Population Representation in the Military ServicesFY 2014

Quester, Aline O.; Shuford, Robert; Gregory, David; Ladner, Justin

doi:10.21236/ad1007507

Cited by 4 publications

(3 citation statements)

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“…The sample also lacked substantial racial or gender diversity, with 60.2% Caucasians and 90% men. These percentages are not far from those in the population of enlisted U.S. military persons, however (70% Caucasians, 15% women; Quester & Shuford, 2017). Still, findings cannot be readily generalized to women or those outside of U.S. military culture.…”

Section: Limitationsmentioning

confidence: 72%

Coping and quality of life in veterans with chronic posttraumatic stress disorder.

2020

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Combat-related traumatic experiences can impact numerous aspects of life, including one’s mental and physical health. Coping has been identified as one possible mitigating factor. In addition to general coping, religious coping might be particularly relevant for coping with combat trauma, given that a veteran’s religious framework can serve as an interpretive lens for such stressors. Consequently, treatment models that focus on improving coping skills, via increased use of adaptive and decreased use of maladaptive coping strategies, might provide an enhanced quality of life. Thus, we investigated the potential unique effects of coping on quality of life for veterans in residential treatment for combat-related posttraumatic stress disorder (PTSD). This prospective study included 279 veterans with PTSD who were seeking treatment at a residential facility after minimal or no improvement through standard outpatient treatments. General and religious coping were both uniquely related to various facets of subjective quality of life, both cross-sectionally and over time. Specifically, religious coping was found to be one of the most robust predictors of quality of life, with positive religious coping being associated with greater quality of life, and negative religious coping being associated with decreased quality of life. Findings suggest that clinicians treating those with severe combat-related PTSD should address the entire range of coping options, and that treatments should focus on both general and religious coping strategies as part of a comprehensive protocol.

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Section: Limitationsmentioning

confidence: 72%

Coping and quality of life in veterans with chronic posttraumatic stress disorder.

2020

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Section: Discussionmentioning

confidence: 85%

“…To maintain a high level of quality in clinical research, the NIH expects that sex will be factored into research design, analysis, and reporting of all human studies. 40 Despite representing only 15% of the total military force, 44 females accounted for 39.1% of the patients 43 mHHS at 10-to 55-mo follow-up 11 of 14 (78.6%) females were in the medical disability evaluation board group vs only 3 of 19 (15.8%) males.58% of female patients were somewhat or very satisfied with the results of their procedure at final follow-up vs 86% of male patients.No sex difference in mHHS once MEB status was accounted for. Ernat (2015) 17 Return-to-duty status at minimum 2-y follow-up Male-to-female comparison: no significant differences in pain on VAS (P ¼ .102); no significant differences in pain and function via the NAHS (P ¼ .886) Bennett (2016) 5 Pain VAS, NAHS, FAA Mean change in VAS pain for overall cohort: 25.7 (95% CI, 19.4-31.99); difference between males and females (P ¼ .102) Mean change in NAHS for overall cohort: 15.9 (95% CI, 12.…”

Section: Discussionmentioning

confidence: 99%

Are We Able to Determine Differences in Outcomes Between Male and Female Servicemembers Undergoing Hip Arthroscopy? A Systematic Review

Rhon

Greenlee

Dickens

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Female servicemembers sustain higher rates of lower extremity injuries as compared with their male counterparts. This can include intra-articular pathology in the hip. Female patients are considered to have worse outcomes after hip arthroscopy for femoroacetabular impingement and for hip labral repair. Purpose: To (1) compare published rates of hip arthroscopy between male and female military servicemembers and (2) determine if there are any sex-based differences in outcomes after hip arthroscopy in the military. Study Design: Systematic review; Level of evidence, 3. Methods: We reviewed the literature published from January 1, 2000, through December 31, 2020, to identify studies in which hip arthroscopy was performed in military personnel. Clinical trials and cohort studies were included. The proportion of women within each cohort was identified, and results of any between-sex analyses were reported. Results: Identified were 11 studies that met established criteria. Studies included 2481 patients, 970 (39.1%) of whom were women. Surgery occurred between January 1998 and March 2018. Despite women accounting for approximately 15% of the active-duty military force, they represented 39.1% (range, 25.7%-57.6%) of patients undergoing hip arthroscopy. In most cases, there were no differences in self-reported outcomes (pain, disability, and physical function), return to duty, or medical disability status based on sex. Conclusion: Women account for approximately 15% of the military, but they made up 40% of patients undergoing hip arthroscopy. Outcomes were not different between the sexes; however, definitive conclusions were limited by the heterogeneity of outcomes, missing data, lack of sex-specific subgroup analyses, and zero studies with sex differences as the primary outcome. A proper understanding of sex-specific outcomes after hip arthroscopy will require a paradigm shift in the design and reporting of trials in the military health system.

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Military Fractures: Overtraining, Accidents, Casualties, and Fragility

Wheeler

Wenke

2018

Clinic Rev Bone Miner Metab

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Population Representation in the Military ServicesFY 2014

Cited by 4 publications

References 0 publications

Coping and quality of life in veterans with chronic posttraumatic stress disorder.

Coping and quality of life in veterans with chronic posttraumatic stress disorder.

Are We Able to Determine Differences in Outcomes Between Male and Female Servicemembers Undergoing Hip Arthroscopy? A Systematic Review

Military Fractures: Overtraining, Accidents, Casualties, and Fragility

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