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The Veterans Health Administration and military sexual trauma.
Am J Public Health. 2007 Dec; 97(12):2160-6.AJ

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.

Authors+Show Affiliations

Veterans Administration Health Care System, Palo Alto, Calif, USA. rachel.kimerling@va.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

17971558

Citation

Kimerling, Rachel, et al. "The Veterans Health Administration and Military Sexual Trauma." American Journal of Public Health, vol. 97, no. 12, 2007, pp. 2160-6.
Kimerling R, Gima K, Smith MW, et al. The Veterans Health Administration and military sexual trauma. Am J Public Health. 2007;97(12):2160-6.
Kimerling, R., Gima, K., Smith, M. W., Street, A., & Frayne, S. (2007). The Veterans Health Administration and military sexual trauma. American Journal of Public Health, 97(12), 2160-6.
Kimerling R, et al. The Veterans Health Administration and Military Sexual Trauma. Am J Public Health. 2007;97(12):2160-6. PubMed PMID: 17971558.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Veterans Health Administration and military sexual trauma. AU - Kimerling,Rachel, AU - Gima,Kristian, AU - Smith,Mark W, AU - Street,Amy, AU - Frayne,Susan, Y1 - 2007/10/30/ PY - 2007/11/1/pubmed PY - 2007/12/12/medline PY - 2007/11/1/entrez SP - 2160 EP - 6 JF - American journal of public health JO - Am J Public Health VL - 97 IS - 12 N2 - 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. SN - 1541-0048 UR - https://www.unboundmedicine.com/medline/citation/17971558/The_Veterans_Health_Administration_and_military_sexual_trauma_ L2 - https://www.ajph.org/doi/10.2105/AJPH.2006.092999?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -