Risk of Occupational and Non-occupational Injury among Employed Post-9/11 Veterans
Methods: Data were collected from n=260 Veterans enrolled in a randomized, controlled trial evaluating an intervention to improve workplace support for Veterans. Participants completed an online survey including demographic-, military-, and health-related items. Injury events were those leading to ≥4 hours of restricted activity, traumatic brain injury (TBI), or receipt of healthcare; a 6-month recall window was used. We computed odds of recent injury by characteristics of interest using multivariable logistic regression. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) controlled for age, gender, and military branch.
Results: Most participants were male (86%); mean age was 39 years. One-fifth (21%) reported recent injuries (11% incurred occupational; 14% incurred non-occupational; 3% incurred both types). Prevalence and potential risk factors for recent injury were similar by combat deployment history. However, those with high versus low combat exposure (aOR=1.5; CI=1.1-2.0) or probable deployment-related TBI (aOR=2.7; CI=1.4-5.2) had greater odds of injury. Higher versus lower levels of functional impairment (aOR=2.4; CI=1.3-4.5) and chronic pain (aOR=1.3; CI=1.2-4.1) were also associated with Veterans’ injuries.
Conclusions: A substantial proportion of employed Veterans incurred recent injuries, both occupational and non-occupational. Injuries were associated with traumatic exposures, functional impairment, and pain. Further research is needed to elucidate chronological relationships between deployment, health and functioning, and risk of injury.
Public health or related research
Evaluate the prevalence of occupational and non-occupational injury in a working population of post-9/11 military Veterans. Identify potential risk factors for injury in a working population of post-9/11 military Veterans. Analyze prevalence and potential risk factors for injury among employed post-9/11 Veterans by history of combat deployment.
Keyword(s): Veterans' Health, Violence & Injury Prevention
Qualified on the content I am responsible for because: I am trained in injury epidemiology, prevention, and control and have conducted research in Veterans' injury for nine years.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.