The Veterans Health Administration and Military Sexual Trauma

Rachel E. Kimerling · Kristian S. Gima · Mark W. Smith · Amy E. Street · Susan M. Frayne

607 citations0/0 files storedAmerican Journal of Public Health

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Sexual Assault and Victimization Studies Posttraumatic Stress Disorder Research Gender, Security, and Conflict

Abstract

OBJECTIVES: We examined the utility of the Veterans Health Administration (VHA) universal screening program for military sexual violence. METHODS: We analyzed VHA administrative data for 185,880 women and 4139888 men who were veteran outpatients and were treated in VHA health care settings nationwide during 2003. RESULTS: Screening was completed for 70% of patients. Positive screens were associated with greater odds of virtually all categories of mental health comorbidities, including posttraumatic stress disorder (adjusted odds ratio [AOR]=8.83; 99% confidence interval [CI] = 8.34, 9.35 for women; AOR = 3.00; 99% CI = 2.89, 3.12 for men). Associations with medical comorbidities (e.g., chronic pulmonary disease, liver disease, and for women, weight conditions) were also observed. Significant gender differences emerged. CONCLUSIONS: The VHA policies regarding military sexual trauma represent a uniquely comprehensive health care response to sexual trauma. Results attest to the feasibility of universal screening, which yields clinically significant information with particular relevance to mental health and behavioral health treatment. Women's health literature regarding sexual trauma will be particularly important to inform health care services for both male and female veterans.

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2009A new generation of women veterans: Stressors faced by women deployed to Iraq and Afghanistan 2008Military Sexual Trauma 2010Military-Related Sexual Trauma Among Veterans Health Administration Patients Returning From Afghanistan and Iraq 2016The Prevalence of Military Sexual Trauma: A Meta-Analysis 2010Returning Home from Iraq and Afghanistan 2010Gender Differences in Rates of Depression, PTSD, Pain, Obesity, and Military Sexual Trauma Among Connecticut War Veterans of Iraq and Afghanistan 2013Review of somatic symptoms in post-traumatic stress disorder

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