Trial reportJournal of general internal medicine2013
PTSD risk and mental health care engagement in a multi-war era community sample of women veterans.
Trial report in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Correlates and predictors of mental health care utilization for veterans with PTSD: A systematic review.Psychological trauma : theory, research, practice and policy · 2019Pooled it
- Mental Health Help Seeking Among Traumatized Individuals: A Systematic Review of Studies Assessing the Role of Substance Use and Abuse.Trauma, violence & abuse · 2017Pooled it
- Pathways Linking Post-Traumatic Stress Disorder to Incident Ischemic Heart Disease in Women: Call to Action.JACC. Advances · 2024Article
- Association of PTSD with COVID-19 testing and infection in the Veterans Health Administration.Journal of psychiatric research · 2021Article
- Use of alcohol as a sleep aid, unhealthy drinking behaviors, and sleeping pill use among women veterans.Sleep health · 2019Article
- A scoping review of the associations between mental health and factors related to HIV acquisition and disease progression in conflict-affected populations.Conflict and health · 2018Article
- Deployment of personnel to military operations: impact on mental health and social functioning.Campbell systematic reviews · 2018Article
- An Evidence Map of the Women Veterans' Health Research Literature (2008-2015).Journal of general internal medicine · 2017Review
- Aging Well Among Women Veterans Compared With Non-Veterans in the Women's Health Initiative.The Gerontologist · 2016Observational
- Hysterectomy and Bilateral Salpingo-Oophorectomy: Variations by History of Military Service and Birth Cohort.The Gerontologist · 2016Observational
- Military Generation and Its Relationship to Mortality in Women Veterans in the Women's Health Initiative.The Gerontologist · 2016Observational
- Article
- The 6-month prevalence of posttraumatic stress syndrome (PTSS) among older adults: validity and reliability of the PTSS scale.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2014Article
- Health-related quality of life and comorbidity among older women veterans in the United States.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2013Article
- PTSD women Veterans' prevalence of PTSD care.Journal of general internal medicine · 2013Article
- PTSD women Veterans' prevalence of PTSD care.Journal of general internal medicine · 2013Article
- Improving health of veterans through research collaborations.Journal of general internal medicine · 2013Article
- Estimated Prevalence of Insomnia among Women Veterans: Results of a Postal Survey.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- Insomnia Precipitating Events among Women Veterans: The Impact of Traumatic and Nontraumatic Events on Sleep and Mental Health Symptoms.Behavioral sleep medicineArticle
- COVID-19 Infection in the Veterans Health Administration: Gender-specific Racial and Ethnic Differences.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPost-traumatic stress disorder (PTSD) is common in women veterans (WVs), and associated with significant co-morbidity. Effective treatment is available; however, PTSD is often unrecognized.
objectivesIdentify PTSD prevalence and mental healthcare (MHC) use in a representative national WV sample. DESIGN AND
participantsCross-sectional, population-based 2008-2009 national survey of 3,611 WVs, weighted to the population. MAIN MEASURES: We screened for PTSD using a validated instrument, and also assessed demographic characteristics, health characteristics, and MHC use in the prior 12 months. Among those screening positive, we conducted multivariate logistic regression to identify independent predictors of MHC use. KEY
resultsOverall, 13.0 % (95 % confidence interval [CI] 9.8-16.2) of WVs screened PTSD-positive. Veterans Health Administration (VA) healthcare was used by 31.1 % of PTSD-positives and 11.4 % of PTSD-negatives (p<0.001). Among those screening positive, 48.7 % (95 % CI 35.9-61.6) used MHC services (66.3 % of VA-users, 40.8 % of VA-nonusers; p<0.001). Having a diagnosis of depression (OR=8.6; 95 % CI 1.5-48.9) and VA healthcare use (OR=2.7; 95 % CI 1.1-7.0) predicted MHC use, whereas lacking a regular provider for health care (OR=0.2; 95 % CI 0.1-0.4) and household income below the federal poverty level (OR=0.2; 95 % CI 0.1-0.5) predicted nonuse.
conclusionsMore than one in eight WVs screened positive for PTSD. Though a majority of VA-users received MHC, low income predicted nonuse. Only a minority of VA-nonusers received MHC. The majority of WVs use non-VA healthcare providers, who may be unaware of their veteran status and PTSD risk. VA outreach to educate VA-nonusers and their healthcare providers about WVs' PTSD risk and available evidence-based VA treatment options is one approach to extend the reach of VA MHC. Research to characterize barriers to VA MHC use for VA-nonusers and low income VA-users is warranted to better understand low service utilization, and to inform program development to engage more WVs in needed MHC.
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Registered trials
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