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Systematic Review of Women Veterans’ Health: Update on Successes and Gaps

Abstract Objective We assessed the state of women veterans’ health research by conducting a systematic review of scientific literature published from 2004 to 2008, updating a prior review spanning the history of this literature to 2004. Methods We identified articles by searching scientific database...

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Published in:Women's health issues 2011-07, Vol.21 (4), p.S84-S97
Main Authors: Bean-Mayberry, Bevanne, MD, MHS, Yano, Elizabeth M., PhD, MSPH, Washington, Donna L., MD, MPH, Goldzweig, Caroline, MD, MSPH, Batuman, Fatma, MD, Huang, Christine, MD, Miake-Lye, Isomi, BA, Shekelle, Paul G., MD, PhD
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cited_by cdi_FETCH-LOGICAL-c515t-b976343dc0dd948f6c9854bee4378eb97fbd9aee0eb7c3d20d997cb11a9bada3
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container_title Women's health issues
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creator Bean-Mayberry, Bevanne, MD, MHS
Yano, Elizabeth M., PhD, MSPH
Washington, Donna L., MD, MPH
Goldzweig, Caroline, MD, MSPH
Batuman, Fatma, MD
Huang, Christine, MD
Miake-Lye, Isomi, BA
Shekelle, Paul G., MD, PhD
description Abstract Objective We assessed the state of women veterans’ health research by conducting a systematic review of scientific literature published from 2004 to 2008, updating a prior review spanning the history of this literature to 2004. Methods We identified articles by searching scientific databases and contacting experts. Relevant articles were independently evaluated by two physician reviewers. We categorized 195 articles by study design, funding source, period of military service, research topic, and health condition. Results More research was published during this 5-year review ( n = 195) than in the 25 years beforehand ( n = 182). The 195 studies included five trials, but only one randomized trial, a study that examined treatment outcomes for women with posttraumatic stress disorder (PTSD). The large number of articles focused on Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) soldiers’ health issues ( n = 23) reflects the growing participation of women in these conflicts. High rates of positive PTSD symptoms (range, 10%–19%) and other mental health disorders were found among OEF/OIF returning military women. The recent post-deployment literature underscores the need for repeated PTSD/mental health screening in returning veterans, and points to continuity of care needs for psychiatric and gynecological problems which occur in the field. The psychiatric and access/utilization literature confirmed the positive relationship between military sexual trauma and PTSD and the associated negative health effects. Conclusion Although most VA women’s health research remains observational, methods are evolving toward an analytical focus. Even though successes are evident in the breadth and depth of publications, remaining gaps in the literature include post-deployment readjustment for veterans/families, and quality-of-care interventions/outcomes for physical and mental conditions.
doi_str_mv 10.1016/j.whi.2011.04.022
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Methods We identified articles by searching scientific databases and contacting experts. Relevant articles were independently evaluated by two physician reviewers. We categorized 195 articles by study design, funding source, period of military service, research topic, and health condition. Results More research was published during this 5-year review ( n = 195) than in the 25 years beforehand ( n = 182). The 195 studies included five trials, but only one randomized trial, a study that examined treatment outcomes for women with posttraumatic stress disorder (PTSD). The large number of articles focused on Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) soldiers’ health issues ( n = 23) reflects the growing participation of women in these conflicts. High rates of positive PTSD symptoms (range, 10%–19%) and other mental health disorders were found among OEF/OIF returning military women. The recent post-deployment literature underscores the need for repeated PTSD/mental health screening in returning veterans, and points to continuity of care needs for psychiatric and gynecological problems which occur in the field. The psychiatric and access/utilization literature confirmed the positive relationship between military sexual trauma and PTSD and the associated negative health effects. Conclusion Although most VA women’s health research remains observational, methods are evolving toward an analytical focus. 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source Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals
subjects Female
Health
Health Services Accessibility
Humans
Medical research
Obstetrics and Gynecology
Posttraumatic stress disorder
Quality of Health Care
Stress Disorders, Post-Traumatic - therapy
Veterans
Veterans - psychology
Women
Women's Health
Women's issues
title Systematic Review of Women Veterans’ Health: Update on Successes and Gaps
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