Behavioral health and sleep problems among US Army veterinarians and veterinary technicians participating in the Millennium Cohort Study.
Identifieur interne : 000015 ( Main/Exploration ); précédent : 000014; suivant : 000016Behavioral health and sleep problems among US Army veterinarians and veterinary technicians participating in the Millennium Cohort Study.
Auteurs : Anna C. Rivera ; Toni Rose Geronimo-Hara ; Cynthia A. Leardmann ; Elizabeth A. Penix ; Christopher J. Phillips ; Dennis J. Faix ; Rudolph P. Rull ; Deborah L. Whitmer ; Amy B. AdlerSource :
- Journal of the American Veterinary Medical Association [ 1943-569X ] ; 2021.
Descripteurs français
- KwdFr :
- MESH :
- médecine vétérinaire : Troubles de la veille et du sommeil.
- épidémiologie : Troubles de la veille et du sommeil.
- Animaux, Assistants vétérinaires, Humains, Personnel militaire, Vétérinaires, Études de cohortes.
English descriptors
- KwdEn :
- MESH :
- epidemiology : Sleep Wake Disorders.
- veterinary : Sleep Wake Disorders.
- Animal Technicians, Animals, Cohort Studies, Humans, Military Personnel, Veterinarians.
Abstract
OBJECTIVE
To determine the prevalences and relative odds of mental health problems, suicidal ideation, psychotropic medication use, problem drinking, trouble sleeping, and lack of social support among veterinarians and veterinary technicians, compared with other medical professionals, in the US Army.
SAMPLE
7,744 US Army personnel (957 officers [101 veterinarians and 856 physicians and dentists] and 6,787 enlisted personnel [334 veterinary technicians and 6,453 medics]) participating in the Millennium Cohort Study.
PROCEDURES
Eligible participants completed ≥ 1 survey while serving as an Army veterinarian, veterinary technician, physician, general dentist, or medic. Analysis methods including multivariable logistic regression adjusted for covariates and stratified by pay grade were used to investigate associations between each health-care occupation and outcomes of interest.
RESULTS
Veterinarians had higher reported prevalences of mental health problems, trouble sleeping, and lack of social support than did nontrauma physicians, trauma physicians, or dentists. On multivariable analysis, veterinarians had higher odds of mental health problems, trouble sleeping, and lack of social support, compared with physicians and dentists combined; odds for these outcomes were also higher for veterinarians, compared with various individual reference groups. Veterinary technicians had lower reported prevalence and lower odds of psychotropic medication use, compared with medics.
CONCLUSIONS AND CLINICAL RELEVANCE
Further examination of Army policies and organizational structures related to veterinarians may be warranted, along with the development of policies and interventions designed to improve mental health, sleep quality, and social support among military veterinarians.
DOI: 10.2460/javma.258.7.767
PubMed: 33754822
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Behavioral health and sleep problems among US Army veterinarians and veterinary technicians participating in the Millennium Cohort Study.</title><author><name sortKey="Rivera, Anna C" sort="Rivera, Anna C" uniqKey="Rivera A" first="Anna C" last="Rivera">Anna C. Rivera</name></author><author><name sortKey="Geronimo Hara, Toni Rose" sort="Geronimo Hara, Toni Rose" uniqKey="Geronimo Hara T" first="Toni Rose" last="Geronimo-Hara">Toni Rose Geronimo-Hara</name></author><author><name sortKey="Leardmann, Cynthia A" sort="Leardmann, Cynthia A" uniqKey="Leardmann C" first="Cynthia A" last="Leardmann">Cynthia A. Leardmann</name></author><author><name sortKey="Penix, Elizabeth A" sort="Penix, Elizabeth A" uniqKey="Penix E" first="Elizabeth A" last="Penix">Elizabeth A. Penix</name></author><author><name sortKey="Phillips, Christopher J" sort="Phillips, Christopher J" uniqKey="Phillips C" first="Christopher J" last="Phillips">Christopher J. Phillips</name></author><author><name sortKey="Faix, Dennis J" sort="Faix, Dennis J" uniqKey="Faix D" first="Dennis J" last="Faix">Dennis J. Faix</name></author><author><name sortKey="Rull, Rudolph