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dc.contributor.authorDuggal, Mona
dc.contributor.authorGoulet, Joseph L.
dc.contributor.authorWomack, Julie
dc.contributor.authorGordon, Kirsha
dc.contributor.authorMattocks, Kristin M.
dc.contributor.authorHaskell, Sally G.
dc.contributor.authorJustice, Amy C.
dc.contributor.authorBrandt, Cynthia A.
dc.date2022-08-11T08:11:05.000
dc.date.accessioned2022-08-23T17:32:50Z
dc.date.available2022-08-23T17:32:50Z
dc.date.issued2010-06-22
dc.date.submitted2014-06-19
dc.identifier.citation<p>BMC Health Serv Res. 2010 Jun 22;10:175. doi: 10.1186/1472-6963-10-175. <a href="http://dx.doi.org/10.1186/1472-6963-10-175">Link to article on publisher's site</a></p>
dc.identifier.issn1472-6963 (Linking)
dc.identifier.doi10.1186/1472-6963-10-175
dc.identifier.pmid20565985
dc.identifier.urihttp://hdl.handle.net/20.500.14038/51036
dc.description<p>At the time of publication, Kristin Mattocks was not yet affiliated with the University of Massachusetts Medical School.</p>
dc.description.abstractBACKGROUND: The number of women serving in the United States military increased during Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF), leading to a subsequent surge in new women Veterans seeking health care services from the Veterans Administration (VA). The objective of this study was to examine gender differences among OEF/OIF Veterans in utilization of VA outpatient health care services. METHODS: Our retrospective cohort consisted of 1,620 OEF/OIF Veterans (240 women and 1380 men) who enrolled for outpatient healthcare at a single VA facility. We collected demographic data and information on military service and VA utilization from VA electronic medical records. To assess gender differences we used two models: use versus nonuse of services (logistic regression) and intensity of use among users (negative binomial regression). RESULTS: In our sample, women were more likely to be younger, single, and non-white than men. Women were more likely to utilize outpatient care services (odds ratio [OR] = 1.47, 95% confidence interval [CI]:1.09, 1.98), but once care was initiated, frequency of visits over time (intensity) did not differ by gender (incident rate ratio [IRR] = 1.07; 95% CI: 0.90, 1.27). CONCLUSION: Recently discharged OEF/OIF women Veterans were more likely to seek VA health care than men Veterans. But the intensity of use was similar between women and men VA care users. As more women use VA health care, prospective studies exploring gender differences in types of services utilized, health outcomes, and factors associated with satisfaction will be required.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=20565985&dopt=Abstract">Link to Article in PubMed</a></p>
dc.rights© Duggal et al; licensee BioMed Central Ltd. 2010 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.subjectAdult
dc.subjectAfghan Campaign 2001-
dc.subjectAmbulatory Care Facilities
dc.subjectCohort Studies
dc.subjectFemale
dc.subjectHumans
dc.subjectIraq War, 2003-2011
dc.subjectMale
dc.subjectRetrospective Studies
dc.subjectUnited States
dc.subject*Veterans
dc.subjectVeteran Administration Health
dc.subjectPrivate Health Insurance
dc.subjectIncident Rate Ratio
dc.subjectVeteran Administration
dc.subjectHealth Care Service Utilization
dc.subjectGender and Sexuality
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectMilitary and Veterans Studies
dc.subjectWomen's Health
dc.titleComparison of outpatient health care utilization among returning women and men veterans from Afghanistan and Iraq
dc.typeJournal Article
dc.source.journaltitleBMC health services research
dc.source.volume10
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1569&amp;context=wfc_pp&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/wfc_pp/570
dc.identifier.contextkey5705563
refterms.dateFOA2022-08-23T17:32:51Z
html.description.abstract<p>BACKGROUND: The number of women serving in the United States military increased during Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF), leading to a subsequent surge in new women Veterans seeking health care services from the Veterans Administration (VA). The objective of this study was to examine gender differences among OEF/OIF Veterans in utilization of VA outpatient health care services.</p> <p>METHODS: Our retrospective cohort consisted of 1,620 OEF/OIF Veterans (240 women and 1380 men) who enrolled for outpatient healthcare at a single VA facility. We collected demographic data and information on military service and VA utilization from VA electronic medical records. To assess gender differences we used two models: use versus nonuse of services (logistic regression) and intensity of use among users (negative binomial regression).</p> <p>RESULTS: In our sample, women were more likely to be younger, single, and non-white than men. Women were more likely to utilize outpatient care services (odds ratio [OR] = 1.47, 95% confidence interval [CI]:1.09, 1.98), but once care was initiated, frequency of visits over time (intensity) did not differ by gender (incident rate ratio [IRR] = 1.07; 95% CI: 0.90, 1.27).</p> <p>CONCLUSION: Recently discharged OEF/OIF women Veterans were more likely to seek VA health care than men Veterans. But the intensity of use was similar between women and men VA care users. As more women use VA health care, prospective studies exploring gender differences in types of services utilized, health outcomes, and factors associated with satisfaction will be required.</p>
dc.identifier.submissionpathwfc_pp/570
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages175


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