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. 2013 Dec;103(Suppl 2):S255–S261. doi: 10.2105/AJPH.2013.301432

TABLE 1—

Military Information, Demographics, and Behavioral Health Diagnoses, Before or at Military Discharge, by Subsequent Homeless Status: US VA- or DoD-Enrolled Veterans Who Separated From the Military Between July 1, 2005, and September 30, 2006

Characteristic Total (n = 310 685), % Homelessa (n = 5574), % Nonhomeless (n = 305 111), %
OEF–OIF deploymentb 55.1 65.0 54.9
Military pay gradec
 E1–E4 44.1 72.4 43.5
 E5–E9 43.4 25.5 43.7
 O1–O3 5.2 1.1 5.3
 O4–O10 6.0 0.7 6.1
 Other 1.3 0.4 1.3
Service branch
 Army 60.2 64.3 60.1
 Navy 13.7 16.1 13.6
 Air Force 13.8 7.0 13.9
 Marines 11.4 11.7 11.4
 Other 1.0 0.8 1.0
Character of service
 Honorable or general 90.6 90.1 90.6
 Other than honorable 0.5 3.3 0.5
 Bad conduct or dishonorable 0.0 0.2 0.0
 Uncharacterized or missing 8.9 6.4 8.9
Reserve or Guard (nonactive duty) 34.8 28.2 34.9
Age at separation, y
 17–24 36.8 45.2 36.7
 25–34 29.4 34.5 29.3
 35–44 22.9 14.9 23.0
 45–54 9.4 5.0 9.4
 55–64 1.6 0.4 1.6
Male 84.8 84.6 84.8
Traumatic brain injuryd 1.0 3.0 1.0
Behavioral health disorders
 Any behavioral health disordere 17.8 43.8 17.4
 PTSD 2.4 9.3 2.3
 Adjustment disorders 5.2 17.2 4.9
 Anxiety disorders (excludes PTSD) 3.6 11.1 3.5
 Mood disorders 5.9 20.0 5.6
 Major depression 2.3 8.5 2.2
 Personality disorders 1.6 7.5 1.5
 Psychotic disorders 0.3 2.9 0.3
 Substance use 3.3 17.7 3.1

Note. DoD = US Department of Defense; ICD-9-CM = International Classification of Diseases, Ninth Revision, Clinical Modification; OEF = Operation Enduring Freedom; OIF = Operation Iraqi Freedom; PTSD = posttraumatic stress disorder; VA = Department of Veterans Affairs. Because of the size of the data set, virtually all of the differences between the 2 subgroups were statistically significant (regardless of a substantive significance), and thus significance levels are not reported here.

a

Homelessness reflects either a record of a diagnosis indicator for lack of stable housing (ICD-9-CM18 code V60.0) or of receiving a VA homeless service. Percentage shown here reflects 5-year postdischarge incidence rates.

b

OIF and OEF signify deployment to conflict areas of Iraq and Afghanistan, respectively. Operation New Dawn, signifying participation in the latter period of the Iraqi conflict, commenced after the service period covered here.

c

Military pay is broken down into E grades for enlisted personnel (E1–E9) and into O grades (O1–O10) for officers.

d

Diagnosis criteria for traumatic brain injury are presented in detail in the Office of Inspector General report16 on the analytical database and are based on the presence of ICD-9-CM18 diagnoses of 310.2 (posttraumatic encephalopathy, postconcussion), 800.xx–804xx (skull fracture), 850.xx (concussion), 851.xx (cerebral laceration and contusion), 852.xx (subarachnoid, subdural, and extradural hemorrhage), 853.xx (other and unspecified intracranial hemorrhage following injury), 854.xx (intracranial injury of other and nonspecified injury), and 950.xx (injury to optic nerve and pathways).

e

All diagnoses were made in the 1-year period before separation from the military. The behavioral health categories used here are based on groupings of ICD-9-CM diagnoses, following the conventions used in Hoge et al.19: any behavioral health disorder (290–319), adjustment disorders (309.0, 309.24, 309.28, 309.3, 309.4, 309.9), anxiety disorders (excluding PTSD; 300.01–300.03, 300.21, 300.22, 300.23, 300.29, 300.3, 308.3), PTSD (309.81), mood disorders (296.0, 296.2–296.7, 296.80, 296.89, 296.90, 300.4, 301.13, 311), major depression (296.2 and 296.3), personality disorders (301.0, 301.2, 301.4, 301.50, 301.6, 301.7, 301.81–301.84, 301.89, 301.9), psychotic disorders (295.1–295.4, 295.6, 295.7, 295.9, 297.1, 297.3, 298.8, 298.9), and substance use (291; 292, except 292.2; 303–305, except 305.1 and 305.8).