P" sort="Rull, Rudolph P" uniqKey="Rull R" first="Rudolph P" last="Rull">Rudolph P. Rull</name></author><author><name sortKey="Whitmer, Deborah L" sort="Whitmer, Deborah L" uniqKey="Whitmer D" first="Deborah L" last="Whitmer">Deborah L. Whitmer</name></author><author><name sortKey="Adler, Amy B" sort="Adler, Amy B" uniqKey="Adler A" first="Amy B" last="Adler">Amy B. Adler</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2021">2021</date><idno type="RBID">pubmed:33754822</idno><idno type="pmid">33754822</idno><idno type="doi">10.2460/javma.258.7.767</idno><idno type="wicri:Area/Main/Corpus">000010</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000010</idno><idno type="wicri:Area/Main/Curation">000010</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000010</idno><idno type="wicri:Area/Main/Exploration">000010</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Behavioral health and sleep problems among US Army veterinarians and veterinary technicians participating in the Millennium Cohort Study.</title><author><name sortKey="Rivera, Anna C" sort="Rivera, Anna C" uniqKey="Rivera A" first="Anna C" last="Rivera">Anna C. Rivera</name></author><author><name sortKey="Geronimo Hara, Toni Rose" sort="Geronimo Hara, Toni Rose" uniqKey="Geronimo Hara T" first="Toni Rose" last="Geronimo-Hara">Toni Rose Geronimo-Hara</name></author><author><name sortKey="Leardmann, Cynthia A" sort="Leardmann, Cynthia A" uniqKey="Leardmann C" first="Cynthia A" last="Leardmann">Cynthia A. Leardmann</name></author><author><name sortKey="Penix, Elizabeth A" sort="Penix, Elizabeth A" uniqKey="Penix E" first="Elizabeth A" last="Penix">Elizabeth A. Penix</name></author><author><name sortKey="Phillips, Christopher J" sort="Phillips, Christopher J" uniqKey="Phillips C" first="Christopher J" last="Phillips">Christopher J. Phillips</name></author><author><name sortKey="Faix, Dennis J" sort="Faix, Dennis J" uniqKey="Faix D" first="Dennis J" last="Faix">Dennis J. Faix</name></author><author><name sortKey="Rull, Rudolph P" sort="Rull, Rudolph P" uniqKey="Rull R" first="Rudolph P" last="Rull">Rudolph P. Rull</name></author><author><name sortKey="Whitmer, Deborah L" sort="Whitmer, Deborah L" uniqKey="Whitmer D" first="Deborah L" last="Whitmer">Deborah L. Whitmer</name></author><author><name sortKey="Adler, Amy B" sort="Adler, Amy B" uniqKey="Adler A" first="Amy B" last="Adler">Amy B. Adler</name></author></analytic><series><title level="j">Journal of the American Veterinary Medical Association</title><idno type="eISSN">1943-569X</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Animal Technicians (MeSH)</term><term>Animals (MeSH)</term><term>Cohort Studies (MeSH)</term><term>Humans (MeSH)</term><term>Military Personnel (MeSH)</term><term>Sleep Wake Disorders (epidemiology)</term><term>Sleep Wake Disorders (veterinary)</term><term>Veterinarians (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Animaux (MeSH)</term><term>Assistants vétérinaires (MeSH)</term><term>Humains (MeSH)</term><term>Personnel militaire (MeSH)</term><term>Troubles de la veille et du sommeil (médecine vétérinaire)</term><term>Troubles de la veille et du sommeil (épidémiologie)</term><term>Vétérinaires (MeSH)</term><term>Études de cohortes (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Sleep Wake Disorders</term></keywords><keywords scheme="MESH" qualifier="médecine vétérinaire" xml:lang="fr"><term>Troubles de la veille et du sommeil</term></keywords><keywords scheme="MESH" qualifier="veterinary" xml:lang="en"><term>Sleep Wake Disorders</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Troubles de la veille et du sommeil</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Animal Technicians</term><term>Animals</term><term>Cohort Studies</term><term>Humans</term><term>Military Personnel</term><term>Veterinarians</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Animaux</term><term>Assistants vétérinaires</term><term>Humains</term><term>Personnel militaire</term><term>Vétérinaires</term><term>Études de cohortes</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine the prevalences and relative odds of mental health problems, suicidal ideation, psychotropic medication use, problem drinking, trouble sleeping, and lack of social support among veterinarians and veterinary technicians, compared with other medical professionals, in the US Army.