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Mental Health of Transgender Veterans of the Iraq and Afghanistan Conflicts Who Experienced Military Sexual Trauma.
J Trauma Stress. 2016 12; 29(6):563-567.JT

Abstract

Little is known about military sexual trauma (MST) in transgender veterans. To address this gap, we examined archival data regarding transgender veterans from the Iraq and Afghanistan conflicts. There were 332 transgender veterans treated at the Veterans Health Administration between 2000 and 2013 (78 men, 254 women; mean age 33.86 years), with most being non-Hispanic White. Transgender status and mental health conditions were identified using the International Classification of Diseases, 9th Revision (ICD-9; World Health Organization, 1980) codes and chart review. Men and women were analyzed separately, using contingency tables and χ2 testing for categorical variables and t tests for continuous variables. Likelihood of having a mental health condition and MST were examined using logistic regression. Among the 15% of participants who experienced MST, MST was associated with the likelihood of posttraumatic stress disorder, adjusted OR = 6.09, 95% confidence interval (CI) [1.22, 30.44] and personality disorder, OR = 3.86, 95% CI [1.05, 14.22] for men and with depressive, OR = 3.33, 95% CI [1.12, 9.93], bipolar, OR = 2.87, 95% CI [1.12, 7.44], posttraumatic stress, OR = 2.42, [1.11, 5.24], and personality disorder, OR = 4.61, 95% CI [2.02, 10.52] for women. Implications include that medical forms should include gender identity and biological gender and that MST treatment should be culturally competent.

Authors+Show Affiliations

VA South Central Mental Illness Research, Education & Clinical Center, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA. VA HSR & D Center for Innovations in Quality, Effectiveness and Safety, Houston, Texas, USA. Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA.Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA. Mental Health Care Line, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA. Department of Psychology, University of Houston, Houston, Texas, USA.VA South Central Mental Illness Research, Education & Clinical Center, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA. VA HSR & D Center for Innovations in Quality, Effectiveness and Safety, Houston, Texas, USA. Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.VA South Central Mental Illness Research, Education & Clinical Center, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA. VA HSR & D Center for Innovations in Quality, Effectiveness and Safety, Houston, Texas, USA. Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.VA South Central Mental Illness Research, Education & Clinical Center, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA. VA HSR & D Center for Innovations in Quality, Effectiveness and Safety, Houston, Texas, USA. Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.VA South Central Mental Illness Research, Education & Clinical Center, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA. VA HSR & D Center for Innovations in Quality, Effectiveness and Safety, Houston, Texas, USA. Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

27868261

Citation

Lindsay, Jan A., et al. "Mental Health of Transgender Veterans of the Iraq and Afghanistan Conflicts Who Experienced Military Sexual Trauma." Journal of Traumatic Stress, vol. 29, no. 6, 2016, pp. 563-567.
Lindsay JA, Keo-Meier C, Hudson S, et al. Mental Health of Transgender Veterans of the Iraq and Afghanistan Conflicts Who Experienced Military Sexual Trauma. J Trauma Stress. 2016;29(6):563-567.
Lindsay, J. A., Keo-Meier, C., Hudson, S., Walder, A., Martin, L. A., & Kauth, M. R. (2016). Mental Health of Transgender Veterans of the Iraq and Afghanistan Conflicts Who Experienced Military Sexual Trauma. Journal of Traumatic Stress, 29(6), 563-567. https://doi.org/10.1002/jts.22146
Lindsay JA, et al. Mental Health of Transgender Veterans of the Iraq and Afghanistan Conflicts Who Experienced Military Sexual Trauma. J Trauma Stress. 2016;29(6):563-567. PubMed PMID: 27868261.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mental Health of Transgender Veterans of the Iraq and Afghanistan Conflicts Who Experienced Military Sexual Trauma. AU - Lindsay,Jan A, AU - Keo-Meier,Colt, AU - Hudson,Sonora, AU - Walder,Annette, AU - Martin,Lindsey A, AU - Kauth,Michael R, Y1 - 2016/11/21/ PY - 2016/11/22/pubmed PY - 2018/1/9/medline PY - 2016/11/22/entrez SP - 563 EP - 567 JF - Journal of traumatic stress JO - J Trauma Stress VL - 29 IS - 6 N2 - Little is known about military sexual trauma (MST) in transgender veterans. To address this gap, we examined archival data regarding transgender veterans from the Iraq and Afghanistan conflicts. There were 332 transgender veterans treated at the Veterans Health Administration between 2000 and 2013 (78 men, 254 women; mean age 33.86 years), with most being non-Hispanic White. Transgender status and mental health conditions were identified using the International Classification of Diseases, 9th Revision (ICD-9; World Health Organization, 1980) codes and chart review. Men and women were analyzed separately, using contingency tables and χ2 testing for categorical variables and t tests for continuous variables. Likelihood of having a mental health condition and MST were examined using logistic regression. Among the 15% of participants who experienced MST, MST was associated with the likelihood of posttraumatic stress disorder, adjusted OR = 6.09, 95% confidence interval (CI) [1.22, 30.44] and personality disorder, OR = 3.86, 95% CI [1.05, 14.22] for men and with depressive, OR = 3.33, 95% CI [1.12, 9.93], bipolar, OR = 2.87, 95% CI [1.12, 7.44], posttraumatic stress, OR = 2.42, [1.11, 5.24], and personality disorder, OR = 4.61, 95% CI [2.02, 10.52] for women. Implications include that medical forms should include gender identity and biological gender and that MST treatment should be culturally competent. SN - 1573-6598 UR - https://www.unboundmedicine.com/medline/citation/27868261/Mental_Health_of_Transgender_Veterans_of_the_Iraq_and_Afghanistan_Conflicts_Who_Experienced_Military_Sexual_Trauma_ L2 - https://doi.org/10.1002/jts.22146 DB - PRIME DP - Unbound Medicine ER -