Glycemic Control Was Unchanged in Veterans Health Administration Patients Converted from Glyburide to Glipizide

Aspinall, Sherrie L.; Good, Chester B.; Cunningham, Francesca

doi:10.18553/jmcp.2012.18.1.73

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…Mental and physical health-related quality of life were negatively associated with both using VHA care and PTSD care-seeking. This lends further credence to the argument that VHA users are less healthy and more socially disadvantaged than the overall veteran population (Aspinall et al, 2009;Farmer et al, 2016;Phillips et al, 2015). This reflects previous findings suggesting that veterans are less likely to seek care when their level of perceived functioning remains high (Fried et al, 2020).…”

Section: Discussionsupporting

confidence: 77%

Posttraumatic stress disorder, Veterans Health Administration use, and care‐seeking among recent‐era U.S. veterans

Porter,

Dozier,

Seelig

et al. 2024

Journal of Traumatic Stress

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The current study investigated the associations among probable posttraumatic stress disorder (PTSD), recent Veterans Health Administration (VHA) health care use, and care‐seeking for PTSD in U.S. military veterans. Analyses were conducted among 19,691 active duty military personnel enrolled in the Millennium Cohort Study who separated from the military between 2000 and 2012 and were weighted to the 1,130,103 active duty personnel who separated across this time period. VHA utilization was identified from electronic medical records in the year before survey completion, and PTSD care‐seeking and PTSD symptoms were assessed through self‐report on the 2014–2016 survey; thus, the observation period regarding care‐seeking and VHA use encompassed 2013–2016. Veterans with probable PTSD were more likely to use VHA services than those without probable PTSD, aOR = 1.12, 95% CI [1.01, 1.24], although the strongest association with recent VHA use was a depression diagnosis, aOR = 2.47, 95% CI [2.26, 2.70]. Among veterans with probable PTSD, the strongest predictor of care‐seeking was recent VHA use compared to community care, aOR = 4.01, 95% CI [3.40, 4.74); reporting a diagnosis of depression was the second strongest predictor of PTSD care‐seeking, OR = 2.99, 95% CI [2.53, 3.54]. However, the absolute number of veterans with probable PTSD who were not seeking care was approximately equivalent between veterans using VHA services and those not using VHA services. Additionally, certain groups were identified as being at risk of not seeking care, namely Air Force veterans and veterans with high physical and mental functioning despite substantial PTSD symptoms.

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Section: Discussionsupporting

confidence: 77%