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Mil Med. 2016 Mar;181(3):219-26. doi: 10.7205/MILMED-D-14-00694.

Disability Among Veterans: Analysis of the National Survey of Veterans (1997-2001).

Author information

1
Center for the Study of Chronic Illness and Disability, George Mason University, 4400 University Drive, MSN 5B7, Fairfax, VA 22033.
2
Department of Global and Community Health, George Mason University, 4400 University Drive, MSN 5B7, Fairfax, VA 22033.
3
IMPAQ International, 10420 Little Patuxent Parkway, Suite 300, Columbia, MD 21044.

Abstract

This manuscript assesses whether the Veterans Administration Rating System (VADR) correlates with self-reported activities of daily living (ADL) used in the National Survey of Veterans and likelihood of employment. Veterans' disability benefits are determined based on a single-index standardized rating scheme, measured at time of discharge. The primary aim of this study was to assess how this single-index rating of disability for veterans compares to multidimensional measures of disability (ADL and instrumental activities of daily living [IADL]). The relationship between disability ratings and labor market outcomes such as job search behavior and the likelihood of being employed was assessed. Successful labor market reintegration requires both physical/mental well-being, we examined the extent that VADR can capture the relationship between job market behavior and measures of mental/physical health. Kernel regression estimates were obtained of the likelihood of working/looking for work. Mean numbers of IADL and ADL difficulties and medical conditions were positively associated with VADR (p-trend < 0.001). An inverse relationship was observed with VADR and predicted probability of working (p-trend < 0.001). The combination of >4 ADL/IADL deficits and mental health diagnosis increased the likelihood of not working. The probability of not working correlated with VADR when VADR was greater than 40%.

PMID:
26926746
DOI:
10.7205/MILMED-D-14-00694
[Indexed for MEDLINE]

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