Evidence map›Paper›PMID 33557798›Full record

ArticleBMC women's health2021

Risk and protective factors associated with mental health among female military veterans: results from the veterans' health study.

Richard E Adams, Yirui Hu, Charles R Figley, Thomas G Urosevich, Stuart N Hoffman, H Lester Kirchner, Ryan J Dugan, Joseph J Boscarino, Carrie A Withey, Joseph A Boscarino

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 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

10 authors at 4 institutions in 1 country.

Richard E AdamsDepartment of Sociology, Kent State University, 215 Merrill Hall, 700 Hilltop Drive, Kent, OH, 44242-0001, USA.
Yirui HuDepartment of Population Health Sciences, Geisinger Clinic, 100 N. Academy Avenue, MC 44-00, Danville, PA, 17822, USA.
Charles R FigleyTulane Traumatology Institute, Tulane University, 127 Elk Place, New Orleans, LA, 70112, USA.
Thomas G UrosevichOphthalmology Service, Geisinger Clinic, 126 Market Way, Mount Pocono, PA, 18344, USA.
Stuart N HoffmanDepartment of Sleep Medicine, Geisinger Clinic, 100 N. Academy Ave, Danville, PA, 17822, USA.
H Lester KirchnerDepartment of Population Health Sciences, Geisinger Clinic, 100 N. Academy Avenue, MC 44-00, Danville, PA, 17822, USA.
Ryan J DuganDepartment of Population Health Sciences, Geisinger Clinic, 100 N. Academy Avenue, MC 44-00, Danville, PA, 17822, USA.
Joseph J BoscarinoClinical Psychology Department, William James College, 1 Wells Ave, Newton, MA, 02459, USA.
Carrie A WitheyDepartment of Population Health Sciences, Geisinger Clinic, 100 N. Academy Avenue, MC 44-00, Danville, PA, 17822, USA.
Joseph A BoscarinoDepartment of Population Health Sciences, Geisinger Clinic, 100 N. Academy Avenue, MC 44-00, Danville, PA, 17822, USA. jaboscarino@geisinger.edu.ORCID 0000-0002-9965-6805
Geisinger Health System · USGeisinger Medical Center · 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 MH086317U.S. Department of Defense W81XWH-15-1-0506
6 · The paper itself

Abstract

backgroundThis study focuses on factors that may disproportionately affect female veterans' mental health, compared to men, and is part of a larger study assessing the prevalence of mental health disorders and treatment seeking among formerly deployed US military service members.

methodsWe surveyed a random sample of 1,730 veterans who were patients in a large non-VA hospital system in the US. Based on previous research, women were hypothesized to be at higher risk for psychological problems. We adjusted our results for confounding factors, including history of trauma, childhood abuse, combat exposure, deployments, stressful life events, alcohol misuse, psychological resources, and social support.

resultsAmong the veterans studied, 5% were female (n = 85), 96% were White (n = 1,161), 22.9% were Iraq/Afghanistan veterans (n = 398), and the mean age was 59 years old (SD = 12). Compared to males, female veterans were younger, unmarried, college graduates, had less combat exposure, but were more likely to have lifetime PTSD (29% vs. 12%.), depression (46% vs. 21%), suicidal ideation (27% vs. 11%), and lifetime mental health service use (67% vs. 47%). Females were also more likely to have low psychological resilience and to have used psychotropic medications in the past year. Using multivariate logistic regression analyses that controlled for risk and protective factors, female veterans had greater risk for lifetime PTSD, depression, suicidal thoughts, and for lifetime use of psychological services, compared to males. Since 95% of the population in this study were male and these results may have been statistically biased, we reran our analyses using propensity score matching. Results were consistent across these analyses.

conclusionUsing a sample of post-deployment veterans receiving healthcare services from a large non-VA health system, we find that female veterans are at greater risk for lifetime psychological problems, compared to male veterans. We discuss these findings and their implications for service providers.

Indexed as

Stress Disorders, Post-TraumaticVeteransAfghanistanChildFemaleHumansIraqIraq War, 2003-2011MaleMental HealthMiddle AgedProtective FactorsRisk FactorsSuicidal IdeationUnited StatesDepressionFemale veteransPost-deploymentPTSDService useSuicidal ideation

Identifiers

PMID33557798
PMCPMC7869200
OpenAlexW3124515154

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.