</p></div><div type="abstract" xml:lang="en"><p><b>SAMPLE</b></p><p>7,744 US Army personnel (957 officers [101 veterinarians and 856 physicians and dentists] and 6,787 enlisted personnel [334 veterinary technicians and 6,453 medics]) participating in the Millennium Cohort Study.</p></div><div type="abstract" xml:lang="en"><p><b>PROCEDURES</b></p><p>Eligible participants completed ≥ 1 survey while serving as an Army veterinarian, veterinary technician, physician, general dentist, or medic. Analysis methods including multivariable logistic regression adjusted for covariates and stratified by pay grade were used to investigate associations between each health-care occupation and outcomes of interest.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Veterinarians had higher reported prevalences of mental health problems, trouble sleeping, and lack of social support than did nontrauma physicians, trauma physicians, or dentists. On multivariable analysis, veterinarians had higher odds of mental health problems, trouble sleeping, and lack of social support, compared with physicians and dentists combined; odds for these outcomes were also higher for veterinarians, compared with various individual reference groups. Veterinary technicians had lower reported prevalence and lower odds of psychotropic medication use, compared with medics.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS AND CLINICAL RELEVANCE</b></p><p>Further examination of Army policies and organizational structures related to veterinarians may be warranted, along with the development of policies and interventions designed to improve mental health, sleep quality, and social support among military veterinarians.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Automated" Owner="NLM"><PMID Version="1">33754822</PMID><DateCompleted><Year>2021</Year><Month>04</Month><Day>19</Day></DateCompleted><DateRevised><Year>2021</Year><Month>04</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1943-569X</ISSN><JournalIssue CitedMedium="Internet"><Volume>258</Volume><Issue>7</Issue><PubDate><Year>2021</Year><Month>Apr</Month><Day>01</Day></PubDate></JournalIssue><Title>Journal of the American Veterinary Medical Association</Title><ISOAbbreviation>J Am Vet Med Assoc</ISOAbbreviation></Journal><ArticleTitle>Behavioral health and sleep problems among US Army veterinarians and veterinary technicians participating in the Millennium Cohort Study.</ArticleTitle><Pagination><MedlinePgn>767-775</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2460/javma.258.7.767</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the prevalences and relative odds of mental health problems, suicidal ideation, psychotropic medication use, problem drinking, trouble sleeping, and lack of social support among veterinarians and veterinary technicians, compared with other medical professionals, in the US Army.</AbstractText><AbstractText Label="SAMPLE" NlmCategory="METHODS">7,744 US Army personnel (957 officers [101 veterinarians and 856 physicians and dentists] and 6,787 enlisted personnel [334 veterinary technicians and 6,453 medics]) participating in the Millennium Cohort Study.</AbstractText><AbstractText Label="PROCEDURES" NlmCategory="METHODS">Eligible participants completed ≥ 1 survey while serving as an Army veterinarian, veterinary technician, physician, general dentist, or medic. Analysis methods including multivariable logistic regression adjusted for covariates and stratified by pay grade were used to investigate associations between each health-care occupation and outcomes of interest.