Journal article
Sexual Victimization, Health Status, and VA Healthcare Utilization Among Lesbian and Bisexual OEF/OIF Veterans
Journal of general internal medicine : JGIM, Vol.28(S2), pp.604-608
07/2013
DOI: 10.1007/s11606-013-2357-9
PMCID: PMC3695265
PMID: 23807072
Abstract
Many lesbian and bisexual (LB) women veterans may have been targets of victimization in the military based on their gender and presumed sexual orientation, and yet little is known regarding the health or mental health of LB veterans, nor the degree to which they feel comfortable receiving care in the VA.The purpose of this study was to examine the prevalence of mental health and gender-specific conditions, VA healthcare satisfaction and trauma exposure among LB veterans receiving VA care compared with heterosexually-identified women veterans receiving.Prospective cohort study of Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) women veterans at two large VA facilities.Three hundred and sixty five women veterans that completed a baseline survey. Thirty-five veterans (9.6 %) identified as gay or lesbian (4.7 %), or bisexual (4.9 %).Measures included sexual orientation, military sexual trauma, mental and gender-specific health diagnoses, and VA healthcare utilization and satisfaction.LB OEF/OIF veterans were significantly more likely to have experienced both military and childhood sexual trauma than heterosexual women (MST: 31 % vs. 13 %, p < .001; childhood sexual trauma: 60 % vs. 36 %, p = .01), to be hazardous drinkers (32 % vs. 16 %, p = .03) and rate their current mental health as worse than before deployment (35 % vs. 16 %, p < .001).Many LB veterans have experienced sexual victimization, both within the military and as children, and struggle with substance abuse and poor mental health. Health care providers working with female Veterans should be aware of high rates of military sexual trauma and childhood abuse and refer women to appropriate VA treatment and support groups for sequelae of these experiences. Future research should focus on expanding this study to include a larger and more diverse sample of lesbian, gay, bisexual, and transgender veterans receiving care at VA facilities across the country.
Details
- Title: Subtitle
- Sexual Victimization, Health Status, and VA Healthcare Utilization Among Lesbian and Bisexual OEF/OIF Veterans
- Creators
- Kristin Mattocks - Department of Quantitative Health Sciences University of Massachusetts Medical School Worcester MA USAAnne Sadler - Department of Psychiatry University of Iowa Hospitals and Clinics Iowa City IA USAElizabeth Yano - UCLA School of Public Health Los Angeles CA USAErin Krebs - University of Minnesota Medical School Minneapolis MN USALaurie Zephyrin - Department of Veterans Affairs Washington DC USACynthia Brandt - Yale University School of Medicine New Haven CT USARachel Kimerling - National Center for PTSD, Center for Health Care Evaluation VA Palo Alto Health Care System Menlo Park CA USATheo Sandfort - HIV Center for Clinical and Behavioral Studies Columbia University New York NY USAMelissa Dichter - Center for Health Equity Research and Promotion (CHERP) Philadelphia VA Medical Center Philadelphia PA USAJeffrey Weiss - Department of Medicine, Division of General Internal Medicine Mount Sinai School of Medicine New York NY USAJeroan Allison - Department of Quantitative Health Sciences University of Massachusetts Medical School Worcester MA USASally Haskell - Yale University School of Medicine New Haven CT USA
- Resource Type
- Journal article
- Publication Details
- Journal of general internal medicine : JGIM, Vol.28(S2), pp.604-608
- DOI
- 10.1007/s11606-013-2357-9
- PMID
- 23807072
- PMCID
- PMC3695265
- NLM abbreviation
- J Gen Intern Med
- ISSN
- 0884-8734
- eISSN
- 1525-1497
- Publisher
- Springer-Verlag; New York
- Language
- English
- Date published
- 07/2013
- Academic Unit
- Psychiatry; Injury Prevention Research Center
- Record Identifier
- 9984003403602771
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