Evidence map›Paper›PMID 40125389›Full record

ArticleHealth equity2024

Experiences of Discrimination Among Women and Gender Diverse Veterans Using Veterans Health Administration Health Care.

Jodie G Katon, Samantha K Benson, Vyshnika Sriskantharajah, Lisa S Callegari, Karissa Fenwick, Kristen E Gray, P Adam Kelly, Ashley C Mog

Abstract read
In one paragraph

Article in Health equity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Jodie G KatonCenter for the Study of Health Care Innovation, Implementation, and Policy, VA Greater Los Angeles Health Care System, Los Angeles, California, USA.ORCID https://orcid.org/0009-0007-7973-9041
Samantha K BensonCenter for Innovation in Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington, USA.
Vyshnika SriskantharajahCenter for Innovation in Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington, USA.
Lisa S CallegariCenter for Innovation in Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington, USA.
Karissa FenwickCenter for the Study of Health Care Innovation, Implementation, and Policy, VA Greater Los Angeles Health Care System, Los Angeles, California, USA.
Kristen E GrayCenter for Innovation in Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington, USA.
P Adam KellySoutheast Louisiana Veterans Health Care System, New Orleans, Louisiana, USA.
Ashley C MogCenter for Innovation in Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington, USA.

Funding

HSRD VA I01 HX003449
6 · The paper itself

Abstract

Introduction: Women Veterans are diverse in terms of racial, ethnic, and gender identities and sexual orientation and may experience a variety of forms of discrimination and stigma in health care settings. Our objective was to understand discrimination experienced by women Veterans in the context of Veterans Health Administration (VA) care. Methods: We analyzed data from a series of semistructured telephone interviews with Veterans identified as females in the VA medical record who received VA health care in the past 12 months, purposively sampled by race/ethnicity and age ( Results: We identified themes regarding structural discrimination, interpersonal discrimination, and strategies employed in response to discrimination. Veterans described structural discrimination, including challenges with spaces not designed to accommodate disabilities or safety needs and care not sensitive to their gender, trauma histories, or sexual orientation. Interpersonal discrimination included harassment from other Veterans and biased treatment from VA providers and staff based on gender, appearance, and sexual orientation. Gender-based discrimination compounded across additional axes of marginalization including body size and stigma regarding mental illness. Experiences of discrimination undermined Veterans' sense of belonging and trust in VA and created barriers to accessing care. Veterans engaged in various strategies to protect themselves from discrimination and get needed care. Discussion: Quality improvement efforts that address the experience of women Veterans using VA health care must consider multiple forms and sources of discrimination and the intersection of gender-based discrimination with other forms of marginalization.

Indexed as

biasdiscriminationmarginalizationVeteranswomen

Identifiers

PMID40125389
PMCPMC11512093

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.