The Effects of Combat Deployments on Veterans' Outcomes

Bruhn, Jesse; Greenberg, Kyle; Gudgeon, Matthew; Rose, E.A.; Shem-Tov, Yotam

doi:10.3386/w30622

Cited by 5 publications

(9 citation statements)

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Section: Discussioncontrasting

confidence: 99%

“…Our findings differ from Bruhn et al (2023), who find that combat deployments do not lead to an increase in disability payments and have limited effects on noncombat deaths and suicide. However, it is worth noting that our study differs from Bruhn et al (2023) in at least two dimensions. First, while we identify the impact of conflict exposure among the deployed, their focus is on the effects of deployment compared to those who were not deployed.…”

Section: Discussioncontrasting

confidence: 99%

“…To our knowledge, this study is the first in economics literature to present such evidence. This article also contributes to the broader literature in economics studying the implications of deployments and armed combat exposure on the wellbeing of US service members (Angrist et al., 2010, 2011; Bruhn et al., 2023; Cesur et al., 2022; Lindo & Stoecker, 2014; Rohlfs, 2010; Sabia & Skimmyhorn, 2023).…”

Section: Introductionmentioning

confidence: 91%

“…For example, in the context of the U.S. Army, Bruhn et al. (2023, p. 8) describe the conditions necessary for conditional random assignment of units at the brigade level:

[B]rigade assignments are as good as random conditional on MOS [military occupation specialty], duty‐station, contract term‐length, and arrival time. Intuitively, the residual variation left‐over after conditioning on these fixed effects is driven by idiosyncratic choices made by the [Human Resources Command] career manager.…”

Section: Identificationmentioning

confidence: 99%

“…11 As of October 2018, all 50 states and the District of Columbia have some form of PDMP. Only five state PDMPs are administered by law enforcement agencies.12 In addition, newly recruited servicemembers were given mandatory drug tests within 72 h of entering active duty service.13 In addition,Bruhn et al (2023) note the following about post-2004 combat deployments, which also made it more likely that assignments…”

mentioning

confidence: 99%

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The effect of combat deployments on veteran opioid abuse

Cesur,

Sabia,

Bradford

2024

Health Economics

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Grim national statistics about the U.S. opioid crisis are increasingly well known to the American public. Far less well known is that U.S. servicemembers are at ground zero of the epidemic, with veterans facing an overdose death rate of up to twice that of civilians. Exploiting a quasi‐experiment in overseas deployment assignment, this study estimates the causal impact of combat exposure among the deployed in the Global War on Terrorism on opioid abuse. We find that exposure to war theater substantially increased the risk of prescription painkiller abuse and illicit heroin use among active duty servicemen. The magnitudes of our estimates imply lower‐bound combat exposure‐induced healthcare costs of $1.04 billion per year for prescription painkiller abuse and $470 million per year for heroin use.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 91%

“…For example, in the context of the U.S. Army, Bruhn et al. (2023, p. 8) describe the conditions necessary for conditional random assignment of units at the brigade level:

Section: Identificationmentioning

confidence: 99%

mentioning

confidence: 99%

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The effect of combat deployments on veteran opioid abuse

Cesur,

Sabia,

Bradford

2024

Health Economics

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The Effects of Combat Deployments on Veterans’ Outcomes

Bruhn,

Greenberg,

Gudgeon

et al. 2024

Journal of Political Economy

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Armed Violent Conflict and Healthcare-Seeking Behavior for Maternal and Child Health in Sub-Saharan Africa: A Systematic Review

Adeyanju,

Elisabeth Schrage,

Jalo

et al. 2024

Preprint

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BackgroundOver 630 million women and children worldwide face displacement due to conflict or resided dangerously close to conflicts zones. While the adverse effects of physical destruction on healthcare delivery are relatively well understood, the effects on healthcare-seeking behavior remain underexplored, especially in sub-Saharan Africa. This study aims at the interconnections and knowledge gaps between exposure to armed violent conflicts and healthcare-seeking behaviors for maternal and child health in Sub-Saharan Africa.MethodsFive key electronic databases (PubMed, Scopus, Web of Science, PsycNET, and African Journals Online) weresearched for peer-reviewed publications between 2000 and 2022. The review was designed according to PRISMA-P statement and the protocol was registered with PROSPERO database. The methodological quality and risks of bias were appraised using GRADE. A data extraction instrument was modelled along the Cochrane Handbook for Systematic Reviews and the Centre for Reviews and Dissemination of Systematic Reviews.ResultThe search results yielded 1,148 publications. Only twenty-one studies met the eligibility criteria, reporting healthcare-seeking behaviors for maternal and child health. Among the twenty-one studies, seventeen (81.0%) reported behaviors for maternal health such as antenatal care, skilled birth attendance, postnatal care services, and family planning. Similarly, nine studies (42.8%) observed behaviors for child health such as vaccination uptake, case management for pneumonia, diarrhea, malnutrition, and cough. While conflict exposure is generally associated with less favorable healthcare-seeking behavior, in some of the studies, healthcare outcomes improved. Marital status, male partner’s attitude, education, income and poverty levels were associated with healthcare-seeking behavior.ConclusionThere is need for multifaceted interventions to mitigate the repercussions of armed violent conflicts on healthcare-seeking behavior, given its mixed effects on child and maternal healthcare utilization. While armed violent conflict disproportionately affects child compared to maternal health, it is noteworthy that, exposure to such conflicts may unintentionally also lead to positive outcomes.Prospero registration numberCRD42023484004.

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The Effects of Combat Deployments on Veterans' Outcomes

Cited by 5 publications

References 0 publications

The effect of combat deployments on veteran opioid abuse

The effect of combat deployments on veteran opioid abuse

The Effects of Combat Deployments on Veterans’ Outcomes

Armed Violent Conflict and Healthcare-Seeking Behavior for Maternal and Child Health in Sub-Saharan Africa: A Systematic Review

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