| Literature DB >> 33664091 |
Matthew D Kiernan1, M Rodrigues2, E Mann2, P Stretesky3, M A Defeyter2.
Abstract
INTRODUCTION: During military service, many household costs for both married and single service personnel are subsidised, and transition can leave veterans unprepared for the financial demands of civilian life. Armed Forces organisations such as Sailor, Soldier, Air Force Association (SSAFA) play a central role in understanding the financial challenges that UK veterans face and provide an insight into the financial hardship experienced by veterans. The aim of this study was to use SSAFA beneficiary data as a proxy to identify the nature of financial benefit, the spatial distribution of financial hardship in the Scottish SSAFA beneficiary community and explore factors that might predict where those recipients are located.Entities:
Keywords: information management; occupational & industrial medicine; public health
Mesh:
Year: 2021 PMID: 33664091 PMCID: PMC8788048 DOI: 10.1136/bmjmilitary-2020-001718
Source DB: PubMed Journal: BMJ Mil Health ISSN: 2633-3767
Independent variables used in the initial exploratory regression model
| Independent variable | Indicator type | Description |
| AFCS Recipients—veterans | Count | AFCS: It provides compensation for all injuries, ill-health and death attributable to Service where the cause occurred on or after 6 April 2005.* |
| Armed Forces Pension Schemes (AFPS) Recipients—veterans | Count | AFPS: Veterans in receipt of their pension under AFPS 75 and AFPS 05. AFPS 75—introduced in 1975 and closed to new members from 6 April 2005. Pension benefits are based on rank and time served. AFPS 05—introduced on 6 April 2005. Pension benefits are based on time served and final salary.* |
| WPS Recipients—veterans | Count | WPS: It provides compensation for all injuries, ill-health and death attributable to Service where the cause occurred until 5 April 2005.* |
| Property price | Pounds | Average price of residential properties sold in 2019.† |
| SIMD | Rank | SIMD for the year of 2020.‡ |
| Income deprived | Count | Number of people who are income deprived. Source: SIMD2020.‡ |
| Unemployment | Count | Number of people who are employment deprived. Source: SIMD2020.‡ |
| Illness factor | Standardised ratio | Comparative illness factor: standardised ratio. Source: SIMD2020.‡ |
| Alcohol | Standardised ratio | Hospital stays related to alcohol misuse: standardised ratio. Source: SIMD2020.‡ |
| Depression | Percentage | Proportion of population being prescribed drugs for anxiety, depression or psychosis. Source: SIMD2020.‡ |
| No qualifications | Standardised ratio | Working age people with no qualifications: standardised ratio. Source: SIMD2020.‡ |
| Drive General Practioner (GP) / Family Doctor | Time (minutes) | Average drive time to a GP surgery in minutes. Source: SIMD2020.‡ |
| Public transport GP | Time (minutes) | Public transport travel time to a GP surgery in minutes. Source: SIMD2020.‡ |
| Crime | Count | Number of recorded crimes of violence, sexual offences, domestic housebreaking, vandalism, drugs offences and common assault. Source: SIMD2020.‡ |
| No central heating | Count | Number of people in households without central heating. Source: SIMD2020.‡ |
*Location of armed forces pension and compensation recipients: 2019 https://www.gov.uk/government/statistics/location-of-armed-forces-pension-and-compensation-recipients-2019.
†Average price by postcode: https://housepricescotland.com/.
‡SIMD: https://simd.scot/.
AFCS, Armed Forces Compensation Scheme; SIMD, Scottish Index of Multiple Deprivation; WPS, War Pension Scheme.
Purpose of assistance (2014/2019)
| Assistance | Count | Percentage |
| Housing: providing accommodation and setting up home (white goods/brown goods) | 6087 | 29.34% |
| Subsistence for daily living (including food) | 3926 | 18.92% |
| Payment to partner organisation to aid beneficiary | 3628 | 17.49% |
| Debt | 2443 | 11.78% |
| Housing assistance (rent, repair, etc) | 1443 | 6.96% |
| Mobility assistance and home adaptation | 1157 | 5.58% |
| Non-specified assistance | 720 | 3.47% |
| Re-training/education | 671 | 3.23% |
| Funeral costs | 311 | 1.50% |
| Care costs | 269 | 1.30% |
| Respite breaks | 73 | 0.35% |
| Support for retired commonwealth service personnel | 19 | 0.09% |
| Total | 20 747 | 100% |
Figure 1Sailor, Soldier, Air Force Association (SSAFA) welfare demand (on the left) and prevalence (on the right) across Scotland’s local authorities (2014/2019).
Figure 2Significant (p<0.05) hot spots of Sailor, Soldier, Air Force Association (SSAFA) welfare demand and prevalence (2014/2019).
