Evidence map›Paper›PMID 20565985›Full record

ArticleBMC health services research2010

Comparison of outpatient health care utilization among returning women and men veterans from Afghanistan and Iraq.

Mona Duggal, Joseph L Goulet, Julie Womack, Kirsha Gordon, Kristin Mattocks, Sally G Haskell, Amy C Justice, Cynthia A Brandt

Abstract readComparative Study
In one paragraph

Article in BMC health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Insomnia Symptoms Among Female Veterans: Prevalence, Risk Factors, and the Impact on Psychosocial Functioning and Health Care Utilization.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018
    Article
  5. Review
  6. Article
  7. Barriers to Psychosocial Services among Homeless Women Veterans.Journal of social work practice in the addictions · 2012
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mona DuggalDepartment of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA. mona.duggal@yale.edu
Joseph L Goulet
Julie Womack
Kirsha Gordon
Kristin Mattocks
Sally G Haskell
Amy C Justice
Cynthia A Brandt

Funding

MEDICAL INFORMATICS RESEARCH TRAINING AT YALET15LM007056 · NLM · YALE UNIVERSITY · PI Mark Bender Gerstein, LUCILA OHNO-MACHADO · 1987 to 2026
$22.2M
Alcohol Associated Outcomes Among HIV+/- Aging VeteransU10AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2006 to 2010
$12.7M
Women Veterans Cohort Study 2I01HX000915 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI BRANDT, CYNTHIA A., HASKELL, SALLY · 2014 to 2019
–
HSRD VA I01 HX000915NIAAA NIH HHS U10 AA 13566NLM NIH HHS T15 LM007056NLM NIH HHS TI5 LM007056
6 · The paper itself

Abstract

backgroundThe number of women serving in the United States military increased during Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF), leading to a subsequent surge in new women Veterans seeking health care services from the Veterans Administration (VA). The objective of this study was to examine gender differences among OEF/OIF Veterans in utilization of VA outpatient health care services.

methodsOur retrospective cohort consisted of 1,620 OEF/OIF Veterans (240 women and 1380 men) who enrolled for outpatient healthcare at a single VA facility. We collected demographic data and information on military service and VA utilization from VA electronic medical records. To assess gender differences we used two models: use versus nonuse of services (logistic regression) and intensity of use among users (negative binomial regression).

resultsIn our sample, women were more likely to be younger, single, and non-white than men. Women were more likely to utilize outpatient care services (odds ratio [OR] = 1.47, 95% confidence interval [CI]:1.09, 1.98), but once care was initiated, frequency of visits over time (intensity) did not differ by gender (incident rate ratio [IRR] = 1.07; 95% CI: 0.90, 1.27).

conclusionRecently discharged OEF/OIF women Veterans were more likely to seek VA health care than men Veterans. But the intensity of use was similar between women and men VA care users. As more women use VA health care, prospective studies exploring gender differences in types of services utilized, health outcomes, and factors associated with satisfaction will be required.

Indexed as

VeteransAdultAfghan Campaign 2001-Ambulatory Care FacilitiesCohort StudiesFemaleHumansIraq War, 2003-2011MaleRetrospective StudiesUnited States

Identifiers

PMID20565985
PMCPMC2910695

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.