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The association between perceived unmet medical need and mental health among the Republic of Korea Armed Forces
  1. Tae Kyung Kim1,2,
  2. S G Lee3,
  3. K-T Han1,
  4. Y Choi1,
  5. S Y Lee4 and
  6. E-C Park1
  1. 1Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea
  2. 2Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
  3. 3Department of Hospital Management, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea
  4. 4Department of Nursing, Seoul National University Hospital, Seoul, Republic of Korea
  1. Correspondence to Professor Eun-Cheol Park, Department of Preventive Medicine, College of Medicine, and Institute of Health Services Research, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Republic of Korea; ecpark{at}yuhs.ac

Abstract

Introduction We investigated the effect of unmet medical need on the mental health of Republic of Korea (ROK) Armed Forces personnel, as most of the service members work in remote areas and often experience such unmet needs.

Methods This study used secondary data from the 2014 Military Health Survey (MHS), conducted by the ROK School of Military Medicine and designed to collect military health determinants. Descriptive statistics showed the general characteristics of the study populations by variable. We specifically compared the population after stratifying participants by suicide ideation. An analysis of variance was also carried out to compare Kessler Psychological Distress Scale 10 Scores. Additionally, dependent spouses and children of both active-duty service members and retirees are included among those entitled to Military Health System healthcare.

Results Among the 4967 military personnel, 681 (13.7%) individuals reported an experience of unmet medical need within the past 12 months and gave reasons of ‘no time (5.15%)’, ‘long office wait (2.6%)’, ‘no money (0.22%)’, ‘long distance from base (1.19%)’, ‘illness but not very serious (1.65%)’, ‘mistrust in doctors (1.95%)’ and ‘pressure due to performance appraisal (0.95%)’. Regression analysis revealed that unmet medical need was significantly associated with negative mental health (β=1.753, p<0.0001) and increased suicide ideation (OR=2.649, 95% CI 1.84 to 3.82). Also, soldiers reporting unmet medical need due to ‘no money’, ‘no time’ or ‘pressure due to performance appraisal’ were significantly more likely to experience similar negative mental health effects.

Conclusions Our study indicates that unmet medical need is significantly associated with soldiers' mental health decline and suicide ideation, highlighting the importance of providing military personnel with timely, affordable and sufficient medical care.

  • unmet medical need
  • MENTAL HEALTH
  • HEALTH SERVICES ADMINISTRATION & MANAGEMENT
  • Received January 18, 2016.
  • Revision received June 17, 2016.
  • Accepted August 7, 2016.

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  • Received January 18, 2016.
  • Revision received June 17, 2016.
  • Accepted August 7, 2016.
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