Evidence map›Paper›PMID 28558740›Full record

ArticleBMC women's health2017

Experiences with VHA care: a qualitative study of U.S. women veterans with self-reported trauma histories.

Shannon M Kehle-Forbes, Eileen M Harwood, Michele R Spoont, Nina A Sayer, Heather Gerould, Maureen Murdoch

Abstract read
In one paragraph

Article in BMC women's health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Pilot trial ofCouple & family psychology · 2022
    Article
  14. Article
  15. Article
  16. Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach.Women's health issues : official publication of the Jacobs Institute of Women's Health · 2019
    Article
  17. Article
  18. Female Veterans' Experiences With VHA Treatment for Military Sexual Trauma.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019
    Article
  19. Psychotherapy Utilization, Preferences, and Retention among Women Veterans with Post-traumatic Stress Disorder.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
  20. "We Have a Long Way to Go:" A Case Study Examination of Older Women Veterans' Experiences in VA Primary Care.Inquiry : a journal of medical care organization, provision and financing
    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

6 authors.

Shannon M Kehle-ForbesNational Center for PTSD Women's Health Sciences Division at VA Boston Healthcare System, Boston, MA, 02130, USA. Shannon.Kehle-Forbes@va.gov.ORCID 0000-0003-1625-9685
Eileen M HarwoodDivision of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, 55455, USA.
Michele R SpoontCenter for Chronic Disease Outcomes Research, Minneapolis VA Healthcare System, Minneapolis, MN, 55417, USA.
Nina A SayerCenter for Chronic Disease Outcomes Research, Minneapolis VA Healthcare System, Minneapolis, MN, 55417, USA.
Heather GerouldNational Center for PTSD Women's Health Sciences Division at VA Boston Healthcare System, Boston, MA, 02130, USA.
Maureen MurdochCenter for Chronic Disease Outcomes Research, Minneapolis VA Healthcare System, Minneapolis, MN, 55417, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen veterans in the United States, particularly those with posttraumatic stress disorder (PTSD) or a history of military sexual assault, have unique health care needs, but their minority status in the US Veterans Health Administration (VHA) has led to documented healthcare disparities when compared to men. This study's objective was to obtain a richer understanding of the challenges and successes encountered by women veterans with self-reported service-related trauma histories (particularly those with a history of military sexual assault and/or posttraumatic stress symptomology) receiving VHA care.

methodsThirty-seven female Vietnam and post-Vietnam (1975-1998) era veterans were randomly selected from a cohort of PTSD disability benefit applicants to complete semi-structured interviews in 2011-2012. Grounded-theory informed procedures were used to identify interview themes; differences between veterans with and without a history of military sexual assault were examined through constant comparison.

resultsAt the time of the interviews, many women believed that VHA was falling short of meeting women veterans' needs (e.g., lack of women-only mental health programming). Also common, but particularly among those with a military sexual assault history, was the perception that VHA's environment was unwelcoming; being "surrounded by men" yielded emotions ranging from discomfort and mistrust to severe anxiety. A few veterans reported recent positive changes and offered additional suggestions for improvement.

conclusionsFindings suggest that while at the time of the interviews gains had been made in the delivery of gender-sensitive outpatient medical care, women veterans with a history of military sexual assault and/or posttraumatic stress symptomology perceived that they were not receiving the same quality of care as male veterans.

Indexed as

Patient SatisfactionUnited States Department of Veterans AffairsFemaleGrounded TheoryHealth Services Needs and DemandHumansMiddle AgedQualitative ResearchSex OffensesStress Disorders, Post-TraumaticUnited StatesVeteransVeterans HealthVietnam ConflictMilitary sexual assaultPatient satisfactionPosttraumatic stress disorderQualitative researchVeteransWomen

Identifiers

PMID28558740
PMCPMC5450063

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.