Citation

Kovnick MO, Young Y, Tran N, Teerawichitchainan B, Tran TK, Korinek K. J. Health Soc. Behav. 2021; 62(4): 526-544.

Copyright

(Copyright © 2021, SAGE Publishing)

DOI

10.1177/00221465211039239

PMID

34622692

PMCID

PMC8633195

Abstract

Most Vietnamese young adults who experienced the American War were exposed to war-related violence, which can exert a lifelong impact. We analyze survey data collected among northern and central Vietnamese older adults in the 2018 Vietnam Health and Aging Study (N = 2,447) to examine the association between various war traumas, psychological distress, and suicidal ideation. Informed by life course and stress process perspectives, we use structural equation models with multiple mediators to analyze the relationship between mental health outcomes and five types of wartime stress exposure: loss of family and friends, witnessing death, malevolent living conditions, life threat, and moral injury. Our findings reveal enduring mental health impacts of war among survivors. Wartime stress exposure's influence on mental health is mediated by recent comorbidities and stressful life events. Loss of family members, witnessing death, and malevolent living conditions during war are particularly salient risks for psychological distress.

Language: en

Keywords

Humans; Aged; Vietnam; psychological distress; Mental Health; suicide ideation; Stress Disorders, Post-Traumatic; Vietnam Conflict; War Exposure; late-life mental health; Vietnam War; war stress exposure