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Racial disparities in trauma exposure, psychiatric symptoms, and service use among female patients in Veterans Affairs primary care clinics.
Womens Health Issues. 2008 Nov-Dec; 18(6):433-41.WH

Abstract

OBJECTIVE

We sought to compare female African-American (n = 84) and Caucasian (n = 99) veterans from primary care clinics at 4 Veterans Affairs Medical Centers (VAMCs) on rates of trauma, posttraumatic stress disorder, other psychiatric diagnoses, functional status, and use of VA services and disability benefits.

METHODS

Analyses were based on a cross-sectional, epidemiologic design incorporating self-report measures, structured interviews, and chart reviews.

RESULTS

With the exception of higher rates of child sexual abuse among Caucasian women and higher rates of physical assault among African-American women, there were no other statistically significant racial differences across analyses. However, some clinically meaningful trends emerged, and the implications of these findings are discussed within the context of our other results.

CONCLUSIONS

Among female veterans seen in VA primary care clinics, African-Americans and Caucasians do not differ dramatically with regard to the manifestation or severity of psychopathology, or in their use of relevant VA health care services and disability benefits. These data are important because women represent the fastest growing segment of the VA population after aging veterans. Further research is needed to replicate and extend these findings to ensure that female veterans' needs are adequately identified and met by VAMC providers.

Authors+Show Affiliations

Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

19041595

Citation

Grubaugh, Anouk L., et al. "Racial Disparities in Trauma Exposure, Psychiatric Symptoms, and Service Use Among Female Patients in Veterans Affairs Primary Care Clinics." Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, vol. 18, no. 6, 2008, pp. 433-41.
Grubaugh AL, Slagle DM, Long M, et al. Racial disparities in trauma exposure, psychiatric symptoms, and service use among female patients in Veterans Affairs primary care clinics. Womens Health Issues. 2008;18(6):433-41.
Grubaugh, A. L., Slagle, D. M., Long, M., Frueh, B. C., & Magruder, K. M. (2008). Racial disparities in trauma exposure, psychiatric symptoms, and service use among female patients in Veterans Affairs primary care clinics. Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, 18(6), 433-41. https://doi.org/10.1016/j.whi.2008.08.001
Grubaugh AL, et al. Racial Disparities in Trauma Exposure, Psychiatric Symptoms, and Service Use Among Female Patients in Veterans Affairs Primary Care Clinics. Womens Health Issues. 2008 Nov-Dec;18(6):433-41. PubMed PMID: 19041595.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Racial disparities in trauma exposure, psychiatric symptoms, and service use among female patients in Veterans Affairs primary care clinics. AU - Grubaugh,Anouk L, AU - Slagle,David M, AU - Long,Mary, AU - Frueh,B Christopher, AU - Magruder,Kathryn M, PY - 2007/10/01/received PY - 2008/07/31/revised PY - 2008/08/04/accepted PY - 2008/12/2/pubmed PY - 2009/3/12/medline PY - 2008/12/2/entrez SP - 433 EP - 41 JF - Women's health issues : official publication of the Jacobs Institute of Women's Health JO - Womens Health Issues VL - 18 IS - 6 N2 - OBJECTIVE: We sought to compare female African-American (n = 84) and Caucasian (n = 99) veterans from primary care clinics at 4 Veterans Affairs Medical Centers (VAMCs) on rates of trauma, posttraumatic stress disorder, other psychiatric diagnoses, functional status, and use of VA services and disability benefits. METHODS: Analyses were based on a cross-sectional, epidemiologic design incorporating self-report measures, structured interviews, and chart reviews. RESULTS: With the exception of higher rates of child sexual abuse among Caucasian women and higher rates of physical assault among African-American women, there were no other statistically significant racial differences across analyses. However, some clinically meaningful trends emerged, and the implications of these findings are discussed within the context of our other results. CONCLUSIONS: Among female veterans seen in VA primary care clinics, African-Americans and Caucasians do not differ dramatically with regard to the manifestation or severity of psychopathology, or in their use of relevant VA health care services and disability benefits. These data are important because women represent the fastest growing segment of the VA population after aging veterans. Further research is needed to replicate and extend these findings to ensure that female veterans' needs are adequately identified and met by VAMC providers. SN - 1049-3867 UR - https://www.unboundmedicine.com/medline/citation/19041595/Racial_disparities_in_trauma_exposure_psychiatric_symptoms_and_service_use_among_female_patients_in_Veterans_Affairs_primary_care_clinics_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1049-3867(08)00111-4 DB - PRIME DP - Unbound Medicine ER -