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  • University of Toronto Press Inc. (UTPress)  (9)
  • 1
    Online Resource
    Online Resource
    Description of a longitudinal cohort to study the health of Canadian Veterans living in Ontario
    University of Toronto Press Inc. (UTPress) ; 2016
    In:  Journal of Military, Veteran and Family Health Vol. 2, No. 1 ( 2016-04), p. 33-42
    Details
    In: Journal of Military, Veteran and Family Health, University of Toronto Press Inc. (UTPress), Vol. 2, No. 1 ( 2016-04), p. 33-42
    Abstract: Introduction: Social determinants of health are associated with the risk of disease and health services utilization. Understanding the distributions of sex, age, income, and other demographic variables in Canadian Veterans and how they change over time is necessary to optimize service delivery and enhance research validity. This study describes the demographic patterns over time and by age at release in an Ontario cohort of Canadian Armed Forces (CAF) and Royal Canadian Mounted Police (RCMP) Veterans following release. Methods: This is a retrospective cohort study using administrative healthcare data in Ontario from the Institute for Clinical Evaluative Sciences. Veterans were identified using codes housed at the Ministry of Health and Long-Term Care. A descriptive analysis of key demographic variables was presented and stratified by five-year time intervals following release (0–5 years, 5–10 years, 10–15 years, and 15–20 years) and age at release. Results: This cohort includes 23, 818 CAF and RCMP Veterans. At baseline, the average age of the cohort was 41, and 14% were female. Age-specific patterns of median community income and geographic location of residence were noted. In the first five years following release, younger Veterans had a lower income than older Veterans. The majority of older Veterans lived in the Ottawa and Kingston areas following release. Overall, the demographic profile of the cohort was stable over time. Discussion: We have identified a valuable resource to inform the development of relevant provincial public health policy and resource allocation for Veterans. The use of routinely collected healthcare data in Ontario will augment our current understanding of Veteran health in Canada.
    Type of Medium: Online Resource
    ISSN: 2368-7924
    URL: Article
    DOI: 10.3138/jmvfh.3721
    Language: English
    Publisher: University of Toronto Press Inc. (UTPress)
    Publication Date: 2016
    detail.hit.zdb_id: 2857260-9
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  • 2
    Online Resource
    Online Resource
    A new resource to study the health of military families in Ontario
    University of Toronto Press Inc. (UTPress) ; 2015
    In:  Journal of Military, Veteran and Family Health Vol. 1, No. 2 ( 2015-11), p. 3-4
    Details
    In: Journal of Military, Veteran and Family Health, University of Toronto Press Inc. (UTPress), Vol. 1, No. 2 ( 2015-11), p. 3-4
    Type of Medium: Online Resource
    ISSN: 2368-7924
    URL: Article
    DOI: 10.3138/jmvfh.1.2.002
    Language: English
    Publisher: University of Toronto Press Inc. (UTPress)
    Publication Date: 2015
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  • 3
    Online Resource
    Online Resource
    Public opinion of the Armed Forces in Canada, U.K. and the U.S.
    University of Toronto Press Inc. (UTPress) ; 2017
    In:  Journal of Military, Veteran and Family Health Vol. 3, No. 2 ( 2017-12), p. 2-3
    Details
    In: Journal of Military, Veteran and Family Health, University of Toronto Press Inc. (UTPress), Vol. 3, No. 2 ( 2017-12), p. 2-3
    Type of Medium: Online Resource
    ISSN: 2368-7924
    URL: Article
    DOI: 10.3138/jmvfh.3.2.002
    Language: English
    Publisher: University of Toronto Press Inc. (UTPress)
    Publication Date: 2017
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  • 4
    Online Resource
    Online Resource
    A new resource to study the health of Veterans in Ontario
    University of Toronto Press Inc. (UTPress) ; 2015
    In:  Journal of Military, Veteran and Family Health Vol. 1, No. 1 ( 2015-02), p. 3-5
    Details
    In: Journal of Military, Veteran and Family Health, University of Toronto Press Inc. (UTPress), Vol. 1, No. 1 ( 2015-02), p. 3-5
    Type of Medium: Online Resource
    ISSN: 2368-7924
    URL: Article
    DOI: 10.3138/jmvfh.1.1.3
    Language: English
    Publisher: University of Toronto Press Inc. (UTPress)
    Publication Date: 2015
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  • 5
    Online Resource
    Online Resource
    Are we family? A scoping review of how military families are defined in mental health and substance use research
    University of Toronto Press Inc. (UTPress) ; 2020
    In:  Journal of Military, Veteran and Family Health Vol. 6, No. 2 ( 2020-08-01), p. 85-119
    Details
    In: Journal of Military, Veteran and Family Health, University of Toronto Press Inc. (UTPress), Vol. 6, No. 2 ( 2020-08-01), p. 85-119
    Abstract: Introduction: While some families may experience poor mental health, substance use, and poor school performance due to service life, the usefulness and applicability of these research findings may be affected by how representative study participants are of the broader population. This article aims to examine how research on mental health and substance use defines a “military family” to understand if the current body of evidence reflects the increasing diversity of this population. Methods: A systematic search of academic articles was conducted in Ovid MEDLINE, Ovid Embase, Ovid PsycINFO, Ebsco CINAHL and ProQuest PILOTS using database-specific subject headings and keyword searches for ‘military’, ‘family’, ‘mental health’ and ‘substance use’. Sociodemographic and military characteristics of study participants were extracted to identify who was and was not included. Results: The most commonly represented family structure was the traditional, heteronormative family comprised of a male service member married to a female civilian with whom they have children. Military couples without children, dual-serving couples, families of LGBTQ personnel, unmarried and new relationships, single parents, male spouses/partners, Veterans not seeking Veterans Affairs (VA) services, and families with additional challenges were regularly not reflected in the research due to implicit or explicit exclusion from studies. Discussion: Research on mental health and substance use among the family members of service personnel continues to reflect the traditional, heteronormative family. Future studies should consider more inclusive definitions of family and creative approaches to recruitment to ensure research in this area reflects the experiences, needs, and strengths of an increasingly diverse military community.
    Type of Medium: Online Resource
    ISSN: 2368-7924
    URL: Article
    DOI: 10.3138/jmvfh-2019-0054
    Language: English
    Publisher: University of Toronto Press Inc. (UTPress)
    Publication Date: 2020
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  • 6
    Online Resource
    Online Resource
    Retrospective cohort study of outpatient mental health visits in children and youth in Canadian military families
    University of Toronto Press Inc. (UTPress) ; 2022
    In:  Journal of Military, Veteran and Family Health Vol. 8, No. 1 ( 2022-02-01), p. 110-124
    Details
    In: Journal of Military, Veteran and Family Health, University of Toronto Press Inc. (UTPress), Vol. 8, No. 1 ( 2022-02-01), p. 110-124
    Abstract: Introduction: This article contrasts the risk for outpatient mental health visits between children and youth in Canadian military families and those in the general population. Methods: This retrospective cohort study linked provincial administrative databases 2008-2013 until out-of-province relocation, death, or Dec. 31, 2016. Included were children and youth aged ≤ 19 years, with at least one parent in the Canadian Armed Forces (CAF), who relocated to Ontario. A general population comparator group was matched 4:1 on age, sex, and residential region. The outcome was one or more outpatient visit associated with a mental-health-related diagnosis with a family physician, pediatrician, or psychiatrist in the three years after relocation. Results: The study included 5,478 children and youth in CAF families and 21,912 comparator children and youth. Children and youth in CAF families were 10% (relative risk [RR] 1.10; 95% confidence interval [CI] , 1.04-1.17) more likely to have at least one outpatient mental-health-related visit than those in the general population, including a 72% higher risk of a pervasive developmental disorders visit (RR = 1.72; 95% CI, 1.39-2.12) and a 31% higher risk of a hyperkinetic syndrome visit (RR = 1.31; 95% CI, 1.22-1.52). Discussion: Children and youth with a parent in the military were more likely to have a mental-health-related outpatient physician visit than children and youth in the general population. Additional supports during stressful periods such as relocations, deployment, and re-integration, parental transition to civilian life, or family distress may be needed to prevent negative effects on growth and development.
