America’s Health Rankings Health of Women Who Have Served Report Tracy Malone Vice President, External Affairs, UnitedHealth Group   Kathryn Beasley, PhD, CAPT USN (Ret). Military Officers Association of America 30 November 2017

Disclosures Presenter(s) has the following interest to disclose: Tracy Malone is employed by UnitedHealth Group, and is sharing research funded by United Health Foundation, a not-for-profit, private foundation dedicated to helping build healthier communities. PESG and AMSUS staff have no interest to disclose. This continuing education activity is managed and accredited by Professional Education Services Group in cooperation with AMSUS. PESG, AMSUS, and all accrediting organizations do not support or endorse any product or service mentioned in this activity.

Learning Objectives At the conclusion of this activity, the participant will be able to: Describe three mental health challenges which distinguish women who have served in the U.S. armed forces from their civilian counterparts. Identify the chronic illnesses which are more prevalent in women who have served in the U.S. armed forces. Contrast the overall health status of women who have served in the U.S. armed forces with their civilian counterparts.

CE/CME Credit If you would like to receive continuing education credit for this activity, please visit: http://amsus.cds.pesgce.com

America’s Health Rankings Health of Women Who Have Served Report

Placeholder for Final Report Cover America’s Health Rankings Health of Women Who Have Served Report The Health of Women Who Have Served Report provides key insights into the health of women who have served in the U.S. Armed Forces compared to women without military service. Establishes a baseline portrait of the health of women who have ever served in the U.S. Armed Forces Builds upon the findings of the 2016 America’s Health Rankings Health of Those Who Have Served Report, and adds dimension to other studies showing the distinctive health challenges of women who have served Stimulates dialogue and highlights opportunities to better serve this population Placeholder for Final Report Cover

Insights from the 2016 America’s Health Rankings Health of Those Who Have Served Report Strengths Among Those Who Have Served More likely to report being in very good or excellent health More likely to have health insurance More like to receive key preventive services Less likely to be physically inactive Challenges Among Those Who Have Served Higher rates of heart attack, heart disease and cancer Less likely to have a personal health care provider Higher rate of insufficient sleep More likely to smoke Health Differences Between Men and Women Who Have Served Include: Women Men 25.5% Depression 14.7% 14.5% Frequent Mental Distress 10.3%

Defining Women Who Have Served Overview of Women Who Have Served 2.2M Women alive today have served in the U.S. Armed Forces1, 2 Placeholder for Final Report Cover Defining Women Who Have Served The report focuses on the health of “women who have ever served in the United States Armed Forces”5 This definition does not differentiate current active duty military from retired veterans, or differentiate women by branch of service Of all veterans will be women by 2043, increasing from 9.4% of all veterans today3 16.3% 20% Of new military recruits are women4 1 Department of Defense. 2015 Demographics: Profile of the Military Community. 2 Department of Veterans Affairs. Women Veterans Report: The Past, Present, and Future of Women Veterans (Feb 2017). 3 Ibid. 4 Department of Defense. 2015 Demographics: Profile of the Military Community. 5 Some differences in this definition exist across the three data sources used in the report (CDC’s BRFSS and NHIS surveys; SAMHSA’s NSDUH survey). Please refer to AmericasHealthRankings.org for more information.

Community & Environment Measuring the Health of Women Who Have Served Behaviors Smoking Excessive Drinking Insufficient Sleep Obesity Physical Inactivity Community & Environment Employment Food Insecurity Health Outcomes Any Cancer Any Mental Illness in the Past Year Anxiety Arthritis Cardiovascular Disease COPD Diabetes Depression Functional Impairment High Health Status Pain Suicidal Thoughts in the Past Year Policy Health Insurance Clinical Care Dedicated Health Care Provider Unmet Medical Need Cancer Screenings Model developed in collaboration with an advisory group of leading public health, military and veterans’ organizations Measures are from the CDC’s Behavioral Risk Factor Surveillance System (BRFSS) and the National Health Interview Survey (NHIS), as well as SAMSHA’s National Survey on Drug Use and Health (NSDUH)

2017 HEALTH OF WOMEN WHO HAVE SERVED REPORT Key Findings

Women Who Have Served Are More Likely to Report Being in Very Good or Excellent Health than Civilian Women

Women Who Have Served Are More Likely to Face Mental Health Challenges than Civilian Women

diagnosed with depression than civilian women The Rate of Mental Health Challenges Varies by Age Overall, women who have served have a 16% higher rate of having ever been diagnosed with depression than civilian women

Key Differences in Chronic Disease Rates Women who have served have a 16% higher rate of arthritis, cancer, and cardiovascular disease than women who have not served

Utilizing the Report’s Findings America’s Health Rankings Health of Women Who Have Served Report serves as a data-driven resource for stakeholders at the national, state, and local levels to: Describe the health of women who have served to better understand how military service influences women’s health and health care experiences. Provide a benchmark to monitor trends over time. Build awareness of the breadth of notable health issues facing women who have served. Stimulate dialog and action to inform health priorities and improve the health of women who have served.

Thank You