UK military women: mental health, military service and occupational adjustment.


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
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

235-242

Informations 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.

Auteurs

N Jones (N)

Academic Department of Military Mental Health, Weston Education Centre, King's College London, London, UK.

M Jones (M)

King's Centre for Military Health Research, Weston Education Centre, King's College London, London, UK.

N Greenberg (N)

Academic Department of Military Mental Health, Weston Education Centre, King's College London, London, UK.

A Phillips (A)

Academic Department of Military Mental Health, Weston Education Centre, King's College London, London, UK.

A Simms (A)

Academic Department of Military Mental Health, Weston Education Centre, King's College London, London, UK.

S Wessely (S)

King's Centre for Military Health Research, Weston Education Centre, King's College London, London, UK.

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