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Health and health care utilization among U.S. veterans denied VA disability compensation
Descriptive
TitleInfo
Title
Health and health care utilization among U.S. veterans denied VA disability compensation
SubTitle
a comparative analysis
Name
(type = personal)
NamePart
(type = family)
Fried
NamePart
(type = given)
Dennis Adrian
NamePart
(type = date)
1967-
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Dennis Adrian Fried
Role
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author
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(type = personal)
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(type = family)
Halperin
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(type = given)
William
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William Halperin
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Advisory Committee
Role
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chair
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(type = personal)
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(type = family)
Passannante
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(type = given)
Marian
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Marian Passannante
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Advisory Committee
Role
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(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
Holland
NamePart
(type = given)
Bart
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Bart Holland
Affiliation
Advisory Committee
Role
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(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
Helmer
NamePart
(type = given)
Drew
DisplayForm
Drew Helmer
Affiliation
Advisory Committee
Role
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(authority = RULIB)
outside member
Name
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NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
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NamePart
Graduate School - New Brunswick
Role
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(authority = RULIB)
school
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Text
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theses
OriginInfo
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2015
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(type = degree)
2015-01
CopyrightDate
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2015
Place
PlaceTerm
(type = code)
xx
Language
LanguageTerm
(authority = ISO639-2b);
(type = code)
eng
Abstract
(type = abstract)
Background: The general consensus in studies of individuals seeking federal disability compensation was that individuals denied disability compensation were healthier than those awarded. In contrast, studies of veterans seeking VA disability compensation suggest that denied applicants may be as impaired or more impaired than those awarded, and may use less health care. Because veterans denied VA disability compensation may have increased risks of poverty, homelessness, and poor long-term health, a more thorough understanding of their health, and health care utilization is warranted. Methods: This dissertation used data from the 2001 National Survey of Veterans (NSV). Overall self-reported health, physical and mental functioning, and limitations in activities of daily living were used as subjective measures of health status, while VA and non-VA outpatient health care visit counts were used to measure service-use intensity. In study 2, logistic regression was used to analyze associations between VA disability compensation award status and four separate measures of health status. In study 3, zero-inflated negative binomial regression was used to examine associations between VA outpatient health care visit counts and VA disability compensation award status, while zero-inflated poisson regression and negative binomial regression were used separately to examine associations between non-VA outpatient health care visit counts and VA disability compensation award status. All analyses were design-based. Results: VA disability compensation award status (denied vs. awarded) was associated with increased odds of poor overall health (OR = 1.49, 95% CI = 1.27, 1.75), limitations in activities of daily living (OR = 1.10, 95% CI = 1.01, 1.19), and never using VA outpatient health care (OR = 4.79, 95% CI = 1.58, 922), and decreased odds of better physical functioning (OR = 0.96, 95% CI = 0.95, 0.98). Conclusion: The broad picture of denied applicants that emerges from available data shows them, compared to awarded applicants, to have comparative poor health, and a greater likelihood of never using VA outpatient health care services.
Subject
(authority = RUETD)
Topic
Public Health
Subject
(authority = ETD-LCSH)
Topic
Veterans--Medical care--United States
Subject
(authority = ETD-LCSH)
Topic
Veterans' hospitals--United States
Subject
(authority = ETD-LCSH)
Topic
Disabled veterans
Subject
(authority = ETD-LCSH)
Topic
United States. Veterans Administration
RelatedItem
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TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
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ETD_6125
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electronic resource
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application/pdf
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text/xml
Extent
1 online resource (ix, 129 p. : ill.)
Note
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Ph.D.
Note
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Includes bibliographical references
Note
(type = statement of responsibility)
by Dennis Adrian Fried
RelatedItem
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TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier
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rucore19991600001
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(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/T3CN75MV
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
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The author owns the copyright to this work.
RightsHolder
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Name
FamilyName
Fried
GivenName
Dennis
MiddleName
Adrian
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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(point = start)
2014-12-30 09:00:01
AssociatedEntity
Name
Dennis Fried
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - New Brunswick
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime
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(qualifier = exact);
(point = start)
2015-01-31
DateTime
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(point = end)
2017-01-30
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after January 30th, 2017.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical
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ETD
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windows xp
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