Examining the financial stability of UK military families: An Exploratory Analysis
Abstract: Existing national and international research posits that Armed Forces personnel have relatively higher incomes than people in civilian occupations and benefit financially from a comprehensive set of incentives provided by the military employment Offer. Service personnel and their partners also have access to benefits and support from the Armed Forces Community, which is perceived to enhance military families’ financial stability. However, the unique demands and nature of Service life, such as high mobility levels, may contribute to financial instability for some military families. These dynamics have thus far not been explored in existing research. This study therefore aimed to explore the financial stability of military families in the United Kingdom (UK). The study’s objectives were twofold: 1. Understand military families’ financial (in)stability and how much Service-life characteristics can positively or negatively contribute to it. 2. Explore existing finance-related support mechanisms and propose recommendations to improve policy and support provision. Rather than empirically measuring financial stability levels and the impact of Service-related factors, the study provided an initial exploratory analysis of the prevalence and drivers of financial (in)stability. It thereby aimed to provide a foundation for a broader research agenda on the UK Armed Forces Community’s financial stability, resilience and well-being.
Abstract: Context: In response to the opioid crisis, federal guidelines were implemented, including the Veterans Health Administration's (VA) Opioid Safety Initiative in 2013. The impact of policies on patients near the end of life is unknown. Objective: Examine temporal trends in opioid prescribing, pain, and opioid overdoses among Veterans near the end of life. Methods: Retrospective, time series analysis of VA decedents between October 2009 and September 2018 whose next-of-kin participated in VA's Bereaved Family Survey (BFS). Using multivariate regression to adjust for sociodemographic and clinical covariates, we examined temporal trends in outpatient opioid prescribing, uncontrolled pain based on BFS report, and opioid overdose-related hospitalizations, in the last month of life, overall and by clinical diagnosis (cancer versus non-cancer). Results: Among 79,409 decedents, mean daily outpatient opioid dose in morphine milligram equivalents in the last month of life decreased from 4.6 mg in 2010 to 2.1 mg in 2018 (adjusted change -0.20 mg/year; P