We Also Served: The Health and Well-Being of Female Veterans in the UK
Abstract: Women’s integration into the UK Armed Forces has resulted from a number of policy changes over the decades. Women now make up 11% of the UK Armed Forces and veteran population. However, research focused on female veterans in the UK is limited and not enough is known about their health, well-being, and Service experiences. In recognition of this, in June 2020, the Cobseo Female Veteran Cluster Group, supported by NHS England and NHS Improvement,commissioned the VFI to undertake a scoping study into the health and well-being needs of female veterans in the UK, identify gaps in research utilising national and international research and to provide a framework for prioritising research and other activities in the UK going forward. This report details the findings.
Abstract: Objectives: Increasing numbers of older adults are reentering community following incarceration (i.e., reentry), yet risk of incident neurodegenerative disorders associated with reentry is unknown. Our objective was to determine association between reentry status (reentry vs never-incarcerated) and mild cognitive impairment (MCI) and/or dementia. Methods: This nationwide, longitudinal cohort study used linked Centers for Medicare & Medicaid Services and Veterans Health Administration data. Participants were aged 65 years or older who experienced reentry between October 1, 2012, and December 31, 2018, with no preincarceration MCI/dementia, compared with age-matched/sex-matched never-incarcerated veterans. MCI/dementia was defined by diagnostic codes. Fine-Gray proportional hazards models were used to examine association. Results: This study included 35,520 veterans, mean age of 70 years, and approximately 1% women. The reentry group (N = 5,920) had higher incidence of MCI/dementia compared with the never-incarcerated group (N = 29,600; 10.2% vs 7.2%; fully adjusted hazard ratio [aHR] 1.12; 95% CI 1.00-1.25). On further investigation, reentry was associated with increased risk of dementia with or without prior MCI diagnosis (aHR 1.21; 95% CI 1.06-1.39) but not MCI only. Discussion: Transition from incarceration to community increased risk of neurocognitive diagnosis. Findings indicate health/social services to identify and address significant cognitive deficits on late-life reentry. Limitations include generalizability to nonveterans.