Suchergebnisse

To help fill the gap in the research on the effectiveness of military family support programs, a RAND study explored the curriculum, themes, and outcomes of Operation Purple, a free weeklong summer camp program for youth with a deployed parent.

A series of studies was performed to explore the hypothesis that employees in windowless offices compensate for the lack of windows. In Experiment 1, students rated the degree to which they perceived various office features to be substitutes for windows. Analyses revealed four general categories of potential window substitutes: other apertures (e.g., skylights), paintings/art, living things (e.g., plants), and panels (e.g., light panels). Experiment 2 supported the external validity of the data in Experiment 1 in that full-time office workers produced virtually identical ratings of window substitutability. Experiment 3 was a field study of 173 offices. Measurements were made of the number and size of windows, number and size of all potential window substitutes, and size of wall space available for pictures. Size was measured in degrees of visual angle from the office workers' chairs. No evidence was obtained to indicate that any of the features measured were more prevalent or larger in offices without windows. Furthermore, power analyses indicated that the study had sufficient power to find such effects. Experiment 4 was designed to investigate other potential reasons for the use of the items that were examined in Experiment 3. Several reasons, such as space personalization, were found to be perceived by office occupants as more important than the desire to compensate for lack of windows.

Private contractors have been deployed extensively around the globe for the past decade and may be exposed to many of the stressors that are known to have physical and mental health implications for military personnel. Results from a RAND survey offer preliminary findings about the mental and physical health of contractors, their deployment experiences, and their access to and use of health care resources

The increase in suicides among military personnel has raised concern. This book reviews the current evidence on suicide epidemiology in the military, identifies state-of-the-art suicide-prevention programs, describes and catalogs suicide-prevention activities in the U.S. Department of Defense (DoD) and across each service, and recommends ways to ensure that the activities in DoD and across each service reflect state-of-the-art prevention science

Deployed contractors may be exposed to the same stressors as military personnel. A RAND survey examined the mental and physical health of contractors, their deployment experiences, and their access to and use of health care resources.

Since late 2001, U.S. military forces have been engaged in conflicts around the globe, most notably in Iraq and Afghanistan. These conflicts have exacted a substantial toll on soldiers, marines, sailors, and airmen, and this toll goes beyond the well-publicized casualty figures. It extends to the stress that repetitive deployments can have on the individual servicemember and his or her family. This stress can manifest itself in different ways—increased divorce rates, spouse and child abuse, mental distress, substance abuse—but one of the most troubling manifestations is suicide, which is increasing across the U.S. Department of Defense (DoD). The increase in suicides among members of the military has raised concern among policymakers, military leaders, and the population at large. While DoD and the military services have had a number of efforts under way to deal with the increase in suicides among their members, the Assistant Secretary of Defense for Health Affairs asked RAND to review the current evidence detailing suicide epidemiology in the military, identify "state-of-the-art" suicide-prevention programs, describe and catalog suicide-prevention activities in DoD and across each service, and recommend ways to ensure that the activities in DoD and across each service reflect state-of-the-art prevention science.

BACKGROUND: One in seven people living in the United Kingdom (UK) is an international migrant, rendering migrants an important population group with diverse and dynamic health and healthcare needs. However, there has been no attempt to map contemporary trends within migration health research conducted in the UK. The aim of this scoping review was to describe trends within migration health research and identify gaps for future research agendas. METHODS: PubMed and Embase were systematically searched for empirical research with a primary focus on the concepts "health" and "migrants" published between 2001 and 2019. Findings were analysed using the UCL-Lancet Commission on Migration and Health Conceptual Framework for Migration and Health. RESULTS: In total, 399 studies were included, with almost half (41.1%; 164/399) published in the last five years of the study period between 2015 and 2019 and a third (34.1%; 136/399) conducted in London. Studies included asylum seekers (14.8%; 59/399), refugees (12.3%; 49/399), and undocumented migrants or migrants with insecure status (3.5%; 14/399), but most articles (74.9%; 299/399) did not specify a migrant sub-group. The most studied health topics were specific disease outcomes such as infectious diseases (24.1% of studies) and mental health (19.1%) compared to examining systems or structures that impact health (27.8%), access to healthcare (26.3%), or specific exposures or behaviours (35.3%). CONCLUSIONS: There has been a growing interest in migration health. Ensuring a diverse geographic distribution of research conducted in the UK and disaggregation by migrant sub-group is required for a nuanced and region-specific understanding of specific health needs, interventions and appropriate service delivery for different migrant populations. More research is needed to understand how migration policy and legislation intersect with both the social determinants of health and access to healthcare to shape the health of migrants in the UK.

