Improving early intervention: identifying risk factors for UK military veterans that access military charities-a case-control study and an AI-powered predictive model.

IF 3.9 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Giuseppe Serra, Federico Turoldo, Marco Tomietto, Andrew McGill, Matthew D Kiernan
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Abstract

Some veterans face unique physical, mental, and social challenges, leading them to seek assistance from military charities. This case-control study uses data from the MONARCH Study and the tri-service food insecurity study, with the aim to identify key risk factors associated with charity usage among UK veterans. Cases (veterans who accessed charities in 2022) were compared to controls (veterans who did not access charities). Logistic regression and a random forest algorithm were used to identify risk factors for charity use. Several risk factors for charity use were identified: younger age, living alone, being a non-officer, and living in rented accommodation. Having dependents was found to be protective but emerged as a risk factor for veterans living alone and protective for veterans living with others. The use of a random forest algorithm confirmed the statistical importance of these variables, offering deeper insights into complex interactions. These results improve our understanding of the risk factors for charity usage by veterans and provide a predictive model that could be implemented in planning service provision in public health. Additionally, it could be used as the basis for the implementation of targeted preventive interventions, allowing for proactive measures to be taken to support veterans before they reach a point of needing charity services in a period of crisis. These predictive models could enable more efficient resource allocation and the development of tailored strategies to address the specific needs of at-risk veteran subgroups.

改善早期干预:识别进入军事慈善机构的英国退伍军人的风险因素——一项病例对照研究和人工智能驱动的预测模型。
一些退伍军人面临着独特的身体、精神和社会挑战,导致他们向军事慈善机构寻求帮助。这项病例对照研究使用了君主研究和三服务食品不安全研究的数据,旨在确定与英国退伍军人慈善使用相关的关键风险因素。案例(在2022年参加慈善机构的退伍军人)与对照组(没有参加慈善机构的退伍军人)进行了比较。使用逻辑回归和随机森林算法来确定慈善用途的风险因素。确定了用于慈善用途的几个风险因素:年龄较小、独居、非公职人员和住在租来的住所。有家属被发现是有保护作用的,但对独自生活的退伍军人来说是一个风险因素,对与他人生活的退伍军人来说是有保护作用的。随机森林算法的使用证实了这些变量的统计重要性,为复杂的相互作用提供了更深入的见解。这些结果提高了我们对退伍军人慈善使用风险因素的理解,并提供了一个可用于公共卫生服务提供规划的预测模型。此外,它可以作为实施有针对性的预防性干预措施的基础,允许采取积极措施,在退伍军人在危机时期达到需要慈善服务的地步之前为他们提供支持。这些预测模型可以实现更有效的资源分配,并制定量身定制的战略,以解决面临风险的退伍军人群体的具体需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
European Journal of Public Health
European Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
2.30%
发文量
2039
审稿时长
3-8 weeks
期刊介绍: The European Journal of Public Health (EJPH) is a multidisciplinary journal aimed at attracting contributions from epidemiology, health services research, health economics, social sciences, management sciences, ethics and law, environmental health sciences, and other disciplines of relevance to public health. The journal provides a forum for discussion and debate of current international public health issues, with a focus on the European Region. Bi-monthly issues contain peer-reviewed original articles, editorials, commentaries, book reviews, news, letters to the editor, announcements of events, and various other features.
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