Evidence map›Paper›PMID 26840993›Full record

ArticleHealth services research2016

Determinants of National Guard Mental Health Service Utilization in VA versus Non-VA Settings.

Lisa A Gorman, Rebecca K Sripada, Dara Ganoczy, Heather M Walters, Kipling M Bohnert, Gregory W Dalack, Marcia Valenstein

Registry-linked trialAbstract read
In one paragraph

Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01156727 (Linking National Guard Veterans With Need to Mental Health Care), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT01156727 completednot on this map

Linking National Guard Veterans With Need to Mental Health Care

TypeobservationalSponsorVA Office of Research and DevelopmentRan2010 to 2014Enrolled3,015ConditionsHealthy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. Article
  6. Evidence Review-Social Determinants of Health for Veterans.Journal of general internal medicine · 2018
    Review
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

7 authors.

Lisa A GormanMichigan Public Health Institute, Okemos, MI. lgorman@mphi.org.
Rebecca K SripadaDepartment of Psychiatry, University of Michigan, Ann Arbor, MI.
Dara GanoczyVA Center for Clinical Management Research, Ann Arbor Health Care System, Ann Arbor, MI.
Heather M WaltersVA Center for Clinical Management Research, Ann Arbor Health Care System, Ann Arbor, MI.
Kipling M BohnertDepartment of Psychiatry, University of Michigan, Ann Arbor, MI.
Gregory W DalackDepartment of Psychiatry, University of Michigan, Ann Arbor, MI.
Marcia ValensteinDepartment of Psychiatry, University of Michigan, Ann Arbor, MI.

Funding

HSRD VA IK2 HX000970
6 · The paper itself

Abstract

objectiveTo determine associations between need, enabling, and predisposing factors with mental health service use among National Guard soldiers in the first year following a combat deployment to Iraq or Afghanistan. DATA SOURCES/STUDY

settingPrimary data were collected between 2011 and 2013 from 1,426 Guard soldiers representing 36 units. STUDY

designAssociations between Guard soldier factors and any mental health service use were assessed using multivariable logistic regression models in a cross-sectional study. Further analysis among service users (N = 405) assessed VA treatment versus treatment in other settings. PRINCIPAL

findingsFifty-six percent of Guard soldiers meeting cutoffs on symptom scales received mental health services with 81 percent of those reporting care from the VA. Mental health service use was associated with need (mental health screens and physical health) and residing in micropolitan communities. Among service users, predisposing factors (middle age range and female gender) and enabling factors (employment, income above $50,000, and private insurance) were associated with greater non-VA services use.

conclusionOverall service use was strongly associated with need, whereas sector of use (non-VA vs. VA) was insignificantly associated with need but strongly associated with enabling factors. These findings have implications for the recent extension of veteran health coverage to non-VA providers.

Indexed as

AdolescentAdultCross-Sectional StudiesFemaleHealth Services AccessibilityHealth Services Needs and DemandHospitals, VeteransHumansMaleMental Health ServicesMilitary PersonnelPrivate PracticeUnited StatesaccessMental healthutilization of servicesVA health care system

Identifiers

PMID26840993
PMCPMC5034208

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Registered trials

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.