The Effects of Misclassification Biases on Veteran Suicide Rate Estimates.

Objectives. We assessed the impact that possible veteran suicide misclassification biases (i.e., inaccuracy in ascertainment of veteran status on the death certificate and misclassification of suicide as other manner of death) have on veteran suicide rate estimates. Methods. We obtained suicide mort...

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Publicado en:American Journal of Public Health Vol. 104; no. 1; pp. 151 - 156
Autores principales: Huguet, Nathalie, Kaplan, Mark S., McFarland, Bentson H.
Formato: Journal Article
Publicado: American Public Health Association Jan2014
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2014
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      pub: American Public Health Association
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        10.2105/AJPH.2013.301450
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        atl: The Effects of Misclassification Biases on Veteran Suicide Rate Estimates.
      aug:
        au:
          Huguet, Nathalie
          Kaplan, Mark S.
          McFarland, Bentson H.
      su:
        United States
        United States. Dept. of Veterans Affairs
        Public health surveillance
        Causes of death
        Veterans
        Military personnel
        Suicide
        Retrospective studies
        Database evaluation
        Research methodology
        Research funding
        Death certificates
        Research bias
        Disease incidence
        Descriptive statistics
      sug:
        subj:
          Public health surveillance
          Causes of death
          Veterans
          Military personnel
          Suicide
          Retrospective studies
          United States
          United States. Dept. of Veterans Affairs
          Administration of Veterans' Affairs
          Database evaluation
          Research methodology
          Research funding
          Death certificates
          Research bias
          Disease incidence
          Descriptive statistics
      ab: Objectives. We assessed the impact that possible veteran suicide misclassification biases (i.e., inaccuracy in ascertainment of veteran status on the death certificate and misclassification of suicide as other manner of death) have on veteran suicide rate estimates. Methods. We obtained suicide mortality data from the 2003-2010 National Violent Death Reporting System and the 2003-2010 Department of Defense Casualty Analysis System. We derived population estimates from the 2003-2010 American Community Survey and 2003-2010 Department of Veterans Affairs data. We computed veteran and nonveteran suicide rates. Results. The results showed that suicide rates were minimally affected by the adjustment for the misclassification of current military personnel suicides as veterans. Moreover, combining suicides and deaths by injury of undetermined intent did not alter the conclusions. Conclusions. The National Violent Death Reporting System is a valid surveillance system for veteran suicide. However, more than half of younger (< 25 years) male and female suicides, labeled as veterans, were likely to have been current military personnel at the time of their death and misclassified on the death certificate.
      pubtype: Academic Journal
      doctype: Journal Article
      src: R
    language: English
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