ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Gender Differences in Use of Complementary and Integrative Health by U.S. Military Veterans with Chronic Musculoskeletal Pain.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- An Evidence Map of the Women Veterans' Health Literature, 2016 to 2023: A Systematic Review.JAMA network open · 2025Pooled it
- Complementary and integrative health approaches to manage chronic pain in U.S. military populations: Results from a systematic review and meta-analysis, 1985-2019.Psychological services · 2021Pooled it
- Targeting chronic pain care to rural women veterans: A feasibility pilot.Psychological services · 2026Article
- Factors associated with nonpharmacological treatment use among older adults with chronic low back pain tapering opioids.Pain management · 2025Article
- The Use of Complementary Health Approaches Among U.S. Veterans from 2002 to 2022: a Prevalence and Sex-Stratified Analysis.Journal of general internal medicine · 2025Article
- Profiles of Nonpharmacologic Treatment Receipt in the First 10 Weeks Following a New Back Pain Diagnosis Among Active Duty Soldiers: A Latent Class Analysis.Military medicine · 2025Article
- Treatment Disparities in Hispanic Patients with Chronic Pain: An Evidence-Based Narrative Review.Current pain and headache reports · 2024Review
- The Problem of Pain in Rheumatology: Variations in Case Definitions Derived From Chronic Pain Phenotyping Algorithms Using Electronic Health Records.The Journal of rheumatology · 2024Article
- Pain Care Disparities and the Use of Virtual Care Among Racial-Ethnic Minority Groups During COVID-19.Journal of general internal medicine · 2024Article
- Exploring Gender Differences in Veterans in a Secondary Analysis of a Randomized Controlled Trial of Mindfulness for Chronic Pain.Women's health reports (New Rochelle, N.Y.) · 2024Article
- Age as a moderator in the interplay among locus of control, coping, and quality of life of people with chronic pain.Pain medicine (Malden, Mass.) · 2023Article
- Integrating Massage Therapy Into the Health Care of Female Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022Article
- Care Outcomes for Chiropractic Outpatient Veterans (COCOV): a qualitative study with veteran stakeholders from a pilot trial of multimodal chiropractic care.Pilot and feasibility studies · 2022Article
- Applying the NIA Health Disparities Research Framework to Identify Needs and Opportunities in Chronic Musculoskeletal Pain Research.The journal of pain · 2022Review
- Longitudinal Analysis of Complementary Health Approaches in Adults Aged 25-74 Years from the Midlife in the U.S. Survey Sample.Journal of alternative and complementary medicine (New York, N.Y.) · 2021Article
- Promoting learning health system feedback loops: Experience with a VA practice-based research network card study.Healthcare (Amsterdam, Netherlands) · 2021Article
- Effectiveness of Complementary and Integrative Approaches in Promoting Engagement and Overall Wellness Toward Suicide Prevention in Veterans.Journal of alternative and complementary medicine (New York, N.Y.) · 2021Article
- Stakeholder Engagement in Pragmatic Clinical Trials: Emphasizing Relationships to Improve Pain Management Delivery and Outcomes.Pain medicine (Malden, Mass.) · 2020Article
- Complementary, Integrative, and Nondrug Therapy Use for Pain Among US Military Veterans on Long-term Opioids.Medical care · 2020Article
- Using Electronic Data Collection Platforms to Assess Complementary and Integrative Health Patient-Reported Outcomes: Feasibility Project.JMIR medical informatics · 2020Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
aimsThe Veterans Health Administration promotes evidence-based complementary and integrative health (CIH) therapies as nonpharmacologic approaches for chronic pain. We aimed to examine CIH use by gender among veterans with chronic musculoskeletal pain, and variations in gender differences by race/ethnicity and age.
methodsWe conducted a secondary analysis of electronic health records provided by all women (n = 79,537) and men (n = 389,269) veterans age 18 to 54 years with chronic musculoskeletal pain who received Veterans Health Administration-provided care between 2010 and 2013. Using gender-stratified multivariate binary logistic regression, we examined predictors of CIH use, tested a race/ethnicity-by-age interaction term, and conducted pairwise comparisons of predicted probabilities.
resultsAmong veterans with chronic musculoskeletal pain, more women than men use CIH (36% vs. 26%), with rates ranging from 25% to 42% among women and 15% to 29% among men, depending on race/ethnicity and age. Among women, patients under age 44 who were Hispanic, White, or patients of other race/ethnicities are similarly likely to use CIH; in contrast, Black women, regardless of age, are least likely to use CIH. Among men, White and Black patients, and especially Black men under age 44, are less likely to use CIH than men of Hispanic or other racial/ethnic identities.
conclusionsWomen veteran patients with chronic musculoskeletal pain are more likely than men to use CIH therapies, with variations in CIH use rates by race/ethnicity and age. Tailoring CIH therapy engagement efforts to be sensitive to gender, race/ethnicity, and age could reduce differential CIH use and thereby help to diminish existing health disparities among veterans.
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Registered trials
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