Evidence map›Paper›PMID 32997548›Full record

ArticlePsychology, health & medicine2022

Mental and physical health factors related to dual use of veterans affairs and non-veterans affairs healthcare among U.S. reserve soldiers.

Bonnie M Vest, Jessica A Kulak, D Lynn Homish, Rachel A Hoopsick, Gregory G Homish

Open access · greenAbstract read
In one paragraph

Article in Psychology, health & medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

5 authors at 2 institutions in 1 country.

Bonnie M VestDepartment of Family Medicine, University at Buffalo, Buffalo, NY, USA.ORCID 0000-0002-3401-7367
Jessica A KulakDepartment of Health, Nutrition, & Dietetics, Buffalo State College, Buffalo, NY, USA.
D Lynn HomishDepartment of Community Health & Health Behavior, University at Buffalo, Buffalo, NY, USA.
Rachel A HoopsickDepartment of Family Medicine, University at Buffalo, Buffalo, NY, USA.ORCID 0000-0001-5992-9007
Gregory G HomishDepartment of Community Health & Health Behavior, University at Buffalo, Buffalo, NY, USA.
University at Buffalo, State University of New York · USBuffalo State University · US

Funding

University of Buffalo Clinical and Translational Science Institute - Supplement SchulyerUL1TR001412 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI MURPHY, TIMOTHY F · 2015 to 2024
$33.8M
Substance Use in Reservists: Social and Environmental InfluencesR01DA034072 · NIDA · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI HOMISH, GREGORY G. · 2013 to 2022
$5.0M
Institutional Career DevelopmentKL2TR001413 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI DUBOCOVICH, MARGARITA L · 2015 to 2024
$4.2M
NCATS NIH HHS KL2 TR001413NCATS NIH HHS UL1 TR001412NIDA NIH HHS R01 DA034072
6 · The paper itself

Abstract

This study examined the association between mental and physical health factors and dual use of Veterans' Affairs (VA) and non-VA healthcare among previously deployed male Reserve/National Guard (R/NG) soldiers (N = 214). Participants completed online annual surveys on a range of topics, including validated measures of mental and physical health, as well as questions about past-year healthcare utilization. Multinomial logistic regression models separately examined the association between mental health symptoms (PTSD, anxiety, depression, emotional role limitations), physical health symptoms (bodily pain, physical role limitations), and healthcare use (single use and dual use compared to no use), controlling for geography, trust in the VA, age, and race. Anxiety (aRR: 1.13; 95% Confidence Interval (CI): 1.02, 1.26; p<.05), depression (aRR: 1.23; 95% CI: 1.06, 1.43; p<.01), and PTSD (aRR: 1.05; 95% CI: 1.01, 1.10; p<.05) symptoms were all related to past year dual use of VA and non-VA healthcare, even after controlling for known demographic factors. Bodily pain and emotional and physical role limitations were not related to healthcare outcomes. This suggests that mental health symptoms themselves may be a primary factor driving healthcare use. Further study is needed to examine whether

Indexed as

Military PersonnelVeteransHumansMalePainPatient Acceptance of Health CareUnited StatesUnited States Department of Veterans AffairsHealthcare utilizationmental healthphysical healthveterans

Identifiers

PMID32997548
PMCPMC8007647
OpenAlexW3091216925

What OpenQuestion holds

Textmetadata
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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.