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Military Sexual Assault in Transgender Veterans: Results From a Nationwide Survey.
J Trauma Stress. 2018 04; 31(2):181-190.JT

Abstract

There is limited understanding about the frequency of military sexual assault (MSA) in transgender veterans, characteristics associated with MSA, or subsequent mental and behavioral health problems. To address this gap, we used an online national survey of 221 transgender veterans to identify prevalence of MSA and to assess its association with demographic characteristics, past history of sexual victimization, and stigma-related factors. We also evaluated the association between MSA and several mental and behavioral health problems. Overall, 17.2% of transgender veterans experienced MSA, but rates differed significantly between transgender women (15.2%) and transgender men (30.0%). Using adjusted regression models, MSA was associated with adult sexual assault prior to military service, odds ratio (OR) = 4.05, 95% CI [1.62, 10.08], and distal minority stress during military service, OR = 2.98, 95% CI [1.28, 6.91]. With respect to health outcomes, MSA was associated with past-month posttraumatic stress disorder (PTSD) symptom severity, B = 10.18, 95% CI [3.45, 16.91]; current depression symptom severity, B = 3.71, 95% CI [1.11, 6.30]; and past-year drug use, OR = 3.17, 95% CI [1.36, 7.40]. Results highlight the vulnerability of transgender veterans to MSA, and the need for military prevention programs that acknowledge transgender individuals' heightened risk. Furthermore, clinicians should consider clinical screening for PTSD, depression, and drug use in transgender veterans who have a history of MSA.

Authors+Show Affiliations

Department of Health Services Research, University of Washington, Seattle, Washington, USA.Lesbian, Gay, Bisexual, and Transgender Health Program, Department of Veterans Affairs, Washington, District of Columbia, USA. VA Boston Healthcare System, Boston, Massachusetts, USA. National Center for PTSD, Women's Health Sciences Division, Boston, Massachusetts, USA. Boston University School of Medicine, Boston, Massachusetts, USA.Center of Excellence in Substance Abuse and Treatment (CESATE), VA Puget Sound Health Care System, Seattle, Washington, USA. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.Department of Health Services Research, University of Washington, Seattle, Washington, USA. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA. Health Services Research and Development Center of Innovation (COIN), VA Puget Sound Health Care System, Seattle, Washington, USA.

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

29603392

Citation

Beckman, Kerry, et al. "Military Sexual Assault in Transgender Veterans: Results From a Nationwide Survey." Journal of Traumatic Stress, vol. 31, no. 2, 2018, pp. 181-190.
Beckman K, Shipherd J, Simpson T, et al. Military Sexual Assault in Transgender Veterans: Results From a Nationwide Survey. J Trauma Stress. 2018;31(2):181-190.
Beckman, K., Shipherd, J., Simpson, T., & Lehavot, K. (2018). Military Sexual Assault in Transgender Veterans: Results From a Nationwide Survey. Journal of Traumatic Stress, 31(2), 181-190. https://doi.org/10.1002/jts.22280
Beckman K, et al. Military Sexual Assault in Transgender Veterans: Results From a Nationwide Survey. J Trauma Stress. 2018;31(2):181-190. PubMed PMID: 29603392.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Military Sexual Assault in Transgender Veterans: Results From a Nationwide Survey. AU - Beckman,Kerry, AU - Shipherd,Jillian, AU - Simpson,Tracy, AU - Lehavot,Keren, Y1 - 2018/03/30/ PY - 2017/08/22/received PY - 2018/01/14/revised PY - 2018/01/19/accepted PY - 2018/4/1/pubmed PY - 2019/11/8/medline PY - 2018/4/1/entrez SP - 181 EP - 190 JF - Journal of traumatic stress JO - J Trauma Stress VL - 31 IS - 2 N2 - There is limited understanding about the frequency of military sexual assault (MSA) in transgender veterans, characteristics associated with MSA, or subsequent mental and behavioral health problems. To address this gap, we used an online national survey of 221 transgender veterans to identify prevalence of MSA and to assess its association with demographic characteristics, past history of sexual victimization, and stigma-related factors. We also evaluated the association between MSA and several mental and behavioral health problems. Overall, 17.2% of transgender veterans experienced MSA, but rates differed significantly between transgender women (15.2%) and transgender men (30.0%). Using adjusted regression models, MSA was associated with adult sexual assault prior to military service, odds ratio (OR) = 4.05, 95% CI [1.62, 10.08], and distal minority stress during military service, OR = 2.98, 95% CI [1.28, 6.91]. With respect to health outcomes, MSA was associated with past-month posttraumatic stress disorder (PTSD) symptom severity, B = 10.18, 95% CI [3.45, 16.91]; current depression symptom severity, B = 3.71, 95% CI [1.11, 6.30]; and past-year drug use, OR = 3.17, 95% CI [1.36, 7.40]. Results highlight the vulnerability of transgender veterans to MSA, and the need for military prevention programs that acknowledge transgender individuals' heightened risk. Furthermore, clinicians should consider clinical screening for PTSD, depression, and drug use in transgender veterans who have a history of MSA. SN - 1573-6598 UR - https://www.unboundmedicine.com/medline/citation/29603392/Military_Sexual_Assault_in_Transgender_Veterans:_Results_From_a_Nationwide_Survey_ L2 - https://doi.org/10.1002/jts.22280 DB - PRIME DP - Unbound Medicine ER -