Characteristics of military doctors, stigmatisation, attitudes to mental healthcare and mental health symptoms
| Doctor characteristics (n, %) | Reported 7–19 stigmatisation items, n (%)† | AOR‡ | Reported 2–5 self-stigmatisation items, n (%) | AOR‡ | GHQ-12 caseness, n (%) | AOR‡ |
| Rank group | ||||||
| OF2-OF3 (429, 63.4) | 215 (50.1) | 1 | 205 (47.8) | 1 | 112 (26.1) | 1 |
| OF4 and above (248, 36.6) | 87 (35.2) | 0.68 (0.38–1.21) | 87 (35.4) | 0.76 (0.41–1.42) | 53 (21.5) | 0.77 (0.38–1.59) |
| Professional status | ||||||
| Unaccredited/training grade (337, 49.9) | 175 (51.9) | 1 | 166 (49.3) | 1 | 91 (27.0) | 1 |
| Accredited consultant or GP (338, 50.1) | 127 (37.7) | 0.78 (0.46–1.33) | 125 (37.2) | 0.82 (0.47–1.43) | 73 (21.7) | 0.65 (0.34–1.25) |
| Work area | ||||||
| Primary care (205, 30.5) | 91 (44.6) | 1 | 89 (43.6) | 1 | 51 (25.0) | 1 |
| Secondary care (467, 69.5) | 209 (44.8) | 1.05 (0.72–1.54) | 202 (43.3) | 0.92 (0.62–1.37) | 115 (24.7) | 0.99 (0.63–1.57) |
| Service length | ||||||
| 0–5 years (109, 16.1) | 53 (48.6) | 1 | 45 (42.3) | 1 | 20 (18.3) | 1 |
| 6–10 years (152, 22.5) | 73 (48.0) | 0.96 (0.59–1.58) | 89 (58.6) | 2.17 (1.29–3.65)** | 45 (29.6) | 1.88 (1.01–3.48)* |
| 11–15 years (184, 27.2) | 88 (47.8) | 0.98 (0.61–1.58) | 76 (41.3) | 1.24 (0.74–2.08) | 55 (29.9) | 2.27 (1.22–4.22) |
| 16–20 years (106, 15.7) | 48 (45.3) | 0.89 (0.52–1.53) | 39 (37.1) | 1.33 (0.69–2.57) | 23 (21.9) | 1.59 (0.72–3.49) |
| More than 20 years (126, 18.6) | 40 (32.0) | 0.49 (0.29-0.84)** | 43 (34.4) | 1.38 (0.67–2.82) | 23 (18.4) | 1.35 (0.58–3.18) |
| Service background | ||||||
| Royal Navy (242, 35.7) | 135 (55.8) | 1 | 120 (50.4) | 1 | 68 (28.1) | 1 |
| Army (262, 38.6) | 98 (37.5) | 0.46 (0.31–0.68)*** | 93 (35.8) | 0.55 (0.37–0.81)** | 51 (19.6) | 0.61 (0.39–0.95)* |
| Royal Air Force (174, 25.7) | 70 (40.2) | 0.51 (0.34–0.77)** | 78 (44.8) | 0.75 (0.50–1.14) | 47 (27.0) | 0.93 (0.59–1.47) |
| Sex | ||||||
| Female (189, 27.8) | 90 (47.9) | 1 | 93 (49.7) | 1 | 54 (28.9) | 1 |
| Male (489, 72.2) | 213 (43.6) | 0.84 (0.59–1.20) | 200 (41.0) | 0.75 (0.52–1.08) | 112 (23.0) | 0.80 (0.53–1.20) |
*P<0.05, **P<0.01, ***P<0.001.
†Attitudes to mental healthcare, perceived barriers to care and stigmatisation.
‡OR adjusted for rank, professional status, number of years served, service background, sex and clinical specialty.
AOR, adjusted OR; GHQ-12, 12-Item General Health Questionnaire; GP, general practitioner.