    Type of Medium: Online Resource
    ISSN: 2368-7924
    URL: Article
    DOI: 10.3138/jmvfh-2021-0071
    Language: English
    Publisher: University of Toronto Press Inc. (UTPress)
    Publication Date: 2022
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  • 7
    Online Resource
    Online Resource
    Contemporary prescription opioid use for pain among Canadian Armed Forces Veterans in Ontario
    University of Toronto Press Inc. (UTPress) ; 2023
    In:  Journal of Military, Veteran and Family Health Vol. 9, No. 3 ( 2023-06-01), p. 3-7
    Details
    In: Journal of Military, Veteran and Family Health, University of Toronto Press Inc. (UTPress), Vol. 9, No. 3 ( 2023-06-01), p. 3-7
    Type of Medium: Online Resource
    ISSN: 2368-7924 , 2368-7924
    URL: Article
    DOI: 10.3138/jmvfh-2022-0027
    Language: English
    Publisher: University of Toronto Press Inc. (UTPress)
    Publication Date: 2023
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  • 8
    Online Resource
    Online Resource
    Investigating the association between Veteran status and rate of emergency department visits
    University of Toronto Press Inc. (UTPress) ; 2023
    In:  Journal of Military, Veteran and Family Health Vol. 9, No. 4 ( 2023-09-01), p. 63-76
    Details
    In: Journal of Military, Veteran and Family Health, University of Toronto Press Inc. (UTPress), Vol. 9, No. 4 ( 2023-09-01), p. 63-76
    Abstract: Introduction: Canadian Armed Forces (CAF) Veterans’ use of emergency department (ED) services could provide insight into unmet primary health care needs, signal health crises, and support policy and program development. Methods: This was a retrospective, matched cohort study of Ontario CAF and Royal Canadian Mounted Police Veterans and non-Veterans, using linked administrative databases at ICES. Ontario Veterans released between 1990 and 2019 were matched on age, sex, income, and geography to non-Veterans. Crude and adjusted relative ED visit rates were calculated using Andersen-Gill recurrent-event regression models. Effect modification by sex and length of service was investigated. Results: Crude ED visit rates of Veterans and matched non-Veterans were 3.20 (95% confidence interval [CI], 3.18–3.23) and 3.15 (95% CI, 3.13–3.16) per 10 person-years of follow-up time, respectively. The adjusted relative rate (RR) was 0.96 (95% CI, 0.93–0.98). The adjusted RR for male Veterans was significantly lower than that for non-Veterans, whereas the adjusted RR was similar for female Veterans and non-Veterans. Length of service was inversely associated with ED visitation rate. Veterans who served less than 5 years had a significantly higher ED visit rate than non-Veterans (RR = 1.17; 95% CI, 1.09–1.26), whereas Veterans who served for 30 years or more had a significantly lower ED visit rate than non-Veterans (RR = 0.78; 95% CI, 0.74–0.82). Discussion: Understanding what these different patterns mean for the design of health services and programs for female Veterans, and for those serving shorter durations, is needed to ensure relevant and timely support is provided.
    Type of Medium: Online Resource
    ISSN: 2368-7924 , 2368-7924
    URL: Article
    DOI: 10.3138/jmvfh-2023-0007
    Language: English
    Publisher: University of Toronto Press Inc. (UTPress)
    Publication Date: 2023
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  • 9
    Online Resource
    Online Resource
    Paternal alcohol misuse in UK military families: A cross-sectional study of child emotional and behavioural problems
    University of Toronto Press Inc. (UTPress) ; 2021
    In:  Journal of Military, Veteran and Family Health Vol. 7, No. 2 ( 2021-05-01), p. 81-92
    Details
    In: Journal of Military, Veteran and Family Health, University of Toronto Press Inc. (UTPress), Vol. 7, No. 2 ( 2021-05-01), p. 81-92
    Abstract: Introduction: This study explores the association between paternal alcohol misuse and child emotional and behavioural problems in a representative sample of UK military families. Methods: Cohort study data on paternal alcohol consumption were linked to survey data from UK military families on child outcomes. Paternal alcohol use was measured using the Alcohol Use Disorders Identification Test. Parents reported on child behavioural outcomes using the Strengths and Difficulties Questionnaire, measuring hyperactivity and inattention, emotional symptoms, conduct problems, peer relationship problems, prosocial behaviour, and total difficulties. Multivariable logistic regression accounted for survey weights and clustering. Effect modification by child age and gender and paternal mental health was explored. Results: A total of 595 fathers and 1,002 children were included in the study; 364 fathers were classed as misusing alcohol (weighted 62.3%). Paternal alcohol misuse was associated with higher odds of conduct disorders (OR 1.39; 95% CI, 0.98-1.98), although this association was not statistically significant ( p = 0.07). A significant association between paternal alcohol misuse and conduct disorders was apparent for girls and in the restricted analysis of the children of fathers who did not report symptoms of depression or posttraumatic stress disorder. Discussion: This study suggests that paternal alcohol misuse may have an effect on the well-being of children in military families. Further studies replicating this association are warranted.
    Type of Medium: Online Resource
    ISSN: 2368-7924
    URL: Article
    DOI: 10.3138/jmvfh-2019-0061
    Language: English
    Publisher: University of Toronto Press Inc. (UTPress)
    Publication Date: 2021
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