美国陆军在预防、检测和治疗传染病方面有着悠久的历史。与其他参与公共卫生的组织和机构一样,陆军对综合征监测策略越来越感兴趣——这些策略旨在在临床数据可用之前识别疫情。研究人员使用各种方法来确定全球范围内的监测策略,调查这些策略的好处和局限性,并建议采取行动帮助军队发现新出现的流行病和流行病
The White House identified eight research priorities to better manage America's current mental health crisis. RAND researchers highlight why each area is critical for veteran mental health and how RAND is contributing to address them.
On April 20, 2010, the Deepwater Horizon oil rig exploded, and oil spilled from the breached well-head for months, leading to an unprecedented environmental disaster with implications for behavioral health. Disasters are thought to affect behavioral health, and social capital is thought to ameliorate behavioral health impacts after disasters, though empirical evidence is mixed. One possible explanation for the discrepancy in findings relates to the activation of social capital in different contexts. In a disaster context, certain types of social capital may be more beneficial than others, and these relationships could differ between those directly affected by the disaster and those who are unaffected. The goal of this study is to assess the relationships between different forms of social capital (community engagement, trust, and social support) on different behavioral health indicators (depression, anxiety, and alcohol misuse) using data from the first wave of the Survey of Trauma, Resilience, and Opportunity among Neighborhoods in the Gulf (STRONG), a probabilistic household telephone survey fielded 6 years after the onset of the Deepwater Horizon oil spill (DHOS). We employ a structural equation modeling approach where multiple social capital and behavioral health variables can be included and their pathways tested in the same model, comparing the results between those who reported experiencing disruptions related to the DHOS and those who did not. Among those who experienced the DHOS, social support was negatively associated with both depression (ß = –0.085; p = 0.011) and anxiety (ß = –0.097; p = 0.003), and among those who did not experience the DHOS, social support was positively associated with alcohol misuse (ß = 0.067; p = 0.035). When controlling for the other social capital variables, social support was the only form of social capital with a significant relationship to behavioral health, and these relationships differ based on whether or not a person experienced the disaster. This suggests that social capital does not have a uniformly ameliorative relationship with behavioral health in the aftermath of disasters.