Skip to main content

Advertisement

Log in

Health related quality of life among military personnel: what socio-demographic factors are important?

  • Published:
Applied Research in Quality of Life Aims and scope Submit manuscript

Abstract

Health related quality of life (HRQOL) is an important indicator of health status. Knowledge about factors related to HRQOL among military personnel may assist in designing programs to maximize their fitness and readiness for action when called upon. The aim of present study was to assess the HRQOL of military personnel in Iran, compare it to that of other populations in Iran and the U.S., and identify socio-demographic variables related to HRQOL in Iranian military personnel. Using a cross-sectional design, 502 male military personnel were recruited across the country. The SF-36 health survey was used to assess health status and demographic characteristics. Student t-test and multiple regression analysis were used to examine the associations between socio-demographic variables and HRQOL. Subscale scores on the SF-36 were also compared to those in the general population. The mean age of participants was 33.0 (SD, 6.8) with an average working experience of 13.5 (SD, 6.2) years. Physical functioning was higher than other components of HRQOL. The mean scores for physical and mental subscale scores were 46.1 (8.6) and 46.6 (9.7), respectively. Significant differences were found on subscale scores of HRQOL between participants and the general population (p < 0.01). Variables such as age, marital status, disease history, and health status were associated with several components of HRQOL. These findings should assist in the development of programs to enhance HRQOL among military personnel, and underscore the need for further research to better understand the components of health status in soldiers and other military personnel.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Barrett, D. H., Boehmer, T. K., Boothe, V. L., Flanders, W. D., & Barrett, D. H. (2003). Health-related quality of life of U.S. military personnel: a population-based study. Military Medicine, 168(11), 941–947.

    Google Scholar 

  • Bircher, J. (2005). Towards a dynamic definition of health and disease. Medicine, Health Care and Philosophy, 8(3), 335–341. doi:10.1007/s11019-005-0538-y.

    Article  Google Scholar 

  • Brown, D. S., Jia, H., Zack, M. M., Thompson, W. W., Haddix, A. C., & Kaplan, R. M. (2013). Using health-related quality of life and quality-adjusted life expectancy for effective public health surveillance and prevention. Expert Review of Pharmacoeconomics & Outcomes Research, 13(4), 425–427. doi:10.1586/14737167.2013.818816.

    Article  Google Scholar 

  • Buckman, J. E., Sundin, J., Greene, T., Fear, N. T., Dandeker, C., Greenberg, N., et al. (2011). The impact of deployment length on the health and well-being of military personnel: a systematic review of the literature. Occupational and Environmental Medicine, 68(1), 69–76. doi:10.1136/oem.2009.054692.

    Article  Google Scholar 

  • Cassedy, A., Drotar, D., Ittenbach, R., Hottinger, S., Wray, J., Wernovsky, G., et al. (2013). The impact of socio-economic status on health related quality of life for children and adolescents with heart disease. Health and Quality of Life Outcomes, 11, 99. doi:10.1186/1477-7525-11-99.

    Article  Google Scholar 

  • CDC, Health-Related Quality of Life (HRQOL) (2011). Centers for Disease Control and Prevention http://www.cdc.gov/hrqol/concept.htm. Accessed 2013-09-28.

  • Chai, L. Y., Ong, K. C., Kee, A., Earnest, A., Lim, F. C., & Wong, J. C. (2009). A prospective cohort study on the impact of a modified Basic Military Training (mBMT) programme based on pre-enlistment fitness stratification amongst Asian military enlistees. Annals of the Academy of Medicine, Singapore, 38(10), 862–868.

    Google Scholar 

  • Crosby, R. D., Kolotkin, R. L., & Williams, G. R. (2003). Defining clinically meaningful change in health-related quality of life. Journal of Clinical Epidemiology, 56(5), 395–407.

    Article  Google Scholar 

  • Glad, D., Skillgate, E., & Holm, L. W. (2012). The occurrence and severity of musculoskeletal disorders in Swedish military personnel during peacekeeping operations in Afghanistan. European Spine Journal, 21(4), 739–744. doi:10.1007/s00586-011-2142-6.

    Article  Google Scholar 

  • Haddock, C. K., Poston, W. S., Pyle, S. A., Klesges, R. C., Vander Weg, M. W., Peterson, A., et al. (2006). The validity of self-rated health as a measure of health status among young military personnel: evidence from a cross-sectional survey. Health and Quality of Life Outcomes, 4, 57. doi:10.1186/1477-7525-4-57.

    Article  Google Scholar 

  • Harbertson, J., Grillo, M., Zimulinda, E., Murego, C., Cronan, T., May, S., et al. (2013). Prevalence of PTSD and depression, and associated sexual risk factors, among male Rwanda Defense Forces military personnel. Tropical Medicine and International Health, 18(8), 925–933. doi:10.1111/tmi.12129.

    Article  Google Scholar 

  • Hauret, K. G., Jones, B. H., Bullock, S. H., Canham-Chervak, M., & Canada, S. (2010). Musculoskeletal injuries description of an under-recognized injury problem among military personnel. American Journal of Preventive Medicine, 38(1 Suppl), S61–S70. doi:10.1016/j.amepre.2009.10.021.

