Healthcare utilization following mild traumatic brain injury in female veterans

Rogers, Thea; Smith, Bridget; Weaver, Frances M.; Ganesh, Shanthi; Saban, Karen L.; Stroupe, Kevin T.; Martínez, Rachael N.; Evans, Charlesnika T.; Pape, Theresa

doi:10.3109/02699052.2014.919537

Cited by 7 publications

(2 citation statements)

References 36 publications

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“…Some studies indicate that female veterans are more likely to have depression, or PTSD comorbid with depression, while male veterans are more likely to have PTSD with substance use disorder (Iverson et al, 2011;Pugh et al, 2016). While other studies do not find sex-specific differences in reporting of post-concussive symptoms, or believe it has only a limited influence in the military population (Jackson et al, 2016;Rogers et al, 2014). Given the increasing number of females in military combat and participation in contact sports, concerns about women's health following a mTBI have been raised and further research is warranted.…”

Section: The Role Of Sex-differences In Tbimentioning

confidence: 98%

Expression of galanin and its receptors are perturbed in a rodent model of mild, blast-induced traumatic brain injury

Kawa

Barde

Arborelius

et al. 2016

Experimental Neurology

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Section: The Role Of Sex-differences In Tbimentioning

confidence: 98%

Expression of galanin and its receptors are perturbed in a rodent model of mild, blast-induced traumatic brain injury

Kawa

Barde

Arborelius

et al. 2016

Experimental Neurology

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“…In addition, when adjusting for demographics and blast exposure, women reported significantly more severe neurobehavioral health symptoms than the men (Iverson et al, 2011). In an examination of VHA health care utilization among OEF/OIF/OND veterans with TBI, Rogers and colleagues (2014) found that women used more outpatient care relative to men in the year following TBI diagnosis. Demographic (i.e., race) and health (i.e., burden of illness) factors were found to account for only a small portion of the gender differences observed; therefore, the authors concluded that other factors in women’s lives that were not examined in the study are contributing to increased health care utilization among female OEF/OIF/OND veterans with TBI.…”

mentioning

confidence: 99%

Intimate Partner Violence Among Female OEF/OIF/OND Veterans Who Were Evaluated for Traumatic Brain Injury in the Veterans Health Administration: A Preliminary Investigation

Iverson

Sayer

Meterko

et al. 2017

J Interpers Violence

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Many female veterans have deployed to Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND), and some experience traumatic brain injury (TBI). Although TBI is increasingly recognized as an important health issue for female OEF/OIF/OND veterans, there is little attention to stressful experiences that may exacerbate health problems or hinder recovery among veterans who may have experienced TBI. Lifetime intimate partner violence (IPV) is common among general samples of female veterans. Given the negative implications of IPV on women's health, it is important to understand whether there is a relationship between lifetime IPV and health functioning among female veterans who have experienced possible TBI. This study provides an exploration of lifetime IPV and its associations with physical and mental health, as well as community reintegration, among female OEF/OIF/OND veterans who have been evaluated for TBI. The sample comprised 127 female veterans who participated in a larger study that examined reintegration among OEF/OIF/OND veterans who received a TBI evaluation in the Veterans Heath Administration (VHA) and completed an assessment of lifetime IPV. Primary and secondary data sources included survey responses (e.g., health symptoms and reintegration) and VHA administrative data (e.g., health diagnoses). Results indicated that nearly two thirds (63.0%) of women who completed a TBI evaluation reported lifetime IPV, though clinician-confirmed TBI was not associated with IPV. Women who experienced IPV, compared with those who did not, reported higher levels of neurobehavioral symptoms and were significantly more likely to have diagnoses of back pain (48.6% vs. 30.0%, respectively) and substance abuse (12.2% vs. 0%, respectively). Notwithstanding, women with and without lifetime IPV reported similar levels of reintegration. Findings provide evidence that lifetime IPV may be common among female OEF/OIF/OND veterans who are evaluated for TBI, and that IPV is associated with several treatable health problems among this population.

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Gender Differences in Outcomes after Traumatic Brain Injury among Service Members and Veterans

Cogan

McCaughey

Scholten

2019

PM&R

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This scoping study describes the range of outcomes in traumatic brain injury (TBI) studies of military service members and veterans addressing gender differences. A secondary purpose is to identify differences in outcomes between male and female participants in such studies. We searched PubMed, CiNAHL, and PsycInfo databases for relevant articles. Two reviewers independently screened results. Of 822 unique titles and abstracts screened for eligibility, 55 full articles were reviewed, with 29 studies meeting full inclusion criteria. Twenty of the 29 included studies used retrospective designs and all but two used data collected from Veterans Affairs or Department of Defense health care settings. TBI was diagnosed by self‐report, screening, and evaluation procedures, and medical record documentation. Ten different outcome categories were identified among the included studies. In general, female service members and veterans have not been well represented in TBI outcomes research. Evidence suggests that female veterans with mild TBI (mTBI) report more neurobehavioral symptoms and use more outpatient services than male veterans. Studies also indicate that female veterans with TBI are more frequently diagnosed with depression. Additional research is essential to support precision treatment recommendations for female veterans with TBI, as women represent a growing proportion of the patients served by the Veterans Health Administration. Level of Evidence IV

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Healthcare utilization following mild traumatic brain injury in female veterans

Cited by 7 publications

References 36 publications

Expression of galanin and its receptors are perturbed in a rodent model of mild, blast-induced traumatic brain injury

Expression of galanin and its receptors are perturbed in a rodent model of mild, blast-induced traumatic brain injury

Intimate Partner Violence Among Female OEF/OIF/OND Veterans Who Were Evaluated for Traumatic Brain Injury in the Veterans Health Administration: A Preliminary Investigation

Gender Differences in Outcomes after Traumatic Brain Injury among Service Members and Veterans

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