Evidence map›Paper›PMID 35821182›Full record

Observational studyWomen's health issues : official publication of the Jacobs Institute of Women's Health

Veterans Health Administration Screening for Military Sexual Trauma May Not Capture Over Half of Cases Among Midlife Women Veterans.

Anita S Hargrave, Shira Maguen, Sabra S Inslicht, Amy L Byers, Karen H Seal, Alison J Huang, Carolyn J Gibson

Open access · greenAbstract readObservational Study
In one paragraph

Observational study 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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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  11. Alcohol-involved sexual assault in the US military: a scoping review.European journal of psychotraumatology · 2023
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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

7 authors at 2 institutions in 1 country.

Anita S HargraveUniversity of California San Francisco, San Francisco, California. Electronic address: Anita.Hargrave@ucsf.edu.
Shira MaguenUniversity of California San Francisco, San Francisco, California; San Francisco VA Medical Center, VA Health Care System, San Francisco, California.
Sabra S InslichtUniversity of California San Francisco, San Francisco, California; San Francisco VA Medical Center, VA Health Care System, San Francisco, California.
Amy L ByersUniversity of California San Francisco, San Francisco, California; San Francisco VA Medical Center, VA Health Care System, San Francisco, California.
Karen H SealUniversity of California San Francisco, San Francisco, California; San Francisco VA Medical Center, VA Health Care System, San Francisco, California.
Alison J HuangUniversity of California San Francisco, San Francisco, California.
Carolyn J GibsonUniversity of California San Francisco, San Francisco, California; San Francisco VA Medical Center, VA Health Care System, San Francisco, California.
San Francisco VA Medical Center · USUniversity of California, San Francisco · US

Funding

Patient-Oriented Research and Mentoring in Genitourinary AgingK24AG068601 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alison Huang · 2020 to 2026
$1.2M
Improving Health Care for Women Veterans: Addressing Menopause and Mental HealthIK2HX002402 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI GIBSON, CAROLYN · 2019 to 2022
–
HSRD VA IK2 HX002402NIA NIH HHS K24 AG068601
6 · The paper itself

Abstract

backgroundApproximately 1 in 3 women veterans endorse military sexual trauma (MST) during Veterans Health Administration (VHA) screening. Higher rates have been reported in anonymous surveys.

objectiveWe compared MST identified by VHA screening to survey-reported MST within the same sample and identified participant characteristics associated with discordant responses.

methodsCross-sectional data were drawn from an observational study of women veterans aged 45-64 enrolled in VHA care in Northern California, with data from mail- and web-based surveys linked to VHA electronic health records (EHRs). Between March 2019 and May 2020, participants reported sociodemographic characteristics, current depressive (Patient Health Questionnaire-9) and posttraumatic stress (PTSD checklist for DSM-5) symptoms, and MST (using standard VHA screening questions) in a survey; depression and posttraumatic stress disorder diagnoses (ICD-10 codes) and documented MST were identified from EHRs. Associations between sociodemographic characteristics, mental health symptoms and diagnoses, and discordant MST reports (EHR-documented MST vs. MST reported on survey, not in EHR) were examined with multivariable logistic regression.

resultsIn this sample of midlife women veterans (n = 202; mean age 56, SD = 5), 40% had EHR-documented MST, and 74% reported MST on the survey. Sociodemographic characteristics, mental health symptoms, and diagnosed depression were not associated with discordant MST responses. Women with an EHR-documented PTSD diagnosis had fivefold higher odds of having EHR-documented MST (vs. survey only; odds ratio 5.2; 95% confidence interval 2.3-11.9).

conclusionsVHA screening may not capture more than half of women who reported MST on the survey. VHA screening may underestimate true rates of MST, which could lead to a gap in recognition and care for women veterans.

Indexed as

Military PersonnelSex OffensesStress Disorders, Post-TraumaticVeteransCross-Sectional StudiesFemaleHumansMiddle AgedSexual TraumaUnited StatesUnited States Department of Veterans AffairsVeterans Health

Identifiers

PMID35821182
PMCPMC9949350
OpenAlexW4284990417

What OpenQuestion holds

Textmetadata
LicenceTDM
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.