximum variation and homogenous sampling to ensure participation of diverse individuals. Data were coded and themes were identified using inductive qualitative research methods. Results: Three main themes were identified: Requirements of Military Life (with subthemes of pregnancy notification and privacy during care, role of pregnancy instructions and policies, and role of command support), Sociocultural Aspects of the Military Experience (with subthemes of pregnancy as a burden on colleagues and a career detractor, postpartum adjustment, balancing personal and professional requirements, pregnancy timing and parenting challenges, and importance of friendship and camaraderie in pregnancy), and Navigating the Healthcare Experience (including subthemes of transfer between military and civilian care and TRICARE challenges, perception of military care as inferior to civilian, and remote duty stations and international care). Conclusions: The unique stressors of military life act synergistically with the existing health care challenges, presenting opportunities for improvements in care. Such opportunities may include increased consistency of policies across services and commands. Increased access to group prenatal care and support groups, and increased assistance with navigating the health care system to improve care transitions were frequently requested changes by participants.