Military Service and Military Health Care Coverage are Associated with Reduced Racial Disparities in Time to Mental Health Treatment Initiation
Abstract: We aimed to evaluate whether military service and access to veteran heath care coverage attenuates racial/ethnic disparities in time to mental health treatment initiation for posttraumatic stress disorder (PTSD), major depressive disorder, and/or alcohol-use disorder. Results are based on 13,528 civilians and 1392 veterans from NESARC-III. Among civilians, racial/ethnic minorities reported longer time to PTSD and depression treatment initiation than non-Hispanic whites. Among veterans, racial/ethnic minorities did not difer from whites in time to PTSD and depression treatment initiation, and showed shorter time to treatment initiation for alcohol-use disorder treatment. Racial/ethnic minorities with past year veteran healthcare coverage showed the strongest evidence for attenuated disparities.
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.