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Gender differences in veterans health administration mental health service use: effects of age and psychiatric diagnosis.
Womens Health Issues. 2009 May-Jun; 19(3):176-84.WH

Abstract

PURPOSE

The objective of this study was to compare gender differences in mental health disease burden and outpatient mental health utilization among veterans utilizing Veterans Health Administration (VHA) mental health services in fiscal year 1999 (FY99), after the first Gulf War and significant restructuring of VHA services.

METHODS

We used logistic regression to examine the relationships among gender, age, diagnostic groups, and utilization of mental health and specialty mental health services in a national sample of veterans. The sample included 782,789 veterans with at least 1 outpatient visit in the VHA in FY99 associated with a mental health or substance abuse (SA) diagnosis. Subgroup analyses were performed for 4 diagnostic categories: 1) posttraumatic stress disorder (PTSD), 2) SA disorders, 3) bipolar and psychotic disorders, and 4) mood and anxiety disorders.

MAIN FINDINGS

Younger women veterans (<35 years old) were significantly less likely and older women (> or =35) more likely to use any mental health services in comparison with their male counterparts. Similar findings were observed for younger women diagnosed with SA or mood and anxiety disorders, but not among veterans with PTSD or bipolar and psychotic disorders, among whom no there were no gender or age differences. In the case of specialized services for SA or PTSD, women younger than 55 with SA or PTSD were significantly less likely to use services than men.

CONCLUSION

Women veterans underutilized specialty mental health services in relation to men but receipt of mental health care overall in FY99 varied by age and diagnosis. Examining gender differences alone, without taking other factors into account, may not provide an adequate picture of women veterans' current mental health service needs.

Authors+Show Affiliations

Center for Health Quality, Outcomes and Economic Research (CHQOER), Bedford VAMC (152), Bedford, Massachusetts 01730, USA. sharmcha@bu.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19447322

Citation

Chatterjee, Sharmila, et al. "Gender Differences in Veterans Health Administration Mental Health Service Use: Effects of Age and Psychiatric Diagnosis." Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, vol. 19, no. 3, 2009, pp. 176-84.
Chatterjee S, Rath ME, Spiro A, et al. Gender differences in veterans health administration mental health service use: effects of age and psychiatric diagnosis. Womens Health Issues. 2009;19(3):176-84.
Chatterjee, S., Rath, M. E., Spiro, A., Eisen, S., Sloan, K. L., & Rosen, A. K. (2009). Gender differences in veterans health administration mental health service use: effects of age and psychiatric diagnosis. Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, 19(3), 176-84. https://doi.org/10.1016/j.whi.2009.03.002
Chatterjee S, et al. Gender Differences in Veterans Health Administration Mental Health Service Use: Effects of Age and Psychiatric Diagnosis. Womens Health Issues. 2009 May-Jun;19(3):176-84. PubMed PMID: 19447322.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gender differences in veterans health administration mental health service use: effects of age and psychiatric diagnosis. AU - Chatterjee,Sharmila, AU - Rath,Maria E, AU - Spiro,Avron,3rd AU - Eisen,Susan, AU - Sloan,Kevin L, AU - Rosen,Amy K, PY - 2008/05/14/received PY - 2009/03/13/revised PY - 2009/03/16/accepted PY - 2009/5/19/entrez PY - 2009/5/19/pubmed PY - 2009/8/20/medline SP - 176 EP - 84 JF - Women's health issues : official publication of the Jacobs Institute of Women's Health JO - Womens Health Issues VL - 19 IS - 3 N2 - PURPOSE: The objective of this study was to compare gender differences in mental health disease burden and outpatient mental health utilization among veterans utilizing Veterans Health Administration (VHA) mental health services in fiscal year 1999 (FY99), after the first Gulf War and significant restructuring of VHA services. METHODS: We used logistic regression to examine the relationships among gender, age, diagnostic groups, and utilization of mental health and specialty mental health services in a national sample of veterans. The sample included 782,789 veterans with at least 1 outpatient visit in the VHA in FY99 associated with a mental health or substance abuse (SA) diagnosis. Subgroup analyses were performed for 4 diagnostic categories: 1) posttraumatic stress disorder (PTSD), 2) SA disorders, 3) bipolar and psychotic disorders, and 4) mood and anxiety disorders. MAIN FINDINGS: Younger women veterans (<35 years old) were significantly less likely and older women (> or =35) more likely to use any mental health services in comparison with their male counterparts. Similar findings were observed for younger women diagnosed with SA or mood and anxiety disorders, but not among veterans with PTSD or bipolar and psychotic disorders, among whom no there were no gender or age differences. In the case of specialized services for SA or PTSD, women younger than 55 with SA or PTSD were significantly less likely to use services than men. CONCLUSION: Women veterans underutilized specialty mental health services in relation to men but receipt of mental health care overall in FY99 varied by age and diagnosis. Examining gender differences alone, without taking other factors into account, may not provide an adequate picture of women veterans' current mental health service needs. SN - 1049-3867 UR - https://www.unboundmedicine.com/medline/citation/19447322/Gender_differences_in_veterans_health_administration_mental_health_service_use:_effects_of_age_and_psychiatric_diagnosis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1049-3867(09)00027-9 DB - PRIME DP - Unbound Medicine ER -