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The effect of military deployment on mental health

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  • Lyk-Jensen, Stéphanie Vincent
  • Weatherall, Cecilie Dohlmann
  • Jepsen, Peter Winning

Abstract

Public concern about soldiers’ mental health has increased over the last decade. Yet the large literature on the mental health problems of returning soldiers relies primarily on self-reported measures that may suffer from non-response bias, usually refers to older conflicts, and focuses mainly on specific diagnoses such as PTSD. Another challenge is that the differences between soldiers and non-soldiers are not necessarily causal, instead possibly reflecting an underlying propensity towards active military service. Using the objective measures of hospitalizations and the purchase of mental health medication, this paper is the first to investigate the effect of recent military deployments on a broader measure of mental health, for a full population of Danish soldiers and a comparison group of eligible men. We exploit a panel of Danish health administrative records and use propensity score matching process, using unique observables such as ability tests. Matching is helpful in both reducing the selection bias from observables and determining pre- and post-deployment period for the comparison group. Then, we estimate the effect of deployment in a difference-in-differences setting, controlling for time trends and other omitted variables affecting both groups. Overall, we find a significant and long-lasting adverse effect of military deployment on soldiers’ mental health, regardless of the comparison groups and underlying assumptions.

Suggested Citation

  • Lyk-Jensen, Stéphanie Vincent & Weatherall, Cecilie Dohlmann & Jepsen, Peter Winning, 2016. "The effect of military deployment on mental health," Economics & Human Biology, Elsevier, vol. 23(C), pages 193-208.
  • Handle: RePEc:eee:ehbiol:v:23:y:2016:i:c:p:193-208
    DOI: 10.1016/j.ehb.2016.09.005
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    as
    1. Richard Breen & Kristian Bernt Karlson & Anders Holm, 2013. "Total, Direct, and Indirect Effects in Logit and Probit Models," Sociological Methods & Research, , vol. 42(2), pages 164-191, May.
    2. Carlos Dobkin & Reza Shabani, 2009. "The Health Effects Of Military Service: Evidence From The Vietnam Draft," Economic Inquiry, Western Economic Association International, vol. 47(1), pages 69-80, January.
    3. Mark C. Berger & Barry T. Hirsch, 1983. "The Civilian Earnings Experience of Vietnam - Era Veterans," Journal of Human Resources, University of Wisconsin Press, vol. 18(4), pages 455-479.
    4. Becker, Sascha & Hvide, Hans V, 2013. "Do entrepreneurs matter?," CAGE Online Working Paper Series 109, Competitive Advantage in the Global Economy (CAGE).
    5. Angrist, Joshua D. & Chen, Stacey H. & Frandsen, Brigham R., 2010. "Did Vietnam veterans get sicker in the 1990s? The complicated effects of military service on self-reported health," Journal of Public Economics, Elsevier, vol. 94(11-12), pages 824-837, December.
    6. David H. Autor & Mark G. Duggan & David S. Lyle, 2011. "Battle Scars? The Puzzling Decline in Employment and Rise in Disability Receipt among Vietnam Era Veterans," American Economic Review, American Economic Association, vol. 101(3), pages 339-344, May.
    7. Angrist, Joshua & Krueger, Alan B, 1994. "Why Do World War II Veterans Earn More Than Nonveterans?," Journal of Labor Economics, University of Chicago Press, vol. 12(1), pages 74-97, January.
    8. Cesur, Resul & Sabia, Joseph J. & Tekin, Erdal, 2013. "The psychological costs of war: Military combat and mental health," Journal of Health Economics, Elsevier, vol. 32(1), pages 51-65.
    9. Bingley, Paul & Lundborg, Petter & Vincent Lyk-Jensen, Stéphanie, 2014. "Opportunity Cost and the Incidence of a Draft Lottery," Working Papers 2014:10, Lund University, Department of Economics.
    10. Angrist, Joshua D, 1990. "Lifetime Earnings and the Vietnam Era Draft Lottery: Evidence from Social Security Administrative Records," American Economic Review, American Economic Association, vol. 80(3), pages 313-336, June.
    11. Wells, T.S. & Leardmann, C.A. & Fortuna, S.O. & Smith, B. & Smith, T.C. & Ryan, M.A.K. & Boyko, E.J. & Blazer, D., 2010. "A prospective study of depression following combat deployment in support of the wars in Iraq and Afghanistan," American Journal of Public Health, American Public Health Association, vol. 100(1), pages 90-99.
    12. Dalton Conley & Jennifer A. Heerwig, 2009. "The Long-Term Effects of Military Conscription on Mortality: Estimates from the Vietnam-era Draft Lottery," NBER Working Papers 15105, National Bureau of Economic Research, Inc.
    13. Ásgeirsdóttir, Tinna Laufey & Corman, Hope & Noonan, Kelly & Ólafsdóttir, Þórhildur & Reichman, Nancy E., 2014. "Was the economic crisis of 2008 good for Icelanders? Impact on health behaviors," Economics & Human Biology, Elsevier, vol. 13(C), pages 1-19.
    14. Neal, Derek A & Johnson, William R, 1996. "The Role of Premarket Factors in Black-White Wage Differences," Journal of Political Economy, University of Chicago Press, vol. 104(5), pages 869-895, October.
    15. Daniel M. Gade & Jeffrey B. Wenger, 2011. "Combat exposure and mental health: the long‐term effects among US Vietnam and Gulf war veterans," Health Economics, John Wiley & Sons, Ltd., vol. 20(4), pages 401-416, April.
    16. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-In-Differences Estimates?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(1), pages 249-275.
    17. Stephen L. Mangum & David E. Ball, 1989. "The Transferability of Military-Provided Occupational Training in the Post-Draft Era," ILR Review, Cornell University, ILR School, vol. 42(2), pages 230-245, January.
    18. Joshua D. Angrist & Stacey H. Chen & Jae Song, 2011. "Long-Term Consequences of Vietnam-Era Conscription: New Estimates Using Social Security Data," American Economic Review, American Economic Association, vol. 101(3), pages 334-338, May.
    19. Cuesta, Maite Blázquez & Budría, Santiago, 2015. "Income deprivation and mental well-being: The role of non-cognitive skills," Economics & Human Biology, Elsevier, vol. 17(C), pages 16-28.
    20. Angrist, Joshua D, 1990. "Lifetime Earnings and the Vietnam Era Draft Lottery: Evidence from Social Security Administrative Records: Errata," American Economic Review, American Economic Association, vol. 80(5), pages 1284-1286, December.
    21. Meredith A. Kleykamp, 2006. "College, Jobs, or the Military? Enlistment During a Time of War," Social Science Quarterly, Southwestern Social Science Association, vol. 87(2), pages 272-290, June.
    22. Joshua D. Angrist, 1998. "Estimating the Labor Market Impact of Voluntary Military Service Using Social Security Data on Military Applicants," Econometrica, Econometric Society, vol. 66(2), pages 249-288, March.
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    1. Boje-Kovacs, Bence & Greve, Jane & Weatherall, Cecilie Dohlmann, 2018. "Can a shift of neighborhoods affect mental health? Evidence from a quasi-random allocation of applicants in the public social housing system," MPRA Paper 88929, University Library of Munich, Germany.

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    More about this item

    Keywords

    Mental health; Soldiers; Deployment; Administrative records;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • H56 - Public Economics - - National Government Expenditures and Related Policies - - - National Security and War

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