Evidence map›Paper›PMID 31713042›Full record

Observational studyJournal of general internal medicine2020

Military Sexual Trauma in Older Women Veterans: Prevalence and Comorbidities.

Carolyn J Gibson, Shira Maguen, Feng Xia, Deborah E Barnes, Carrie B Peltz, Kristine Yaffe

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  11. Posttraumatic Stress Disorder in Older Veterans admitted to VA Community Living Centers: Prevalence and Risk Correlates.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
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  20. Post-traumatic Stress Disorder in Older U.S. Military Veterans: Prevalence, Characteristics, and Psychiatric and Functional Burden.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022
    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 at 3 institutions in 1 country.

Carolyn J GibsonSan Francisco VA Medical Center, San Francisco VA Health Care System, San Francisco, CA, USA. Carolyn.Gibson2@va.gov.
Shira MaguenSan Francisco VA Medical Center, San Francisco VA Health Care System, San Francisco, CA, USA.
Feng XiaNCIRE-The Veterans' Health Research Institute, San Francisco, CA, USA.
Deborah E BarnesSan Francisco VA Medical Center, San Francisco VA Health Care System, San Francisco, CA, USA.
Carrie B PeltzNCIRE-The Veterans' Health Research Institute, San Francisco, CA, USA.
Kristine YaffeSan Francisco VA Medical Center, San Francisco VA Health Care System, San Francisco, CA, USA.
San Francisco VA Medical Center · USNorthern California Institute for Research and Education · USUniversity of California, San Francisco · US

Funding

Improving Health Care for Women Veterans: Addressing Menopause and Mental HealthIK2HX002402 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI GIBSON, CAROLYN · 2019 to 2022
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HSRD VA IK2 HX002402
6 · The paper itself

Abstract

backgroundRecent attention has highlighted the common occurrence and health consequences of military sexual trauma (MST) in younger women veterans. However, almost nothing is known about MST in older veterans.

objectiveTo describe MST among older women veterans, including prevalence and common comorbidities.

designCross-sectional observational study, using data from national Department of Veterans Affairs medical records.

participantsPopulation-based sample of women Veterans aged 55+ with at least one documented MST screen response and at least one clinical encounter in fiscal years 2005-2015. MAIN MEASURES: MST screen: medical diagnoses (diabetes, hypertension, hyperlipidemia, myocardial infarction, cerebrovascular disease, congestive heart failure, obesity, chronic pain conditions, back pain, dementia, insomnia, sleep apnea, menopause symptoms) and mental health diagnoses (anxiety, depression, posttraumatic stress disorder, tobacco use, alcohol use disorder, substance use disorder, opioid use disorder, suicidal ideation) from International Classification of Diseases, Ninth Revision Clinical Modification codes in the medical record. KEY

resultsIn this cohort of older women veterans (n = 70,864, mean age 65.8 ± 10.4 years), 13% had a positive MST screen. In multivariable regression analyses adjusted for age, race/ethnicity, and marital status, MST was strongly associated with most mental health diagnoses, particularly posttraumatic stress disorder (OR 7.25, 95% CI 6.84-7.68), depression (OR 2.39, 95% CI 2.28-2.50), and suicidal ideation (OR 2.42, 95% CI 2.08-2.82). MST was also associated with multiple medical conditions, particularly sleep disorders (insomnia OR 1.61, 95% CI 1.43-1.82; sleep apnea OR 1.48, 95% CI 1.37-1.61) and pain (chronic pain OR 1.58, 95% CI 1.50-1.67; back pain OR 1.40, 95% CI 1.34-1.47).

conclusionsA history of MST is common among older women veterans and associated with a range of medical and mental health diagnoses. These findings call attention to the need for additional research in this understudied population, and the importance of trauma-informed care approaches for women across the lifespan.

Indexed as

Military PersonnelSex OffensesStress Disorders, Post-TraumaticVeteransAgedCross-Sectional StudiesFemaleHumansMiddle AgedPrevalenceSexual TraumaUnited StatesUnited States Department of Veterans Affairschronic diseasemental healthsexual assaultveteranswomen’s health

Identifiers

PMID31713042
PMCPMC6957619
OpenAlexW2983910113

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.