Citation

Gibson CJ, Gray KE, Katon JG, Simpson TL, Lehavot K. Womens Health Issues 2015; 26(2): 225-231.

Affiliation

Health Services Research & Development, Department of Veterans Affairs Puget Sound Health Care System, Seattle, Washington; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington; Mental Illness, Research, Education, and Clinical Center (MIRECC), VA Puget Sound Health Care System, Seattle, Washington.

Copyright

(Copyright © 2015, Elsevier Publishing)

DOI

10.1016/j.whi.2015.09.013

PMID

26632005

Abstract

OBJECTIVES: Exposure to sexual and physical trauma during military service is associated with adverse mental and physical health outcomes. Little is known about their prevalence and impact in women veterans across age cohorts.

METHODS: Data from a 2013 national online survey of women veterans was used to examine associations between age and trauma during military service, including sexual assault, sexual harassment, and physical victimization. Analyses were conducted using logistic regression, adjusting for service duration and demographic factors. In secondary analyses, the moderating role of age in the relationship between trauma and self-reported health was examined.

RESULTS: The sample included 781 women veterans. Compared with the oldest age group (≥65), all except the youngest age group had consistently higher odds of reporting trauma during military service. These differences were most pronounced in women aged 45 to 54 years (sexual assault odds ratio [OR], 3.81 [95% CI, 2.77-6.71]; sexual harassment, OR, 3.99 [95% CI, 2.25-7.08]; and physical victimization, OR, 5.72 [95% CI, 3.32-9.85]). The association between trauma during military service and self-reported health status also varied by age group, with the strongest negative impact observed among women aged 45 to 54 and 55 to 64.

CONCLUSIONS: Compared with other age groups, women in midlife were the most likely to report trauma during military service, and these experiences were associated with greater negative impact on their self-reported health. Providers should be aware that trauma during military service may be particularly problematic for the cohort of women currently in midlife, who represent the largest proportion of women who use Department of Veterans Affairs health care.

Language: en