    Article  Google Scholar 

  • Health-Related Quality of Life and Well-Being (2010). U.S. Department of Health and Human Services. http://www.healthypeople.gov/2020/about/qolwbabout.aspx. Accessed 2013-09-28

  • Heir, T., & Glomsaker, P. (1996). Epidemiology of musculoskeletal injuries among Norwegian conscripts undergoing basic military training. Scandinavian Journal of Medicine and Science in Sports, 6(3), 186–191.

    Article  Google Scholar 

  • Ho, R. (2006). Handbook of univariate and multivariate data analysis and interpretation with SPSS. Boca Raton: Chapman & Hall/CRC.

    Book  Google Scholar 

  • Hosmer, D. W., & Lemeshow, S. (1999). Applied survival analysis : regression modeling of time to event data (Wiley series in probability and statistics Texts and references section). New York: Wiley.

    Google Scholar 

  • Hou, N., Chui, M. A., Eckert, G. J., Oldridge, N. B., Murray, M. D., & Bennett, S. J. (2004). Relationship of age and sex to health-related quality of life in patients with heart failure. American Journal of Critical Care, 13(2), 153–161.

    Google Scholar 

  • Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: a review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21–37.

    Article  Google Scholar 

  • Ishida, Y., Honda, M., Kamibeppu, K., Ozono, S., Okamura, J., Asami, K., et al. (2011). Social outcomes and quality of life of childhood cancer survivors in Japan: a cross-sectional study on marriage, education, employment and health-related QOL (SF-36). International Journal of Hematology, 93(5), 633–644. doi:10.1007/s12185-011-0843-6.

    Article  Google Scholar 

  • Jacobson, I. G., Horton, J. L., Leardmann, C. A., Ryan, M. A., Boyko, E. J., Wells, T. S., et al. (2012). Posttraumatic stress disorder and depression among U.S. military health care professionals deployed in support of operations in Iraq and Afghanistan. Journal of Traumatic Stress, 25(6), 616–623. doi:10.1002/jts.21753.

    Article  Google Scholar 

  • Jia, H., Moriarty, D. G., & Kanarek, N. (2009). County-level social environment determinants of health-related quality of life among US adults: a multilevel analysis. Journal of Community Health, 34(5), 430–439. doi:10.1007/s10900-009-9173-5.

    Article  Google Scholar 

  • Kalwij, A. S., Alessie, R. J., & Knoef, M. G. (2013). The association between individual income and remaining life expectancy at the age of 65 in the Netherlands. Demography, 50(1), 181–206. doi:10.1007/s13524-012-0139-3.

    Article  Google Scholar 

  • Lane, M. E., Hourani, L. L., Bray, R. M., & Williams, J. (2012). Prevalence of perceived stress and mental health indicators among reserve-component and active-duty military personnel. American Journal of Public Health, 102(6), 1213–1220. doi:10.2105/AJPH.2011.300280.

    Article  Google Scholar 

  • LeardMann, C. A., Powell, T. M., Smith, T. C., Bell, M. R., Smith, B., Boyko, E. J., et al. (2013). Risk factors associated with suicide in current and former US military personnel. JAMA, 310(5), 496–506. doi:10.1001/jama.2013.65164.

    Article  Google Scholar 

  • Lerdal, A., Andenaes, R., Bjornsborg, E., Bonsaksen, T., Borge, L., Christiansen, B., et al. (2011). Personal factors associated with health-related quality of life in persons with morbid obesity on treatment waiting lists in Norway. Quality of Life Research, 20(8), 1187–1196. doi:10.1007/s11136-011-9865-z.

    Article  Google Scholar 

  • Lindstrom, M. (2009). Marital status, social capital, material conditions and self-rated health: a population-based study. Health Policy, 93(2–3), 172–179. doi:10.1016/j.healthpol.2009.05.010.

    Article  Google Scholar 

  • Mageroy, N., Riise, T., Johnsen, B. H., & Moen, B. E. (2007). Health-related quality of life in the Royal Norwegian Navy: does officer rank matter? Military Medicine, 172(8), 835–842.

    Google Scholar 

  • Manuel, D. G., & Schultz, S. E. (2004). Health-related quality of life and health-adjusted life expectancy of people with diabetes in Ontario, Canada, 1996-1997. Diabetes Care, 27(2), 407–414.

    Article  Google Scholar 

  • Mbawalla, H. S., Masalu, J. R., & Astrom, A. N. (2010). Socio-demographic and behavioural correlates of oral hygiene status and oral health related quality of life, the Limpopo-Arusha school health project (LASH): a cross-sectional study. BMC Pediatrics, 10, 87. doi:10.1186/1471-2431-10-87.

    Article  Google Scholar 

  • McMillan, F. D. (2006). Calls attention to difference between quality of life and health status. Journal of the American Veterinary Medical Association, 229(1), 26. doi:10.2460/javma.229.1.26.

