Evidence map›Paper›PMID 25767963›Full record

ArticleMedical care2015

Sex differences in mental health and substance use disorders and treatment entry among justice-involved Veterans in the Veterans Health Administration.

Andrea K Finlay, Ingrid A Binswanger, David Smelson, Leon Sawh, Jim McGuire, Joel Rosenthal, Jessica Blue-Howells, Christine Timko, Janet C Blodgett, Alex H S Harris and 2 more

Abstract read
In one paragraph

Article in Medical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.5field-weighted citation impact, top 6% of its field
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

16 citing papers in PubMed, 40 citations in OpenAlex.

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  16. Gender Differences in Use of Complementary and Integrative Health by U.S. Military Veterans with Chronic Musculoskeletal Pain.Women's health issues : official publication of the Jacobs Institute of Women's Health
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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

12 authors at 7 institutions in 1 country.

Andrea K Finlay*Center for Innovation to Implementation (Ci2i), Substance Use Disorder Quality Research Enhancement Initiative, VA Palo Alto Health Care System, Menlo Park, CA †Division of General Internal Medicine University of Colorado School of Medicine, Community Health Services, Denver Health Medical Center, Denver, CO ‡National Center on Homelessness Among Veterans, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA §Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA ∥School of Criminology and Justice Studies, University of Massachusetts, Lowell, Bedford, MA ¶Department of Veterans Affairs, Veterans Justice Programs #Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA **Department of Psychiatry and Behavioral Sciences ††Division of General Medical Disciplines, Stanford University School of Medicine, Menlo Park, CA.
Ingrid A Binswanger
David Smelson
Leon Sawh
Jim McGuire
Joel Rosenthal
Jessica Blue-Howells
Christine Timko
Janet C Blodgett
Alex H S Harris
Steven M Asch
Susan Frayne
Denver Health Medical Center · USVA Palo Alto Health Care System · USCenter for Innovation · USEdith Nourse Rogers Memorial Veterans Hospital · USQuality Research · USUniversity of Colorado Denver · USUniversity of Massachusetts Chan Medical School · US

Funding

HSRD VA CDA 13-279HSRD VA IK2 HX001513HSRD VA RCS 00-001HSRD VA RCS 14-232
6 · The paper itself

Abstract

backgroundOver half of veterans in the criminal justice system have mental health or substance use disorders. However, there is a critical lack of information about female veterans in the criminal justice system and how diagnosis prevalence and treatment entry differ by sex.

objectivesTo document prevalence of mental health and substance use disorder diagnoses and treatment entry rates among female veterans compared with male veterans in the justice system. RESEARCH

designRetrospective cohort study using national Veterans Health Administration clinical/administrative data from veterans seen by Veterans Justice Outreach Specialists in fiscal years 2010-2012. SUBJECTS: A total of 1535 females and 30,478 male veterans were included. MEASURES: Demographic characteristics (eg, sex, age, residence, homeless status), mental health disorders (eg, depression, post-traumatic stress disorder), substance use disorders (eg, alcohol and opioid use disorders), and treatment entry (eg, outpatient, residential, pharmacotherapy).

resultsAmong female veterans, prevalence of mental health and substance use disorders was 88% and 58%, respectively, compared with 76% and 72% among male veterans. Women had higher odds of being diagnosed with a mental health disorder [adjusted odds ratio (AOR)=1.98; 95% confidence interval (CI), 1.68-2.34] and lower odds of being diagnosed with a substance use disorder (AOR=0.50; 95% CI, 0.45-0.56) compared with men. Women had lower odds of entering mental health residential treatment (AOR=0.69; 95% CI, 0.57-0.83).

conclusionsFemale veterans involved in the justice system have a high burden of mental health disorders (88%) and more than half have substance use disorders (58%). Entry to mental health residential treatment for women is an important quality improvement target.

Indexed as

PrisonersUnited States Department of Veterans AffairsVeteransWomen's HealthAdultFemaleHumansMaleMental DisordersMiddle AgedPrevalenceRetrospective StudiesRisk FactorsSex FactorsSubstance-Related DisordersUnited States

Identifiers

PMID25767963
PMCPMC5764085
OpenAlexW2062499029

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.