UK military women: mental health, military service and occupational adjustment.
Adult
Alcoholism
/ epidemiology
Combat Disorders
/ epidemiology
Female
Help-Seeking Behavior
Humans
Male
Mental Disorders
/ epidemiology
Mental Health
Military Health
/ statistics & numerical data
Military Personnel
/ psychology
Occupational Diseases
/ epidemiology
Risk Factors
Sex Factors
Stress Disorders, Post-Traumatic
/ epidemiology
United Kingdom
/ epidemiology
Alcohol
PTSD
help-seeking
mental health
military
women
Journal
Occupational medicine (Oxford, England)
ISSN: 1471-8405
Titre abrégé: Occup Med (Lond)
Pays: England
ID NLM: 9205857
Informations de publication
Date de publication:
20 06 2020
20 06 2020
Historique:
pubmed:
13
2
2020
medline:
18
11
2020
entrez:
13
2
2020
Statut:
ppublish
Résumé
Recently, the UK Armed Forces have revised the ground close combat role to include women. To assess the potential mental health impact of this initiative we examined gender differences in deployment patterns, work strain, occupational factors, mental health, alcohol use and help-seeking following operational deployment. The study was a secondary analysis of self-report survey data; 8799 men (88%) and 1185 women (12%) provided data. A sub-sample (47%, n = 4659) provided data concerning post-deployment help-seeking. The latter consisted of 408 women (8.8%) and 4251 men (91%). With the exception of alcohol misuse, which was significantly lower for women, women reported significantly more common mental disorder symptoms, subjective depression and self-harm. Women were significantly more likely to seek help from healthcare providers. Men were significantly more likely to have deployed operationally and for longer cumulative periods. Subjective work strain, but not job control, was significantly lower for women whose military careers were significantly shorter. Post-traumatic stress disorder (PTSD) symptom intensity was similar to men. With the exception of PTSD and alcohol misuse, UK military women experience more mental health-related problems than military men. This finding was not related to the more arduous aspects of military service as women served for shorter times, deployed less and for shorter cumulative periods and were less likely to report work-related stress.
Sections du résumé
BACKGROUND
Recently, the UK Armed Forces have revised the ground close combat role to include women.
AIMS
To assess the potential mental health impact of this initiative we examined gender differences in deployment patterns, work strain, occupational factors, mental health, alcohol use and help-seeking following operational deployment.
METHODS
The study was a secondary analysis of self-report survey data; 8799 men (88%) and 1185 women (12%) provided data. A sub-sample (47%, n = 4659) provided data concerning post-deployment help-seeking. The latter consisted of 408 women (8.8%) and 4251 men (91%).
RESULTS
With the exception of alcohol misuse, which was significantly lower for women, women reported significantly more common mental disorder symptoms, subjective depression and self-harm. Women were significantly more likely to seek help from healthcare providers. Men were significantly more likely to have deployed operationally and for longer cumulative periods. Subjective work strain, but not job control, was significantly lower for women whose military careers were significantly shorter. Post-traumatic stress disorder (PTSD) symptom intensity was similar to men.
CONCLUSIONS
With the exception of PTSD and alcohol misuse, UK military women experience more mental health-related problems than military men. This finding was not related to the more arduous aspects of military service as women served for shorter times, deployed less and for shorter cumulative periods and were less likely to report work-related stress.
Identifiants
pubmed: 32047934
pii: 5734277
doi: 10.1093/occmed/kqaa019
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
235-242Informations de copyright
© The Author(s) 2020. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com.