Figure 3Significant (p<0.05) hot spots of need for Sailor, Soldier, Air Force Association (SSAFA) welfare (2014/2019).
Initial exploratory regression showing only the variables which passed the cut-off p value
| Independent variable | Ordinary least squares estimation number of observations: 286 | Summary of variable significance among all possible variable combinations | ||||
| Coefficient | t-statistic | P value | % Significant | % Negative | % Positive | |
| WPS recipients—Veterans | 20.374 | 2.312 | 0.022 | 73.05% | 0% | 100% |
| No central heating | −28.46 | −2.931 | 0.004 | 70.72% | 80.88% | 19.12% |
| SIMD | 14.809 | 1.605 | 0.11 | 18.41% | 6.13% | 93.87% |
| AFPS recipients—Veterans | 11.502 | 1.117 | 0.265 | 50% | 0.67% | 99.33% |
| AFCS recipients—Veterans | 6.749 | 1.111 | 0.267 | 25% | 6.25% | 93.75% |
| No qualifications | −10.835 | −0.998 | 0.319 | 7.70% | 78.56% | 21.44% |
| Unemployment | 28.187 | 0.844 | 0.399 | 49.41% | 16.24% | 83.76% |
| Alcohol | −6.504 | −0.802 | 0.424 | 7.35% | 81.20% | 18.80% |
R-squared: indicates how much variation of a dependent variable is explained by the independent variable(s).
Akaike info: estimates the relative amount of information lost by a given model: the less information a model loses, the higher the quality of that model.
Jarque-Bera prob: indicates if the data have a normal distribution. If it is far from zero, it signals the data do not have a normal distribution.
Coefficient: indicates the change in the dependent variable for one unit of change in the independent variable. A negative coefficient suggests that as the independent variable increases, the dependent variable tends to decrease.
t-statistic: the coefficient divided by its standard error, thus estimating the likelihood that the regression coefficient is different from zero.
p value: estimates what the odds are of the results to have happened. The lower it is, the less likely the results could have happened due to random chance.
AFCS, Armed Forces Compensation Scheme; SIMD, Scottish Index of Multiple Deprivation; WPS, War Pension Scheme.
Summary of regression output for the selected eight best predictors
| Independent variable | Ordinary least squares estimation | Spatial* lag model—Maximum likelihood estimation | Spatial* error model—Maximum likelihood estimation | ||||||
| R-squared: 0.529 | R-squared: 0.541 | R-squared: 0.537 | |||||||
| Coeff. | t-stat. | P value | Coeff. | z-value | P value | Coeff. | z-value | P value | |
| No central heating | −32.188 | −3.827 | 0.000 | −30.778 | −3.749 | 0.000 | −31.776 | −3.875 | 0.000 |
| Unemployment | 39.025 | 5.561 | 0.000 | 37.957 | 5.526 | 0.000 | 39.568 | 5.71 | 0.000 |
| WPS recipients – Veterans | 21.492 | 2.594 | 0.01 | 18.506 | 2.283 | 0.022 | 18.31 | 2.236 | 0.025 |
| SIMD | 13.248 | 1.911 | 0.057 | 13.136 | 1.947 | 0.052 | 12.984 | 1.872 | 0.061 |
| AFCS recipients – Veterans | 7.389 | 1.242 | 0.215 | 6.794 | 1.172 | 0.241 | 6.99 | 1.208 | 0.227 |
| No qualifications | −8.976 | −1.095 | 0.275 | −9.342 | −1.171 | 0.242 | −9.837 | −1.207 | 0.227 |
| AFPS recipients – Veterans | 10.607 | 1.08 | 0.281 | 15.126 | 1.564 | 0.118 | 14.674 | 1.5 | 0.134 |
| Alcohol | −7.212 | −1.05 | 0.295 | −7.134 | −1.067 | 0.286 | −8.736 | −1.27 | 0.204 |
| Spatial lag | --- | --- | --- | 0.372 | 2.672 | 0.008 | --- | --- | --- |
| Lambda | --- | --- | --- | --- | --- | --- | 0.450 | 2.224 | 0.026 |
Breusch-Pagan: tests whether the variance of the spatial errors from a regression is dependent on the values of the independent variables.
Spatial lag and the spatially correlated errors (λ) reflect the spatial dependence inherent, measuring the average influence on observations by their neighbouring observations. Both coefficients have a positive effect and are highly significant. As a result, the general model fit improved. The effects of other independent variables remain virtually the same.
*Spatial distance weights: (a) Bandwidth: 162 km; (b) Min neighbours: 1; (c) Max neighbours: 203; (d) Mean neighbours: 130.
AFCS, Armed Forces Compensation Scheme; SIMD, Scottish Index of Multiple Deprivation; WPS, War Pension Scheme.