Association of military deployment of a parent or spouse and changes in dependent use of health care services

Medical Care
Mary Jo LarsonChristopher Tompkins

Abstract

U.S. Armed Forces members and spouses report increased stress associated with combat deployment. It is unknown, however, whether these deployment stressors lead to increased dependent medication use and health care utilization. To determine whether the deployment of Army active duty members (sponsors) is associated with changes in dependent health care utilization. A quasi-experimental, pre-post study of health care patterns of more than 55,000 nonpregnant spouses and 137,000 children of deployed sponsors and a comparison group of dependents. Changes in dependent total utilization in the military health system, and separately in military-provided and purchased care services in the year following the sponsors' deployment month for office visit services (generalist, specialist); emergency department visits; institutional stays; psychotropic medication (any, antidepressant, antianxiety, antistimulant classes). Sponsor deployment was associated with net increased use of specialist office visits (relative percent change 4.2% spouses; 8.8% children), antidepressants (6.7% spouses; 17.2% children), and antianxiety medications (14.2% spouses; 10.0% children; P<0.01) adjusting for group differences. Deployment was consistently associate...Continue Reading

References

Sep 22, 2005·Military Medicine·John H NewbyAnn E Norwood
Oct 12, 2005·The Psychiatric Quarterly·Stephen J CozzaJames A Polo
Aug 10, 2006·Military Medicine·Seth A EisenUNKNOWN Gulf War Study Partcipating Investigators
Mar 3, 2007·American Journal of Epidemiology·E Danielle RentzDeborah A Gibbs
Aug 2, 2007·JAMA : the Journal of the American Medical Association·Deborah A GibbsRuby E Johnson
Nov 15, 2007·JAMA : the Journal of the American Medical Association·Charles S MillikenCharles W Hoge
Apr 19, 2008·Military Medicine·Gillian K SteelFisherRobert J Blendon
Jul 10, 2008·Journal of Clinical Psychology·Alan LincolnMia Shorteno-Fraser
May 9, 2009·Current Opinion in Psychiatry·Alexander C McFarlane
Jan 15, 2010·The New England Journal of Medicine·Alyssa J MansfieldCharles C Engel
Oct 19, 2010·The American Journal of Orthopsychiatry·Ruth ParisMichelle L Acker
Nov 10, 2010·Pediatrics·Gregory H GormanElizabeth Hisle-Gorman
Apr 28, 2011·International Review of Psychiatry·Claire J WhiteAmy C Iversen

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Citations

Apr 4, 2014·Health & Social Work·Abigail M Ross, Ellen R DeVoe
Oct 8, 2013·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Catherine Ling, Heather Johnson
Dec 15, 2015·Clinical Psychology Review·Candice A AlfanoDeborah C Beidel
Aug 27, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Gregory P MooreMalia J Moore
Jul 18, 2015·Nursing Outlook·Jennifer TrautmannDeborah Gross
Mar 17, 2015·Child and Adolescent Psychiatric Clinics of North America·Michael E FaranMark D Weist
Aug 28, 2016·Pediatric Clinics of North America·Suzie C NelsonChristina G Weston
Feb 27, 2018·Paediatrics & Child Health·Anne Rowan-Legg
Jan 11, 2019·The Journal of Behavioral Health Services & Research·Nikki R WootenKendall D Moore
Jul 8, 2018·Disability and Health Journal·Marji Erickson WarfieldMary Jo Larson
Jun 1, 2016·Sleep Health·Stephanie Brooks HollidayWendy M Troxel
May 18, 2021·Pediatric Radiology·Veronica J RooksShalon M Nienow

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