Table 4.
Association of mental health diagnostic category with lower urinary tract symptoms among 519,189 Iraq and Afghanistan male veterans in veterans affairs health care from 2001 to 2010
| Base Model |
Adjusting for Demographics† |
Adjusting for Comorbid Conditions† |
|
|---|---|---|---|
| Variables | ARR (95% CI) | ARR (95% CI) | ARR (95% CI) |
| MH diagnoses | |||
| No MH diagnosis | 1.00 | 1.00 | 1.00 |
| MH diagnoses without PTSD | 1.93 (1.83–2.03)*** | 2.11 (2.00–2.22)*** | 1.99 (1.89–2.11)*** |
| PTSD (including other MH diagnoses) | 1.85 (1.76–1.94)*** | 2.29 (2.17–2.41)*** | 2.15 (2.04–2.27)*** |
| Antidepressant or antipsychotic medication (time-varying covariate) | 1.30 (1.24–1.37)*** | 1.19 (1.13–1.25)*** | 1.15 (1.09–1.21)*** |
| Opioid medication | 2.58 (2.45–2.72)*** | 2.55 (2.42–2.68)*** | 2.42 (2.30–2.55)*** |
| Gender | |||
| Female | 1.00 | 1.00 | |
| Male | 0.59 (0.56–0.62)*** | 0.56 (0.54–0.59)*** | |
| Race and/or ethnicity | |||
| Non-white | 1.00 | 1.00 | |
| White | 0.91 (0.88–0.95)*** | 0.95 (0.91–0.99)** | |
| Military rank | |||
| Officer | 1.00 | 1.00 | |
| Enlisted | 1.09 (1.02–1.16)** | 1.04 (0.97–1.11) | |
| Military component | |||
| Reserve/National Guard | 1.00 | 1.00 | |
| Active Duty | 1.02 (0.98–1.07) | 1.03 (0.98–1.08) | |
| Military branch | |||
| Army | 1.00 | 1.00 | |
| Air Force | 1.02 (0.95–1.10) | 1.01 (0.94–1.08) | |
| Marines | 1.19 (1.09–1.30)*** | 1.17 (1.07–1.27)*** | |
| Navy | 1.02 (0.94–1.12) | 1.02 (0.94–1.12) | |
| Number of deployments | |||
| Single deployment | 1.00 | 1.00 | |
| Multiple deployments | 0.98 (0.95–1.02) | 0.99 (0.95–1.03) | |
| Age | |||
| 18–24 | 1.00 | 1.00 | |
| 25–34 | 1.28 (1.20–1.36)*** | 1.25 (1.17–1.33)*** | |
| 35–44 | 2.20 (2.05–2.37)*** | 1.99 (1.85–2.14)*** | |
| 45–54 | 4.24 (3.93–4.58)*** | 3.55 (3.28–3.84)*** | |
| 55–64 | 9.29 (8.44–10.22)*** | 7.20 (6.52–7.94)*** | |
| Marital status | |||
| Never married | 1.00 | 1.00 | |
| Married | 1.04 (0.99–1.09) | 1.03 (0.98–1.08) | |
| Divorced, widowed, or other | 1.10 (1.01–1.19)** | 1.09 (1.01–1.18)* | |
| Other health problems | |||
| Hypertension | 1.70 (1.62–1.78)*** | ||
| Diabetes mellitus | 1.24 (1.14–1.36)*** | ||
| Additional mental health comparisons | |||
| PTSD (including other MH DX) vs MH DX | 0.96 (0.91–1.01) | 1.08 (1.03–1.14)** | 1.08 (1.02–1.13)** |
| w/o PTSD |