The mental health of U.S. military women in combat support occupations.
BACKGROUND
The proportion of women in the U.S. military is increasing, and they are being selected into jobs that are more combat related. However, the mental health effects of working in combat support occupations among military women have not been previously evaluated.


METHODS
Active-duty enlisted Navy and Marine Corps women in combat support (n = 10,299) and noncombat support (n = 63,478) occupations were followed for 2 years between January 1, 1994, and August 31, 2001. Hospitalization diagnoses were examined and organized into eight categories of mental disorders; Cox proportional hazards modeling was used to describe these outcomes.


RESULTS
Women in combat support occupations were found to be significantly less likely to be hospitalized for a mental disorder than women in all other military occupations.


CONCLUSIONS
These results are reassuring but may be confounded by a healthy worker selection effect. Further studies are needed to assess how service in combat support occupations affects the long-term health of U.S. military women.
Lindstrom
Krista E
KE
Department of Defense Center for Deployment Health Research at the Naval Health Research Center, San Diego, California, USA.
Smith
Tyler C
TC
Wells
Timothy S
TS
Wang
Linda Z
LZ
Smith
Besa
B
Reed
Robert J
RJ
Goldfinger
Wendy E
WE
Ryan
Margaret A K
MA
D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D001523:Mental Disorders / Q000145:classification / Q000453:epidemiology*; D008889:Military Personnel / Q000145:classification / Q000523:psychology*; D008890:Military Psychiatry; D009790:Occupations / Q000145:classification / Q000191:economics; D016016:Proportional Hazards Models; D011567:Psychiatric Department, Hospital / Q000706:statistics & numerical data*; D014481:United States; D014857:Warfare; D016387:Women's Health