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    Baseline Characteristics from the Women Veterans Cohort Study: Gender Differences and Similarities in Health and Healthcare Utilization

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    Authors
    Gaffey, Allison E.
    Burg, Matthew M.
    Rosman, Lindsey
    Portnoy, Galina A.
    Brandt, Cynthia A.
    Cavanagh, Casey E.
    Skanderson, Melissa
    Dziura, James
    Mattocks, Kristin M.
    Bastian, Lori A.
    Haskell, Sally G.
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    UMass Chan Affiliations
    Department of Population and Quantitative Health Science
    Document Type
    Journal Article
    Publication Date
    2021-01-13
    Keywords
    Veterans
    cardiovascular health
    gender differences
    mental health
    pain
    risk factors
    Epidemiology
    Gender and Sexuality
    Health Services Research
    Military and Veterans Studies
    Women's Health
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    Link to Full Text
    https://doi.org/10.1089/jwh.2020.8732
    Abstract
    Introduction: With the unprecedented expansion of women's roles in the U.S. military during recent (post-9/11) conflicts in Iraq and Afghanistan, the number of women seeking healthcare through the Veterans Health Administration (VHA) has increased substantially. Women Veterans often present as medically complex due to multiple medical, mental health, and psychosocial comorbidities, and consequently may be underserved. Thus, we conducted the nationwide Women Veterans Cohort Study (WVCS) to examine post-9/11 Veterans' unique healthcare needs and to identify potential disparities in health outcomes and care. Methods: We present baseline data from a comprehensive questionnaire battery that was administered from 2016 to 2019 to a national sample of post-9/11 men and women Veterans who enrolled in Veterans Affairs care (WVCS2). Data were analyzed for descriptives and to compare characteristics by gender, including demographics; health risk factors and symptoms of cardiovascular disease, chronic pain, and mental health; healthcare utilization, access, and insurance. Results: WVCS2 included 1,141 Veterans (51% women). Women were younger, more diverse, and with higher educational attainment than men. Women also endorsed lower traditional cardiovascular risk factors and comorbidities (e.g., weight, hypertension) and greater nontraditional cardiovascular risk factors (e.g., trauma, psychological symptoms). More women reported single-site pain (e.g., neck, stomach, pelvic) and multisite pain, but did not differ from men in posttraumatic stress disorder (PTSD) symptoms or treatment for PTSD. Women seek care at VHA medical centers more frequently, often combined with outside health services, but do not significantly differ from men in their insurance coverage. Conclusion: Overall, this investigation indicates substantial variation in risk factors, health outcomes, and healthcare utilization among post-9/11 men and women Veterans. Further research is needed to determine best practices for managing women Veterans in the VHA healthcare system.
    Source

    Gaffey AE, Burg MM, Rosman L, Portnoy GA, Brandt CA, Cavanagh CE, Skanderson M, Dziura J, Mattocks KM, Bastian LA, Haskell SG. Baseline Characteristics from the Women Veterans Cohort Study: Gender Differences and Similarities in Health and Healthcare Utilization. J Womens Health (Larchmt). 2021 Jan 13. doi: 10.1089/jwh.2020.8732. Epub ahead of print. PMID: 33439756. Link to article on publisher's site

    DOI
    10.1089/jwh.2020.8732
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46921
    PubMed ID
    33439756
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1089/jwh.2020.8732
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