Response to 'Further information about the latest study of UK nuclear test veterans' by Susie Boniface
Abstract: We thank Susie Boniface for her interest in our editorial. Her letter is wide-ranging. We largely limit our response to matters relating to mortality and incidence of cancer in the epidemiological studies of UK nuclear test veterans. Epidemiology deals only with effects on groups and we cannot comment on any individual cases. Nor do we comment on groups other than those included in this study; some of these other groups have been specifically discussed by Gillies and Haylock (2022). Equally, we do not express any views on criteria for awarding disability pensions. However, we respond to the other points in her letter. Ms Boniface suggests that our conclusion ‘further research is required’ is not very satisfactory. We agree. However, we have a situation where there are suggestive hints of excess disease in veterans compared to controls. In the editorial we discuss possible reasons for this without finding a convincing candidate. More data might clarify the situation.
Abstract: The unique demands of military life can adversely impact romantic relationships; however, research has mainly focused on these adverse outcomes at one-time point, overlooking changes over time or potential positive outcomes. Using a subsample of 3,845 male and female military personnel and veterans from a large UK dataset, this study examined positive and negative changes in relationship satisfaction between two-time points (2007–2009; 2014–2016). Most participants reported no change in their relationship satisfaction, suggesting stability − 8% reported a positive change and 10% a negative change. Positive change was associated with being in a long-term relationship, alcohol misuse remission, and persistent alcohol misuse. Negative change was associated with the onset of mental health problems (probable PTSD, CMD, or alcohol misuse) and having children under 18. Some factors, like increasing age, childhood family relationship adversity, and mental health problems, were associated with both positive and negative changes in relationship satisfaction. This study highlights the complexity of factors associated with relationship satisfaction among military personnel and veterans, with some experiencing positive changes, as well as negative changes over time.