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Population attributable fractions of psychiatric disorders and behavioral outcomes associated with combat exposure among US men

Author

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  • Prigerson, H.G.
  • Maciejewski, P.K.
  • Rosenheck, R.A.

Abstract

Objectives. This study determined the percentage of adverse outcomes in US men attributable to combat exposure. Methods. Standardized psychiatric interviews (modified Diagnostic Interview Schedule and Composite International Diagnostic Interview assessments) were administered to a representative national sample of 2583 men aged 18 to 54 in the National Comorbidity Survey part II subsample. Results. Adjusted attributable fraction estimates indicated that the following were significantly attributable to combat exposure: 27.8% of 12-month posttraumatic stress disorder, 7.4% of 12-month major depressive disorder, 8% of 12-month substance abuse disorder, 11.7% of 12-month job loss, 8.9% of current unemployment, 7.8% of current divorce or separation, and 21% of current spouse or partner abuse. Conclusions. Combat exposure results in substantial morbidity lasting decades and accounts for significant and multifarious forms of dysfunction at the national level.

Suggested Citation

  • Prigerson, H.G. & Maciejewski, P.K. & Rosenheck, R.A., 2002. "Population attributable fractions of psychiatric disorders and behavioral outcomes associated with combat exposure among US men," American Journal of Public Health, American Public Health Association, vol. 92(1), pages 59-63.
    • Handle: RePEc:aph:ajpbhl:2002:92:1:59-63_9
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    Cited by:

    1. Purtle, Jonathan, 2016. "“Heroes' invisible wounds of war:” constructions of posttraumatic stress disorder in the text of US federal legislation," Social Science & Medicine, Elsevier, vol. 149(C), pages 9-16.
    2. Yu-Chu Shen & Jeremy Arkes & Boon Wah Kwan & Lai Yee Tan & Thomas V. Williams, 2009. "The Effect of OEF/OIF Deployment Intensity on the Rate of Posttraumatic Stress Disorder Among Active Duty Population," NBER Working Papers 15203, National Bureau of Economic Research, Inc.
    3. Michael P. Atkinson & Adam Guetz & Lawrence M. Wein, 2009. "A Dynamic Model for Posttraumatic Stress Disorder Among U.S. Troops in Operation Iraqi Freedom," Management Science, INFORMS, vol. 55(9), pages 1454-1468, September.
    4. Christina Dillahunt-Aspillaga & Dezon Finch & Jill Massengale & Tracy Kretzmer & Stephen L Luther & James A McCart, 2014. "Using Information from the Electronic Health Record to Improve Measurement of Unemployment in Service Members and Veterans with mTBI and Post-Deployment Stress," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-21, December.

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