Evidence map›Paper›PMID 37291361›Full record

ArticleJournal of general internal medicine2023

Factors Associated with Military Sexual Trauma (MST) Disclosure During VA Screening Among Women Veterans.

Anita S Hargrave, Elisheva R Danan, Claire T Than, Carolyn J Gibson, Elizabeth M Yano

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

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. 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 5 institutions in 2 countries.

Anita S HargraveDepartment of Internal Medicine, University of California San Francisco (UCSF), San Francisco, CA, USA. Anita.Hargrave@ucsf.edu.ORCID 0000-0002-9717-5282
Elisheva R DananDivision of General Internal Medicine, Minneapolis VA Medical Center: Minneapolis VA Health Care System, Minneapolis, MN, USA.
Claire T ThanCenter for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Carolyn J GibsonSan Francisco VA Health Care System, San Francisco, CA, USA.
Elizabeth M YanoCenter for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Behavioral Pharma (United States) · USCenter for the Study of Healthcare Provider Behavior · USMinneapolis VA Health Care System · USUniversity of California, Los Angeles · 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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HRSA HHS T32HP19025HSRD VA I01 HX000991HSRD VA I50 HX002734HSRD VA IK2 HX002402HSRD VA IK6 HX002836HSRD VA SDR 10-012
6 · The paper itself

Abstract

backgroundCapturing military sexual trauma (MST) exposure is critical for Veterans' health equity. For many, it improves access to VA services and allows for appropriate care.

objectiveIdentify factors associated with nondisclosure of MST in VA screening among women.

designCross-sectional telephone survey linked with VA electronic health record (EHR) data.

participantsWomen Veterans using primary care or women's health services at 12 VA facilities in nine states. MAIN MEASURES: Survey self-reported MST (sexual assault and/or harassment during military service), socio-demographics and experiences with VA care, as well as EHR MST results. Responses were categorized as "no MST" (no survey or EHR MST), "MST captured by EHR and survey," and "MST not captured by EHR" (survey MST but no EHR MST). We used stepped multivariable logistic regression to examine "MST not captured by EHR" as a function of socio-demographics, patient experiences, and screening method (survey vs. EHR). KEY

resultsAmong 1287 women (mean age 50, SD 15), 35% were positive for MST by EHR and 61% were positive by survey. Approximately 38% had "no MST," 34% "MST captured by EHR and survey," and 26% "MST not captured by EHR". In fully adjusted models, odds of "MST not captured by EHR" were higher among Black and Latina women compared to white women (Black: OR = 1.6, 1.2-2.2; Latina: OR = 1.9, 1.0-3.6). Women who endorsed only sexual harassment in the survey (vs. sexual harassment and sexual assault) had fivefold higher odds of "MST not captured by EHR" (OR = 4.9, 3.2-7.3). Women who were screened for MST in the EHR more than once had lower odds of not being captured (OR = 0.3, 0.2-0.4).

conclusionsVA screening for MST may disproportionately under capture patients from historically minoritized ethnic/racial groups, creating inequitable access to resources. Efforts to mitigate screening disparities could include re-screening and reinforcing that MST includes sexual harassment.

Indexed as

Military PersonnelSex OffensesVeteransCross-Sectional StudiesDisclosureFemaleHumansMiddle AgedMilitary Sexual TraumaUnited StatesUnited States Department of Veterans Affairsdisclosuremilitary sexual traumascreeningVeterans

Identifiers

PMID37291361
PMCPMC10651589
OpenAlexW4379878798

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.