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Sexual Assault, Sexual Harassment, and Physical Victimization during Military Service across Age Cohorts of Women Veterans.
Womens Health Issues. 2016 Mar-Apr; 26(2):225-31.WH

Abstract

OBJECTIVES

Exposure to sexual and physical trauma during military service is associated with adverse mental and physical health outcomes. Little is known about their prevalence and impact in women veterans across age cohorts.

METHODS

Data from a 2013 national online survey of women veterans was used to examine associations between age and trauma during military service, including sexual assault, sexual harassment, and physical victimization. Analyses were conducted using logistic regression, adjusting for service duration and demographic factors. In secondary analyses, the moderating role of age in the relationship between trauma and self-reported health was examined.

RESULTS

The sample included 781 women veterans. Compared with the oldest age group (≥ 65), all except the youngest age group had consistently higher odds of reporting trauma during military service. These differences were most pronounced in women aged 45 to 54 years (sexual assault odds ratio [OR], 3.81 [95% CI, 2.77-6.71]; sexual harassment, OR, 3.99 [95% CI, 2.25-7.08]; and physical victimization, OR, 5.72 [95% CI, 3.32-9.85]). The association between trauma during military service and self-reported health status also varied by age group, with the strongest negative impact observed among women aged 45 to 54 and 55 to 64.

CONCLUSIONS

Compared with other age groups, women in midlife were the most likely to report trauma during military service, and these experiences were associated with greater negative impact on their self-reported health. Providers should be aware that trauma during military service may be particularly problematic for the cohort of women currently in midlife, who represent the largest proportion of women who use Department of Veterans Affairs health care.

Authors+Show Affiliations

Medical Service Line, San Francisco VA Medical Center, San Francisco, California. Electronic address: Carolyn.Gibson2@va.gov.Health Services Research & Development, Department of Veterans Affairs Puget Sound Health Care System, Seattle, Washington; Department of Health Services, University of Washington School of Public Health, Seattle, Washington.Health Services Research & Development, Department of Veterans Affairs Puget Sound Health Care System, Seattle, Washington; Department of Health Services, University of Washington School of Public Health, Seattle, Washington; Women's Health Services, Office of Patient Care Services, Veterans Health Administration, Department of Veterans Affairs, Washington, DC.Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington; Mental Illness, Research, Education, and Clinical Center (MIRECC), VA Puget Sound Health Care System, Seattle, Washington; Center of Excellence in Substance Abuse Treatment and Education (CESATE), VA Puget Sound Health Care System, Seattle, Washington.Health Services Research & Development, Department of Veterans Affairs Puget Sound Health Care System, Seattle, Washington; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington; Mental Illness, Research, Education, and Clinical Center (MIRECC), VA Puget Sound Health Care System, Seattle, Washington.

Pub Type(s)

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

Language

eng

PubMed ID

26632005

Citation

Gibson, Carolyn J., et al. "Sexual Assault, Sexual Harassment, and Physical Victimization During Military Service Across Age Cohorts of Women Veterans." Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, vol. 26, no. 2, 2016, pp. 225-31.
Gibson CJ, Gray KE, Katon JG, et al. Sexual Assault, Sexual Harassment, and Physical Victimization during Military Service across Age Cohorts of Women Veterans. Womens Health Issues. 2016;26(2):225-31.
Gibson, C. J., Gray, K. E., Katon, J. G., Simpson, T. L., & Lehavot, K. (2016). Sexual Assault, Sexual Harassment, and Physical Victimization during Military Service across Age Cohorts of Women Veterans. Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, 26(2), 225-31. https://doi.org/10.1016/j.whi.2015.09.013
Gibson CJ, et al. Sexual Assault, Sexual Harassment, and Physical Victimization During Military Service Across Age Cohorts of Women Veterans. Womens Health Issues. 2016 Mar-Apr;26(2):225-31. PubMed PMID: 26632005.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual Assault, Sexual Harassment, and Physical Victimization during Military Service across Age Cohorts of Women Veterans. AU - Gibson,Carolyn J, AU - Gray,Kristen E, AU - Katon,Jodie G, AU - Simpson,Tracy L, AU - Lehavot,Keren, Y1 - 2015/11/26/ PY - 2015/06/11/received PY - 2015/09/22/revised PY - 2015/09/23/accepted PY - 2015/12/4/entrez PY - 2015/12/4/pubmed PY - 2017/1/4/medline SP - 225 EP - 31 JF - Women's health issues : official publication of the Jacobs Institute of Women's Health JO - Womens Health Issues VL - 26 IS - 2 N2 - OBJECTIVES: Exposure to sexual and physical trauma during military service is associated with adverse mental and physical health outcomes. Little is known about their prevalence and impact in women veterans across age cohorts. METHODS: Data from a 2013 national online survey of women veterans was used to examine associations between age and trauma during military service, including sexual assault, sexual harassment, and physical victimization. Analyses were conducted using logistic regression, adjusting for service duration and demographic factors. In secondary analyses, the moderating role of age in the relationship between trauma and self-reported health was examined. RESULTS: The sample included 781 women veterans. Compared with the oldest age group (≥ 65), all except the youngest age group had consistently higher odds of reporting trauma during military service. These differences were most pronounced in women aged 45 to 54 years (sexual assault odds ratio [OR], 3.81 [95% CI, 2.77-6.71]; sexual harassment, OR, 3.99 [95% CI, 2.25-7.08]; and physical victimization, OR, 5.72 [95% CI, 3.32-9.85]). The association between trauma during military service and self-reported health status also varied by age group, with the strongest negative impact observed among women aged 45 to 54 and 55 to 64. CONCLUSIONS: Compared with other age groups, women in midlife were the most likely to report trauma during military service, and these experiences were associated with greater negative impact on their self-reported health. Providers should be aware that trauma during military service may be particularly problematic for the cohort of women currently in midlife, who represent the largest proportion of women who use Department of Veterans Affairs health care. SN - 1878-4321 UR - https://www.unboundmedicine.com/medline/citation/26632005/Sexual_Assault_Sexual_Harassment_and_Physical_Victimization_during_Military_Service_across_Age_Cohorts_of_Women_Veterans_ DB - PRIME DP - Unbound Medicine ER -