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Characterization of occupational, demographic and health determinants in Canadian reservists veterans and the relationship with poor self-rated health.

ABSTRACT: BACKGROUND:Self-rated health is an useful indicator of the general health in specific populations and used to propose interventions after service in the military context. However, there is scarce literature about self- rated health (SRH) in the Canadian Veterans of the Reserve Force and its relationship with demographic, health and occupational characteristics of this specific group. The aims of this research were to determine the SRH in Canadian Reserve Force Veterans and to explore the relationship between demographic, military service and health factors by reserve class. METHODS:Data from the individuals was collected from the Life After Service (LASS) 2013 survey, including Veterans with Reserve Class C (n?=?922) and Class A/B (n?=?476). Bivariate and multivariate analysis using logistic regression models, were used to assess the association between the demographic characteristics, physical health, mental health, and military service characteristics and the self-rate health by both reserve classes. RESULTS:The overall prevalence of poor SRH in Reserve Class C Veterans was 13.1% (CI:11.08-15.4) and for Reserve Class A/B was 6.9% (CI:5.0-9.1). Different degrees of associations were observed during the bivariate analysis and two different models were produced for each reserve class. Veterans of Reserve Class C showed that being single was (OR?=?2.76, CI: 1.47-5.16), being 50-59?years old (OR?=?4.6, CI: 1.28-17.11), reporting arthritis (OR?=?2.49, CI: 1.33-4.67), back problems (OR?=?3.02, CI:1.76-5.16), being obese (OR?=?1.96, CI: 1.13-3.38), depression (OR?=?2.34, CI: 1.28-4.20), anxiety (OR?=?4.11, CI: 2.00-8.42), PTSD (OR?=?2.1 CI: 0.98-4.47), PTSD (OR?=?20.9, CI:0.98-4.47) and being medically released (OR?=?4.48, CI: 2.43-8.24) were all associated with higher odds of poor SRH. The Reserve Class A/B model showed that completing high school (OR?=?4.30, CI: 1.37-13.81), reporting arthritis (6.60, CI: 2.15-20.23), diabetes (OR?=?11.19, CI: 2.72-46.0), being obese (OR?=?3.37, CI: 1.37-8.27), daily smoking (OR?=?2.98, CI: 1.05-8.38), having anxiety (OR?=?9.8, CI: 3.70-25.75) were associated with higher odds of poor SRH. CONCLUSIONS:These results suggested that the relationship of poor SRH with demographic, health and military occupation domains varied depending on the class on the Reserve Force Service. Different strengths of association showed different risk compositions for both populations. This can be used to better understand the health and well-being of Veterans of the Reserve Force.

SUBMITTER: Reyes J

PROVIDER: S-EPMC7418300 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Characterization of occupational, demographic and health determinants in Canadian reservists veterans and the relationship with poor self-rated health.

Reyes Julian J Sweet Jill J MacLean MaryBeth M Poirier Alain A VanTil Linda L

Health and quality of life outcomes 20200810 1

<h4>Background</h4>Self-rated health is an useful indicator of the general health in specific populations and used to propose interventions after service in the military context. However, there is scarce literature about self- rated health (SRH) in the Canadian Veterans of the Reserve Force and its relationship with demographic, health and occupational characteristics of this specific group. The aims of this research were to determine the SRH in Canadian Reserve Force Veterans and to explore the ...[more]

PMID: 32778105

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Project description:BackgroundTo adopt a healthy lifestyle is considered an essential component of nursing education. Self-rated health is a subjective assessment of health status and is consistent with objective health status. Previous studies have shown an association between self-rated health and engagement in a healthy lifestyle. Nursing students need to feel good about their subjective health status and to be able to adopt health improvements in their lifestyle before attempting to disseminate health messages to clients. The aims of this study were to compare the difference in self-rated health and health promotion lifestyle profile between senior and junior nursing students, describe correlations between self-rated health and health promotion lifestyle profile, and identify the predictors of self-rated health.MethodsA cross-sectional descriptive survey was adopted. The study sample consisted of 314 junior and senior year nursing students from a tertiary institution. The self-reported questionnaire consisted of a single-item question to examine their self-rated health. The Health Promoting Lifestyle Profile-II: Chinese version short form (HPLP-IICR) was used to investigate the health-promoting lifestyles of the students. Descriptive statistics, Mann-Whitney U test, Chi-square test, Fisher's exact test, Spearman's correlation, and ordinal logistic regression were used to analyze the data.ResultsThe median scores for self-rated health were 3 (Mean 3.26, IQR 3-4) and 3 (Mean 3.19, IQR 3-4) out of 5 for Year 2 and Year 5 students, respectively, with no significant difference between the two groups. The two groups of students showed no significant differences in overall score and in most subscales of the HPLP-IICR. An ordinal logistic regression showed that those students with higher health management score (OR: 1.12, 95% CI: 1.04-1.21) and who had experienced no family conflicts in the recent month than having family conflict (OR: 1.64, 95% CI: 1.01-2.66) were more likely to have higher self-rated health.ConclusionNursing education and clinical practice can undoubtedly increase the health knowledge of students, but may not lead to changes in actual health-promoting behaviours. Students with a higher health management score and no family conflicts are more likely to give a positive appraisal of their health status.

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Characterization of occupational, demographic and health determinants in Canadian reservists veterans and the relationship with poor self-rated health.

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Characterization of occupational, demographic and health determinants in Canadian reservists veterans and the relationship with poor self-rated health.

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