    Article  Google Scholar 

  • Montazeri, A., Goshtasebi, A., Vahdaninia, M., & Gandek, B. (2005). The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Quality of Life Research, 14(3), 875–882.

    Article  Google Scholar 

  • Moradkhani, A., Beckman, L. J., & Tabibian, J. H. (2013). Health-related quality of life in inflammatory bowel disease: psychosocial, clinical, socioeconomic, and demographic predictors. Journal of Crohn's & Colitis, 7(6), 467–473. doi:10.1016/j.crohns.2012.07.012.

    Article  Google Scholar 

  • Mulligan, K., Jones, N., Woodhead, C., Davies, M., Wessely, S., & Greenberg, N. (2010). Mental health of UK military personnel while on deployment in Iraq. British Journal of Psychiatry, 197(5), 405–410. doi:10.1192/bjp.bp.110.077263.

    Article  Google Scholar 

  • Oliva-Moreno, J., Zozaya, N., & Lopez-Valcarcel, B. G. (2010). Opposite poles: A comparison between two Spanish regions in health-related quality of life, with implications for health policy. BMC Public Health, 10, 576. doi:10.1186/1471-2458-10-576.

    Article  Google Scholar 

  • Pakpour, A. H., Saffari, M., Yekaninejad, M. S., Panahi, D., Harrison, A. P., & Molsted, S. (2010). Health-related quality of life in a sample of Iranian patients on hemodialysis. Iranian Journal of Kidney Diseases, 4(1), 50–59.

    Google Scholar 

  • Sazlina, S. G., Zaiton, A., Nor Afiah, M. Z., & Hayati, K. S. (2012). Predictors of health related quality of life in older people with non-communicable diseases attending three primary care clinics in Malaysia. The Journal of Nutrition, Health & Aging, 16(5), 498–502.

    Article  Google Scholar 

  • Taneja, N., & Pinto, L. J. (2005). Diagnostic categories among 232 military aircrew with musculoskeletal disabilities. Aviation, Space, and Environmental Medicine, 76(6), 581–585.

    Google Scholar 

  • Taylor, R. S., Sander, J. W., Taylor, R. J., & Baker, G. A. (2011). Predictors of health-related quality of life and costs in adults with epilepsy: a systematic review. Epilepsia, 52(12), 2168–2180. doi:10.1111/j.1528-1167.2011.03213.x.

    Article  Google Scholar 

  • Vathesatogkit, P., Sritara, P., Kimman, M., Hengprasith, B. T. E. S., Wee, H. L., et al. (2012). Associations of lifestyle factors, disease history and awareness with health-related quality of life in a Thai population. PLoS One, 7(11), e49921. doi:10.1371/journal.pone.0049921.

    Article  Google Scholar 

  • Voelker, M. D., Saag, K. G., Schwartz, D. A., Chrischilles, E., Clarke, W. R., Woolson, R. F., et al. (2002). Health-related quality of life in Gulf War era military personnel. American Journal of Epidemiology, 155(10), 899–907.

    Article  Google Scholar 

  • Walker, S. (2010). Assessing the mental health consequences of military combat in Iraq and Afghanistan: a literature review. Journal of Psychiatric and Mental Health Nursing, 17(9), 790–796. doi:10.1111/j.1365-2850.2010.01603.x.

    Article  Google Scholar 

  • Wan, G. J., Counte, M. A., Cella, D. F., Hernandez, L., Deasy, S., & Shiomoto, G. (1999). An analysis of the impact of demographic, clinical, and social factors on health-related quality of life. Value in Health, 2(4), 308–318. doi:10.1046/j.1524-4733.1999.24006.x.

    Article  Google Scholar 

  • Ware, J. E., Jr., Kosinski, M., Bayliss, M. S., McHorney, C. A., Rogers, W. H., & Raczek, A. (1995). Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the Medical Outcomes Study. Medical Care, 33(4 Suppl), AS264–AS279.

    Google Scholar 

  • WHO. (1946). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference. New York: Official Records of the World Health Organization.

    Google Scholar 

  • Yancosek, K. E., Roy, T., & Erickson, M. (2012). Rehabilitation programs for musculoskeletal injuries in military personnel. Current Opinion in Rheumatology, 24(2), 232–236. doi:10.1097/BOR.0b013e3283503406.

    Article  Google Scholar 

  • Zhao, L., Lin, H. C., Lo, E. C., & Wong, M. C. (2011). Clinical and socio-demographic factors influencing the oral health-related quality of life of Chinese elders. Community Dental Health, 28(3), 206–210.

    Google Scholar 

Download references

Acknowledgments

We would like to thank Mr. H. Rashidi Jahan for his assistance in data collection. The study was supported by a grant from the Iranian department of military research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mohsen Saffari.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Saffari, M., Koenig, H.G., Pakpour, A.H. et al. Health related quality of life among military personnel: what socio-demographic factors are important?. Applied Research Quality Life 10, 63–76 (2015). https://doi.org/10.1007/s11482-014-9300-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11482-014-9300-z

Keywords

Navigation