Military service and men's health trajectories in later life.

OBJECTIVES This study examines differences in the relationship between veteran status and men's trajectories of health conditions, activities of daily living limitations, and self-rated health. METHODS We use data on 12,631 men drawn from the 1992-2006 waves of the Health and Retirement Study to estimate growth curve models that examine differences in health trajectories between nonveterans and veterans, veterans with and without wartime service, and war service veterans who served during World War II, Korea, Vietnam, and multiple wars. RESULTS The results indicate that veterans have better health at the mean age of 66.2 years, but experience greater age-related changes in health than nonveterans. Similarly, men who served during wartime have better health at the mean age, but more age-related changes in health than men who did not serve during wartime. Among war veterans, Vietnam veterans are in poorer health at the mean age, but they experience less substantial age-related health changes than men who served during previous wars. DISCUSSION Although veterans experience better health relative to nonveterans around retirement age, they have poorer health than nonveterans among the oldest old. These findings inform our understanding of the veteran-nonveteran health-mortality paradox found in previous research and suggest a health crossover among veterans and nonveterans in later life.

[1]  R. Settersten.  Invitation to the Life Course: Towards new understandings of later life , 2002 .

[2]  E. Clipp,et al.  Combat Experience, Comradeship, and Psychological Health , 1988 .

[3]  G. Elder,et al.  World War II and Divorce: A Life-Course Perspective , 1990, American Journal of Sociology.

[4]  Jay Teachman,et al.  Military Service during the Vietnam Era: Were There Consequences for Subsequent Civilian Earnings? , 2004 .

[5]  J. Teachman,et al.  Life-Course Timing and Sequencing of Marriage and Military Service and Their Effects on Marital Stability. , 1996 .

[6]  J. Krystal.  Trauma and the Vietnam War Generation , 1992, The Yale Journal of Biology and Medicine.

[7]  G. Vaillant.  Shared Beginnings, Divergent Lives: Delinquent Boys to Age 70 , 2005 .

[8]  Joshua Angrist,et al.  Why Do World War II Veterans Earn More than Nonveterans? , 1989, Journal of Labor Economics.

[9]  Amy C. Lutz.  Who Joins the Military?: A Look at Race, Class, and Immigration Status , 2008 .

[10]  B. Teerawichitchainan,et al.  The long-term impact of war on health and wellbeing in Northern Vietnam: some glimpses from a recent survey. , 2012, Social science & medicine.

[11]  Lynda A. King,et al.  War-Zone Exposure and Long-Term General Life Adjustment Among Vietnam Veterans: Findings From Two Perspectives1 , 2004 .

[12]  John Modell,et al.  The Social Impact of War , 1991 .

[13]  R. Keehn.  Follow-up studies of world war II and Korean conflict prisoners. III. Mortality to January 1, 1976. , 1980, American journal of epidemiology.

[14]  G. Beebe,et al.  Follow-up studies of World War II and Korean war prisoners. II. Morbidity, disability, and maladjustments. , 1975, American journal of epidemiology.

[15]  E. Clipp,et al.  Combat experience and emotional health: impairment and resilience in later life. , 1989, Journal of personality.

[16]  J. Teachman,et al.  Wages, Earnings, and Occupational Status: Did World War II Veterans Receive a Premium? , 2004 .

[17]  E. Clipp,et al.  Linking combat and physical health: the legacy of World War II in men's lives. , 1997, The American journal of psychiatry.

[18]  Glen H. Elder,et al.  Military times and turning points in men's lives. , 1986 .

[19]  Joshua D. Angrist,et al.  Lifetime Earnings and the Vietnam Era Draft Lottery: Evidence from Social Security Administrative Records , 1990 .

[20]  O. Deschenes,et al.  The Long-Term Impact of Military Service on Health: Evidence from World War II and Korean War Veterans. , 2006, The American economic review.

[21]  P. Schnurr,et al.  Combat-related posttraumatic stress disorder symptoms in older men. , 1994, Psychology and aging.

[22]  Health status of Vietnam veterans. II. Physical Health. The Centers for Disease Control Vietnam Experience Study. , 1988, JAMA.

[23]  E. Clipp,et al.  When war comes to men's lives: life-course patterns in family, work, and health. , 1994, Psychology and aging.

[24]  Alison H. Paris,et al.  Physician-diagnosed medical disorders in relation to PTSD symptoms in older male military veterans. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[25]  Paul R. Sackett,et al.  Assessing Fitness for Military Enlistment: Physical, Medical, and Mental Health Standards , 2006 .

[26]  Carlos Dobkin,et al.  The Health Effects of Military Service: Evidence from the Vietnam Draft , 2009 .

[27]  Glen H. Elder,et al.  War mobilization and the life course: A cohort of World War II veterans , 1987 .

[28]  Federal Inter-Agency Forum on Aging Related Stats.  Older Americans 2012: Key Indicators of Well-Being , 2012 .

[29]  J. Vaupel,et al.  Men: good health and high mortality. Sex differences in health and aging , 2008, Aging clinical and experimental research.

[30]  C. Aldwin,et al.  Vulnerability and resilience to combat exposure: can stress have lifelong effects? , 1994, Psychology and aging.

[31]  Robert J. Sampson,et al.  Socioeconomic Achievement in the Life Course of Disadvantaged Men: Military Service as a Turning Point, Circa 1940-1965 , 1996 .

[32]  H. James.  VARIETIES OF SELECTION BIAS , 1990 .

[33]  B. Kahana,et al.  Human adaptation to extreme stress : from the Holocaust to Vietnam , 1988 .

[34]  E. Clipp,et al.  The Lifelong Mortality Risks of World War II Experiences , 2009, Research on aging.

[35]  A. MacLean.  Lessons from the Cold War: Military Service and College Education , 2005 .

[36]  Han K. Kang,et al.  The Effect of Veteran Status on Mortality among Older Americans and its Pathways , 2005 .

[37]  A. London,et al.  Military Service and (Dis)Continuity in the Life Course , 2006 .

[38]  J. Talbott,et al.  Aging and posttraumatic stress disorder , 1996 .

[39]  J. Teachman,et al.  The Effect of Military Service on Educational, Occupational, and Income Attainment , 1996 .

[40]  G. Elder,et al.  Military Service in the Life Course , 2007 .