2020
DOI: 10.1186/s12889-020-09300-5
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Hospital admissions for non-communicable disease in the UK military and associations with alcohol use and mental health: a data linkage study

Abstract: Background Since the recent conflicts in Iraq and Afghanistan, the short-term focus of military healthcare research has been on the consequences of deployment for mental health and on those wounded or injured in combat. Now that these conflicts have ended for the UK Armed Forces, it is important to consider the longer term physical and mental health consequences, and just as importantly, the links between these. The aims of this study were to determine the most common physical conditions requiring a hospital a… Show more

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Cited by 6 publications
(5 citation statements)
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References 59 publications
(74 reference statements)
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“…Finally, the current study used the full consented sample (n = 8,602) as the denominator for analyses, rather than only those who were matched (n = 6,336). Efforts were taken to reduce potential sources of bias by comparing any differences between the matched (n = 6,336) and unmatched (n = 8,602) samples; differences were very minimal and have been reported previously [ 23 ]. The greatest difference between these samples was by presence of NHS number, which would be expected given this was used in the matching process.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Finally, the current study used the full consented sample (n = 8,602) as the denominator for analyses, rather than only those who were matched (n = 6,336). Efforts were taken to reduce potential sources of bias by comparing any differences between the matched (n = 6,336) and unmatched (n = 8,602) samples; differences were very minimal and have been reported previously [ 23 ]. The greatest difference between these samples was by presence of NHS number, which would be expected given this was used in the matching process.…”
Section: Discussionmentioning
confidence: 99%
“…A data linkage was conducted between a large UK military cohort study and electronic secondary healthcare records for admissions to hospital in England, Wales and Scotland [ 22 , 23 ]. The exposures were measured at phase 2 of the cohort study (described below) which took place between 2007 and 2009.…”
Section: Methodsmentioning
confidence: 99%
“…Our study includes a large sample of British servicewomen and is the first to explore associations with exercise behaviors and job demands, important in the development of outcomes associated with the Triad/RED-S (17). Eating disorders and/or common mental disorders are associated with an increased risk of physical ill health (15,43), medical downgrading (44), and leaving employment (45) in service personnel, and menstrual disturbances, injury, and poorer physical performance in female athletes (1,2). Therefore, these data have important implications for managing the health of servicewomen.…”
Section: Discussionmentioning
confidence: 99%
“…In the US, higher health service use among Veterans is often linked to elevated likelihood of adverse health outcomes, particularly among older Veterans: risk factors like smoking and alcohol misuse and higher rates of cardiovascular disease [ 50 ], mental disorders [ 50 ], and osteoarthritis [ 51 ] have been identified as drivers of this higher service use, as have higher frailty scores [ 52 ]. Veterans in New Zealand are reported to have higher hospitalization rates than the general public [ 53 ]; in the UK, Veterans with a self-reported mental health problem are more likely to be admitted to hospital for a chronic condition (e.g., hypertension, gastrointestinal disorders, joint disorders) [ 54 ]. There is also substantial concern about lack of access to mental health services and stigma in seeking mental health care [ 55 ].…”
Section: Discussionmentioning
confidence: 99%