As the United States continues deployments of service members to support operations in Iraq and Afghanistan, it is increasingly important to understand the effects of this military involvement, not only on service members but also on the health and well-being of their spouses and youth. This article shares highlights from a study that examined the functioning of a sample of youth in military families who applied to a free camp for children of military personnel and to specifically assess how these youth are coping with parental deployment. It addresses the general well-being of military youth during and after parental deployment, with attention to their emotional, social, and academic functioning. It also examines the challenges that their nondeployed caregivers face. The study included quantitative and qualitative components: three waves of phone surveys with youth and nondeployed caregivers, and in-depth interviews with a subsample of caregivers. The researchers found that children and caregivers who had applied to attend the camp confronted significant challenges to their emotional well-being and functioning. Four factors in particular—(1) caregiver emotional well-being, (2) more cumulative months of deployment, (3) National Guard or Reserve status, and (4) quality of caregiver-youth communication—were strongly associated with greater youth or caregiver difficulties.

IntroductionDifficulties ascertaining migrant status in national data sources such as hospital records have limited large-scale evaluation of migrant healthcare needs in many countries, including England. Linkage of immigration data for migrants and refugees, with National Health Service (NHS) hospital care data enables research into the relationship between migration and health for a large cohort of international migrants.
ObjectivesWe aimed to describe the linkage process and compare linkage rates between migrant sub-groups to evaluate for potential bias for data on non-EU migrants and resettled refugees linked to Hospital Episode Statistics (HES) in England.
MethodsWe used stepwise deterministic linkage to match records from migrants and refugees to a unique healthcare identifier indicating interaction with the NHS (linkage stage 1 to NHS Personal Demographic Services, PDS), and then to hospital records (linkage stage 2 to HES). We calculated linkage rates and compared linked and unlinked migrant characteristics for each linkage stage.
ResultsOf the 1,799,307 unique migrant records, 1,134,007 (63%) linked to PDS and 451,689 (25%) linked to at least one hospital record between 01/01/2005 and 23/03/2020. Individuals on work, student, or working holiday visas were less likely to link to a hospital record than those on settlement and dependent visas and refugees. Migrants from the Middle East and North Africa and South Asia were four times more likely to link to at least one hospital record, compared to those from East Asia and the Pacific. Differences in age, sex, visa type, and region of origin between linked and unlinked samples were small to moderate.
ConclusionThis linked dataset represents a unique opportunity to explore healthcare use in migrants. However, lower linkage rates disproportionately affected individuals on shorter-term visas so future studies of these groups may be more biased as a result. Increasing the quality and completeness of identifiers recorded in administrative data could improve data linkage quality.

Introduction -- Part I: Understanding Technical Training and Flying Training -- Characteristics of the Technical Training Environment -- Characteristics of the Flying Training Environment -- Part II: Adapting and Pretesting the Survey Content and Administration -- Adapted and New Survey Content -- Survey Pretest Methods -- Part III: Survey System Recommendations -- When to Administer the Survey -- Who Should Participate in the Survey -- Confidentiality and Maximizing Survey Participation -- Technical and Human Resource Challenges to Resolve Before Implementing the Survey System -- Recommendations for Analyses and Reporting -- Conclusion -- Appendix A. Air Force and DoD Surveys That Assess Misconduct -- Appendix B. Enlisted Occupational Specialties Available to Non-Prior Service Students -- Appendix C. Survey Instrument -- Appendix D. Responsible Comparisons of Survey Results.