Document Detail


Medical profile of women Veterans Administration outpatients who report a history of sexual assault occurring while in the military.
MedLine Citation:
PMID:  10495264     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To profile differences in current physical symptoms and medical conditions among women users of Veterans Administration (VA) health services with and without a self-reported history of sexual assault sustained during military service, we conducted a cross-sectional analysis of a nationally representative, random sample of women veterans using VA outpatient services (n = 3632). A self-administered, mailed survey asked whether women had sustained sexual assault while in the military and requested information about a spectrum of physical symptoms and medical conditions. A history of sexual assault while in the military was reported by 23% of women VA users and was associated with current physical symptoms and medical conditions in every domain assessed. For example, women who reported sexual assault were more likely to indicate that they had a "heart attack" within the past year, even after adjusting for age, hypertension, diabetes, and smoking history (OR 2.3, 95% CI 1.3-4.0). Among women reporting a history of sexual assault while in the military, 26% endorsed > or = 12 of 24 symptoms/conditions, compared with 11% of women with no reported sexual assault while in the military (p < 0.001). Clinicians need to be attuned to the high frequency of sexual assault occurring while in the military reported by women VA users and its associated array of current physical symptoms and medical conditions. Clinicians should consider screening both younger and older patients for a sexual violence history, especially patients with multiple physical symptoms.
Authors:
S M Frayne; K M Skinner; L M Sullivan; T J Tripp; C S Hankin; N R Kressin; D R Miller
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of women's health & gender-based medicine     Volume:  8     ISSN:  1524-6094     ISO Abbreviation:  J Womens Health Gend Based Med     Publication Date:    1999 Jul-Aug
Date Detail:
Created Date:  1999-10-28     Completed Date:  1999-10-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100888719     Medline TA:  J Womens Health Gend Based Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  835-45     Citation Subset:  IM    
Affiliation:
Boston VA Medical Center, Massachusetts, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Ambulatory Care / utilization
Case-Control Studies
Cross-Sectional Studies
Female
Humans
Mass Screening
Medical History Taking / statistics & numerical data*
Middle Aged
Morbidity*
Questionnaires
Rape / diagnosis,  statistics & numerical data*
United States / epidemiology
United States Department of Veterans Affairs / utilization
Veterans / statistics & numerical data*
Women, Working / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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