Trauma Among Female Veterans

Zinzow, Heidi M.; Grubaugh, Anouk L.; Monnier, Jeannine; Suffoletta-Maierle, Samantha; Frueh, B. Christopher

doi:10.1177/1524838007307295

Cited by 222 publications

(210 citation statements)

References 69 publications

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“…26 Other limitations of current literature on ACEs among veteran women include the primary focus on sexual abuse, the use of convenience samples, and a lack of a non-veteran comparison group, limitations which the current study adresses. 27,28 Unlike other studies examining the association between ACEs and military service, 2,25 the focus of this study was specifically on women veterans: those who had served in, and separated from, military service. The purposes of the present study were to document the prevalence of ACEs among women veterans compared with women non-veterans, assess a range of physical and mental health outcomes among women veterans and non-veterans, and determine the role of ACEs in health differences among veteran and non-veteran women.…”

Section: Introductionmentioning

confidence: 99%

Adverse Childhood Experiences and Adult Health Outcomes Among Veteran and Non-Veteran Women

McCauley

Blosnich

Dichter

2015

Journal of Women's Health

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Background: Women veterans represent a vulnerable population with unique health needs and disparities in access to care. One constellation of exposures related to subsequent poor health includes adverse childhood experiences (ACEs; e.g., physical and sexual child abuse), though research on impacts of ACEs among women veterans is limited. Methods: Data were drawn from the 2010 Behavioral Risk Factor Surveillance System for the 11 states that included the ACE module (n = 36,485). Weighted chi-squared tests and multivariable logistic regression were used to assess the prevalence of ACEs among women veterans compared with women non-veterans and differences in the following outcomes, controlling for ACEs: social support, inadequate sleep, life satisfaction, mental distress, smoking, heavy alcohol use, obesity, diabetes, cardiovascular disease symptoms, asthma, and disability. Results: Women veterans (1.6% of the total sample) reported a higher prevalence of 7 out of 11 childhood adversities and higher mean ACE score than women non-veterans. Women veterans were more likely to be current smokers and report a disability, associations which were attenuated when controlling for ACE. Conclusions: Despite women veterans' higher prevalence of ACE, their health outcomes did not differ substantially from non-veterans. Further research is needed to understand the intersections of traumatic experiences and sources of resilience over the lifecourse among women veterans.

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Section: Introductionmentioning

confidence: 99%

Adverse Childhood Experiences and Adult Health Outcomes Among Veteran and Non-Veteran Women

McCauley

Blosnich

Dichter

2015

Journal of Women's Health

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“…1,2 Previous studies show that women veterans report greater rates of trauma, 3 including sexual trauma, as well as worse mental and physical health 4 compared with women nonveterans. Nonetheless, very little is known regarding sexual behaviors and sexually transmitted infections (STIs) in this population, or whether there are differences compared with women nonveterans.…”

mentioning

confidence: 99%

“…adult sexual assault than nonveterans, 3 and abuse has been associated with adult sexual risk behaviors in the general population. 43,44 Moreover, combat exposure has been associated with increased risk taking, which may also include engaging in high-risk sexual behaviors.…”

mentioning

confidence: 99%

Sexual Behaviors and Sexually Transmitted Infections in a Nationally Representative Sample of Women Veterans and Nonveterans

Lehavot

Katon

Williams

et al. 2014

Journal of Women's Health

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Background: Women veterans are a growing population with unique characteristics and documented health disparities. Few studies have examined their sexual behaviors and rates of sexually transmitted infections (STIs), and none have compared women veterans to nonveterans to identify potential sexual health disparities. Methods: We used data from the 1999-2010 National Health and Nutrition Examination Survey, a nationally representative U.S. survey. We compared lifetime sexual history (age at first intercourse, number of partners), sexual activity in the last year, and STIs between women veterans (n = 151) and nonveterans (n = 8738), adjusting for age, race/ethnicity, education, marital status, binge drinking, and survey year. Results: Compared to nonveterans, women veterans reported a younger age at first intercourse and a greater number of female and male lifetime sexual partners, and they were more likely to have ever had sex with a woman. They were also more likely than nonveterans to have genital herpes and genital warts. Conclusions: Women veterans reported higher rates of sexual activity and STIs than nonveterans. Future research is needed to assess high-risk behaviors and determine what factors may underlie these associations. Providers should ensure thorough screening and intervention services are provided for this growing population.

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“…Given the rapidly increasing number of women servicemembers and veterans [5] and their increased exposure to combat [31], the number of women veterans and servicemembers with traumatic limb loss may be expected to grow, and little is known regarding their health and healthcare needs. We found that compared with men, women with traumatic limb loss had similarly high levels of persistent physical and mental health conditions.…”

Section: Discussionmentioning

confidence: 99%

Major traumatic limb loss among women veterans and servicemembers

Katon¹,

Reiber

2013

JRRD

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Abstract-The number of women veterans is rapidly growing, and little is known regarding the health and healthcare needs of women veterans with traumatic limb loss. The objective of this study was to summarize physical and mental health conditions and rates of prosthetic prescriptions among women servicemembers and veterans with major traumatic limb loss. Researchers and clinicians who administered the Survey for Prosthetic Use contacted and enrolled 283 servicemembers and veterans of Operation Iraqi Freedom/Operation Enduring Freedom with major traumatic limb loss. Participants provided information on health status; comorbidities; other combat injuries; and prosthetic device use, rejection, and replacement. Of the 283 veterans, 9 (3%) were women. Compared with men, women reported more than a threefold higher prevalence of migraine (67% vs 20%, p = 0.001). Compared with men, women received 0.42 more prostheses per year, rejected 0.11 more prostheses per year, but replaced 0.18 fewer prostheses per year. With the exception of migraine headaches, men and women servicemembers and veterans with major traumatic limb loss report similarly high prevalence of physical and mental health conditions. Women report higher rates of prosthesis receipt and rejection and lower rates of prosthesis replacement than men. These findings highlight some potential issues specific to women veterans that may require additional clinical attention.

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Trauma Among Female Veterans

Cited by 222 publications

References 69 publications

Adverse Childhood Experiences and Adult Health Outcomes Among Veteran and Non-Veteran Women

Adverse Childhood Experiences and Adult Health Outcomes Among Veteran and Non-Veteran Women

Sexual Behaviors and Sexually Transmitted Infections in a Nationally Representative Sample of Women Veterans and Nonveterans

Major traumatic limb loss among women veterans and servicemembers

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