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Veterinarians had higher reported prevalences of mental health problems, trouble sleeping, and lack of social support than did nontrauma physicians, trauma physicians, or dentists. On multivariable analysis, veterinarians had higher odds of mental health problems, trouble sleeping, and lack of social support, compared with physicians and dentists combined; odds for these outcomes were also higher for veterinarians, compared with various individual reference groups. Veterinary technicians had lower reported prevalence and lower odds of psychotropic medication use, compared with medics.</AbstractText><AbstractText Label="CONCLUSIONS AND CLINICAL RELEVANCE" NlmCategory="CONCLUSIONS">Further examination of Army policies and organizational structures related to veterinarians may be warranted, along with the development of policies and interventions designed to improve mental health, sleep quality, and social support among military veterinarians.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rivera</LastName><ForeName>Anna C</ForeName><Initials>AC</Initials></Author><Author ValidYN="Y"><LastName>Geronimo-Hara</LastName><ForeName>Toni Rose</ForeName><Initials>TR</Initials></Author><Author ValidYN="Y"><LastName>LeardMann</LastName><ForeName>Cynthia A</ForeName><Initials>CA</Initials></Author><Author ValidYN="Y"><LastName>Penix</LastName><ForeName>Elizabeth A</ForeName><Initials>EA</Initials></Author><Author ValidYN="Y"><LastName>Phillips</LastName><ForeName>Christopher J</ForeName><Initials>CJ</Initials></Author><Author ValidYN="Y"><LastName>Faix</LastName><ForeName>Dennis J</ForeName><Initials>DJ</Initials></Author><Author ValidYN="Y"><LastName>Rull</LastName><ForeName>Rudolph P</ForeName><Initials>RP</Initials></Author><Author ValidYN="Y"><LastName>Whitmer</LastName><ForeName>Deborah L</ForeName><Initials>DL</Initials></Author><Author ValidYN="Y"><LastName>Adler</LastName><ForeName>Amy B</ForeName><Initials>AB</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Vet Med Assoc</MedlineTA><NlmUniqueID>7503067</NlmUniqueID><ISSNLinking>0003-1488</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D017750" MajorTopicYN="Y">Animal Technicians</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000818" MajorTopicYN="N">Animals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008889" MajorTopicYN="Y">Military Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012893" MajorTopicYN="Y">Sleep Wake Disorders</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000662" MajorTopicYN="N">veterinary</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018634" MajorTopicYN="Y">Veterinarians</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>3</Month><Day>23</Day><Hour>12</Hour><Minute>18</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2021</Year><Month>3</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>4</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33754822</ArticleId><ArticleId IdType="doi">10.2460/javma.258.7.767</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Adler, Amy B" sort="Adler, Amy B" uniqKey="Adler A" first="Amy B" last="Adler">Amy B. Adler</name><name sortKey="Faix, Dennis J" sort="Faix, Dennis J" uniqKey="Faix D" first="Dennis J" last="Faix">Dennis J. Faix</name><name sortKey="Geronimo Hara, Toni Rose" sort="Geronimo Hara, Toni Rose" uniqKey="Geronimo Hara T" first="Toni Rose" last="Geronimo-Hara">Toni Rose Geronimo-Hara</name><name sortKey="Leardmann, Cynthia A" sort="Leardmann, Cynthia A" uniqKey="Leardmann C" first="Cynthia A" last="Leardmann">Cynthia A. Leardmann</name><name sortKey="Penix, Elizabeth A" sort="Penix, Elizabeth A" uniqKey="Penix E" first="Elizabeth A" last="Penix">Elizabeth A. Penix</name><name sortKey="Phillips, Christopher J" sort="Phillips, Christopher J" uniqKey="Phillips C" first="Christopher J" last="Phillips">Christopher J. Phillips</name><name sortKey="Rivera, Anna C" sort="Rivera, Anna C" uniqKey="Rivera A" first="Anna C" last="Rivera">Anna C. Rivera</name><name sortKey="Rull, Rudolph P" sort="Rull, Rudolph P" uniqKey="Rull R" first="Rudolph P" last="Rull">Rudolph P. Rull</name><name sortKey="Whitmer, Deborah L" sort="Whitmer, Deborah L" uniqKey="Whitmer D" first="Deborah L" last="Whitmer">Deborah L. Whitmer</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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