PMID- 31246067
OWN - NLM
STAT- MEDLINE
DCOM- 20191216
LR  - 20200801
IS  - 1939-1501 (Electronic)
IS  - 0893-164X (Print)
IS  - 0893-164X (Linking)
VI  - 33
IP  - 5
DP  - 2019 Aug
TI  - A positive screen for military sexual trauma is associated with greater risk for 
      substance use disorders in women veterans.
PG  - 477-483
LID - 10.1037/adb0000486 [doi]
AB  - Military sexual trauma (MST) is a significant public health issue associated with 
      adverse psychiatric outcomes, including heightened risk for suicide, 
      posttraumatic stress disorder, depression, and substance use disorders. Recently, 
      research has begun exploring gender-linked disparities in mental health outcomes 
      for individuals who experience MST. The current study assessed whether women who 
      screened positive for MST were at disproportionately higher risk for diagnoses of 
      alcohol-use disorder (AUD) or drug-use disorder (DUD) relative to men. Veterans 
      Health Administration (VHA) clinical data were extracted for 435,690 military 
      veterans who separated from the military between 2004 and 2011 and had at least 5 
      years of follow-up data after their initial VHA visit until the end of fiscal 
      year 2014. Logistic regression models examined the main and interactive effects 
      of gender and screening positively for MST as predictors of AUD and DUD. MST 
      positive screens were associated with increased rates of both AUD and DUD across 
      genders. Although rates of both AUD and DUD were higher among men, the increased 
      rate of diagnosis associated with MST positive screens was proportionally higher 
      for women than men (interaction adjusted odds ratios = 1.43 and 1.17 for AUD and 
      DUD, respectively), indicating the presence of a gender-linked health risk 
      disparity. This disparity was more pronounced for AUD than DUD (p < .01). The 
      current study adds to previous literature documenting increased risk for women 
      exposed to MST. These findings support efforts to reduce the occurrence of MST 
      and continued use of MST screening measures within the VHA. (PsycINFO Database 
      Record (c) 2019 APA, all rights reserved).
FAU - Goldberg, Simon B
AU  - Goldberg SB
AUID- ORCID: 0000-0002-6888-0126
AD  - Department of Counseling Psychology.
FAU - Livingston, Whitney S
AU  - Livingston WS
AD  - Department of Psychology.
FAU - Blais, Rebecca K
AU  - Blais RK
AD  - Department of Psychology.
FAU - Brignone, Emily
AU  - Brignone E
AD  - Department of Psychology.
FAU - Suo, Ying
AU  - Suo Y
AD  - Veterans Affairs Salt Lake City Health Care System.
FAU - Lehavot, Keren
AU  - Lehavot K
AD  - Health Services Research and Development Center of Innovation.
FAU - Simpson, Tracy L
AU  - Simpson TL
AD  - Center for Excellence in Substance Abuse Treatment.
FAU - Fargo, Jamison
AU  - Fargo J
AD  - Department of Psychology.
FAU - Gundlapalli, Adi V
AU  - Gundlapalli AV
AD  - Department of Internal Medicine.
LA  - eng
GR  - IK2 CX000867/CSRD VA/Clinical Science Research & Development/United States
GR  - Wisconsin Alumni Research Foundation/
GR  - IK2 CX000867/CX/CSRD VA/United States
GR  - I50 HX001240/HX/HSRD VA/United States
GR  - University of Wisconsin-Madison; Office of the Vice Chancellor for Research and 
      Graduate Education/
GR  - US Department of Veterans Affairs; Office of Research and Development; Health 
      Services Research and Development/
PT  - Journal Article
DEP - 20190627
PL  - United States
TA  - Psychol Addict Behav
JT  - Psychology of addictive behaviors : journal of the Society of Psychologists in 
      Addictive Behaviors
JID - 8802734
SB  - IM
MH  - Adult
MH  - Female
MH  - Follow-Up Studies
MH  - Health Status Disparities
MH  - Humans
MH  - Military Personnel/*statistics & numerical data
MH  - Psychological Trauma/*epidemiology
MH  - Sex Factors
MH  - Sex Offenses/*statistics & numerical data
MH  - Substance-Related Disorders/*epidemiology
MH  - United States/epidemiology
MH  - Veterans/*statistics & numerical data
MH  - Young Adult
PMC - PMC6682420
MID - NIHMS1034204
COIS- The authors report no conflicts of interest. The opinions expressed are those of 
      the authors and do not necessarily reflect the opinions of the U.S. Government or 
      the U.S. Department of Veterans Affairs.
EDAT- 2019/06/28 06:00
MHDA- 2019/12/18 06:00
PMCR- 2020/08/01
CRDT- 2019/06/28 06:00
PHST- 2019/06/28 06:00 [pubmed]
PHST- 2019/12/18 06:00 [medline]
PHST- 2019/06/28 06:00 [entrez]
PHST- 2020/08/01 00:00 [pmc-release]
AID - 2019-35428-001 [pii]
AID - 10.1037/adb0000486 [doi]
PST - ppublish
SO  - Psychol Addict Behav. 2019 Aug;33(5):477-483. doi: 10.1037/adb0000486. Epub 2019 
      Jun 27.