Evidence map›Paper›PMID 32951600›Full record

ArticleMilitary Medical Research2020

Mental health status in veterans residing in rural versus non-rural areas: results from the veterans' health study.

Joseph J Boscarino, Charles R Figley, Richard E Adams, Thomas G Urosevich, H Lester Kirchner, Joseph A Boscarino

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Military Medical Research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Joseph J BoscarinoClinical Psychology Department, William James College, Newton, MA, 02459, USA.
Charles R FigleySchool of Social Work, Tulane University, New Orleans, LA, 70112, USA.
Richard E AdamsDepartment of Sociology, Kent State University, Kent, OH, 44242, USA.
Thomas G UrosevichOphthalmology Service, Geisinger Clinic, Mount Pocono, PA, 18344, USA.
H Lester KirchnerDepartment of Population Health Sciences, Geisinger Clinic, 100 N. Academy Avenue, 44-00, Danville, PA, 17822, USA.
Joseph A BoscarinoDepartment of Population Health Sciences, Geisinger Clinic, 100 N. Academy Avenue, 44-00, Danville, PA, 17822, USA. jaboscarino@geisinger.edu.ORCID 0000-0002-9965-6805
Geisinger Medical Center · USGeisinger Health System · USKent State University · USTulane University · US

Funding

Developing PTSD Risk Assessment Tools Using the World Trade Center Outcome StudyR21MH086317 · NIMH · GEISINGER CLINIC · PI BOSCARINO, JOSEPH A · 2009 to 2010
$437k
NIMH NIH HHS R21 MH086317
6 · The paper itself

Abstract

backgroundThe majority of Veterans Affair (VA) hospitals are in urban areas. We examined whether veterans residing in rural areas have lower mental health service use and poorer mental health status.

methodsVeterans with at least 1 warzone deployment in central and northeastern Pennsylvania were randomly selected for an interview. Mental health status, including PTSD, major depression, alcohol abuse and mental health global severity, were assessed using structured interviews. Psychiatric service use was based on self-reported utilization in the past 12 months. Results were compared between veterans residing in rural and non-rural areas. Data were also analyzed using multivariate logistic regression to minimize the influence by confounding factors.

resultsA total of 1730 subjects (55% of the eligible veterans) responded to the survey and 1692 of them had complete geocode information. Those that did not have this information (n = 38), were excluded from some analyses. Veterans residing in rural areas were older, more often of the white race, married, and experienced fewer stressful events. In comparison to those residing in non-rural areas, veterans residing in rural areas had lower global mental health severity scores; they also had fewer mental health visits. In multivariate logistic regression, rural residence was associated with lower service use, but not with PTSD, major depression, alcohol abuse, and global mental health severity score after adjusting confounding factors (e.g., age, gender, marital status and education).

conclusionsRural residence is associated with lower mental health service use, but not with poor mental health in veterans with former warzone deployment, suggesting rural residence is possibly protective.

Indexed as

AdultCross-Sectional StudiesFemaleHealth StatusHumansMaleMental DisordersMental HealthMiddle AgedOhioRural PopulationSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsUrban PopulationVeteransAlcohol abuseCensus dataDepressionPTSDRisk factorsRuralService useVeterans

Identifiers

PMID32951600
PMCPMC7504679
OpenAlexW3087378997

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.