Send to

Choose Destination
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

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


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%.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center