Social Determinants of Veterans' Health
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Service-Connected Disability Differences (County, Percentage, Age, Sex) • Largest counties- Maricopa/Pima • 57% of Veterans are receiving 30% to 90% compensation • 30% of Veterans receive 0% to 20% disability compensation • 13% of Veterans are receiving 100% compensation • 44% are 65 years and older • 10% are women 0% to 20% 30% to 40% 50% to 60% 70% to 90% 100% 17-44 45-64 65 or older Male Female Maricopa 62,036 18,051 10,102 9,358 15,867 8,658 18,762 18,743 24,530 55,428 6,608 Mohave 4,921 1,416 698 706 1,251 850 710 1,144 3,067 4,590 331 Navajo 1,569 472 243 195 412 247 262 369 938 1,460 109 Pima 21,837 6,326 3,962 3,551 5,303 2,695 5,531 7,208 9,097 19,215 2,622 Pinal 7,425 2,228 1,242 1,083 1,783 1,089 1,527 1,957 3,941 6,827 598 Santa Cruz 408 110 52 74 113 59 104 117 187 369 39 Yavapai 5,255 1,582 797 746 1,233 897 817 1,338 3,100 4,802 453 Yuma 4,475 1,214 786 738 1,165 572 1,398 1,349 1,728 4,054 421 County Name Total: Disability Compensation Service-connected Disability Rating Age Sex Social Determinants of Health (1 of 2) • Finance • Fewer Veterans (7.6%) lived at or below poverty level than non-Veterans (8.3%). • Mental and Emotional Health • ~12% of all homeless adults are Veterans of any race and ethnicity. • Nearly 35% of Veterans have a lifetime prevalence of PTSD. • Physical Health and Functional Limitations • 40% of Veterans have at least one chronic health condition- bone, joint, muscle pain; hypertension, high cholesterol, metabolic disorder, diabetes, insomnia, TBI, headache, cardiovascular disease. Social Determinants of Health (2 of 2) • Healthcare and VHA Utilization • Approximately 51% Veterans used at least one VA benefit or service in FY19, up 2% from FY17. • M age, male = 64; M age, female = 48 are using VHA resources • Veterans between 25 and 34 AND over 65 are more likely to use VA benefits and receive disability compensation compared to Veterans of other ages. • Native Hawaiian/Pacific Islander (59%), Black (54%), and Hispanic (53%) Veterans have a higher utilization rate of VA benefits than any other racial group while American Indian/Alaskan (41%) native and Other (42%) race Veterans are the least likely to utilize VA benefits. • Substance Use • Approximately, 34% of all veterans are binge drinkers, while 1 in 10 suffer from alcohol use disorder. • 40% of veterans use tobacco in some form. Recommendations (1 of 2) • Mentoring and Networking. Veterans are seeking mentors who can not only assist in navigating the job market, but who can help them grow professionally with an understanding of their military background, unique skills, and the life experiences that set them apart from the non-veteran population. • Peer Support. The Veteran’s small share of the population both underscores the need for and represents a challenge in creating spaces for veterans to connect. This is particularly evident at the point of transition to civilian life, during which many veterans feel overwhelmed with their numerous and evolving obligations. Peer support groups facilitate the expression of their shared challenges and concerns while building support systems that fight against isolation. • Environment. Veterans who experienced trauma may be less likely to participate in a mixed- sex environment. Creating effective services and programming exclusively for Veterans (and of equal quality as the mixed-gender programming) is an important component to improving resources and creating more inclusive environments for Veterans that have experienced severe trauma. Recommendations (2 of 2) • Access to Resources. Let’s be honest, many Veterans lack a clear understanding of the resources at their disposal and how to navigate them in a timely manner. In response, orientation programs have proven beneficial for Veterans by preparing them with the expectations and information to choose the right solutions for their individual needs. We need to get Veterans the updated information and encourage them to become empowered in self- care. • Taught Resilience. The good news is that resilience can be taught; Veterans tend to leverage a unique formula of social support, spirituality, and self-care to overcome their sense of isolation and to form new identities post-service. Research shows that women Veterans are better at this than male Veterans. Women Veterans hold more positions in leadership within business, government, and local communities, thrive through challenging times. How can we learn from this and get male Veterans to do the same? How can we leverage the success of the some to assist the masses to thrive? Arizona Veterans: A Deep Dive Veteran Population Female Unemployment Rate Below Poverty Level Disability Rate Median Personal Income 483,026 8.2% 6.8% 7.6% 29.9% $36,161 Arizona Less than HS High School or Equivalent Some College Bachelor's Degree or Higher 5.4% 22.2% 42.8% 29.6% Education Attainment (Veterans 25 years and older) Gulf War II Gulf War I Vietnam Era Korean War World War II 13.7% 18.5% 37.4% 11.4% 5.6% Period of Service 18 to 34 35 to 54 55 to 64 65 to 74 75 + 8.1% 21.7% 18.2% 27.2% 24.9% Age Distribution White Black or African American American Indian and Alaska Native Asian Native Hawaiian and Other Pacific Islander Some other race Hispanic or Latino (of any race) 88.9% 4.6% 1.6% 1.0% N/A 1.9% 11.1% Race and Ethnicity Centers for Veteran Sub-Populations • The Center for Minority Veterans (CMV) recognizes four challenges that minority Veterans currently face: homelessness, awareness of VA benefits, chronic diseases, and unemployment. • The Center for Women Veterans (CWV) recognizes four challenges that women Veterans currently face: homelessness (4x risk of men); mental health challenges (sexual harassment or assault* while in service); identifying as a Veteran due to lack of resources in their local community (35% men v. 54% women); lack of peer connections.