Financial Status and Well-being in Recently Separated Military Veterans

Author:

Elbogen Eric B123ORCID,Zeber John E4ORCID,Vogt Dawne56ORCID,Perkins Daniel F789ORCID,Finley Erin P1011ORCID,Copeland Laurel A1213ORCID

Affiliation:

1. Behavioral Health Department, Durham VA Health Care System, Durham, NC 27705, USA

2. National Center on Homelessness Among Veterans, VHA Homeless Programs Office, Tampa, FL 33612, USA

3. Department of Psychiatry, Duke University, Durham, NC 27708, USA

4. School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA 01003, USA

5. Women’s Health Sciences Division, National Center for PTSD (116B-3), Boston, VA 02130, USA

6. Department of Psychiatry, Boston University School of Medicine, Boston, MA 02118, USA

7. Clearinghouse for Military Family Readiness, Pennsylvania State University (PSU), University Park, PA 16802, USA

8. Department of Agricultural Economics, Sociology, and Education, Pennsylvania State University, University Park, PA 16802, USA

9. Social Science Research Institute, Pennsylvania State University, University Park, PA 16802, USA

10. Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, North Hills, CA 91343, USA

11. Departments of Medicine and Psychiatry, UT Health San Antonio, San Antonio, TX 78229, USA

12. Research Service, VA Central Western Massachusetts Healthcare System, Leeds, MA 01053, USA

13. Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA 01655, USA

Abstract

ABSTRACT Introduction Veterans transitioning from military service to civilian life manage numerous changes simultaneously, in health, employment, social relationships, and finances. Financial problems may impact financial well-being as well as adjustment to civilian life in general; yet, research on Veterans’ financial challenges remains limited. This study examined six indicators of perceived financial status among newly transitioned Veterans over a period of 3 years and then examined perceived financial well-being measured in two domains—satisfaction and functioning—and difficulty adjusting to civilian life as functions of financial status. Materials and Methods A sample representing 48,965 Veterans who separated from active duty/activated status in fall 2016 provided informed consent and survey data over their first 33 post-military months; data were analyzed in weighted regression models that included demographics, military characteristics, social support, resilience, life stress, and indicators of financial status. Results Financial status immediately post-separation included having stable housing (88%), being able to pay for necessities (83%), keeping up with creditors (88%), having insurance for catastrophic events such as disability (79%), saving for retirement (62%), and setting aside 3 months of salary (50%). Thirteen percent of Veterans disclosed troubled financial status, having achieved no more than two of these financial goals; 38% had moderate and 49% excellent financial status. Troubled or moderate financial status, Black race, enlisted, and higher levels of stress predicted lower financial functioning. Older age, college degree at baseline, employment, and social support predicted better financial satisfaction. Veterans with troubled financial status reported greater difficulty adjusting to civilian life (odds ratio 1.34); women were less likely to report difficulty adjusting to civilian life (odds ratio 0.85). Conclusions Findings indicate that financial satisfaction and functioning may be sensitive to psychosocial factors (social support and stress). Findings also underscore the value of assessing Veterans’ financial status (poor debt management and lack of future planning), providing encouragement and assistance to pursue a college degree, and improving household financial management, thus increasing the likelihood that Veterans will have the necessary tools to manage their finances after separation and achieve whole health well-being.

Funder

Veterans Health Administration, Health Services Research & Development

Henry M. Jackson Foundation

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,General Medicine

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