Sexual assault during the time of Gulf War I: a cross-sectional survey of U.S. service men who later applied for Department of Veterans Affairs PTSD disability benefits

To estimate the cumulative incidence of sexual assault during the time of Gulf War I among male Gulf War I Veterans who later applied for Department of Veterans Affairs (VA) post-traumatic stress disorder disability benefits and to identify potential risk and protective factors for sexual assault wi...

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Bibliographic Details
Published in:Military medicine 2014-03, Vol.179 (3), p.285-293
Main Authors: Murdoch, Maureen, Polusny, Melissa A, Street, Amy, Noorbaloochi, Siamak, Simon, Alisha B, Bangerter, Ann, Grill, Joseph, Voller, Emily
Format: Article
Language:English
Subjects:
Confidence Intervals
Cross-Sectional Studies
Disabled Persons - statistics & numerical data
Female
Gulf War
Humans
Incidence
Male
Middle Aged
Odds Ratio
Rape - statistics & numerical data
Retrospective Studies
Stress Disorders, Post-Traumatic - epidemiology
Surveys and Questionnaires
United States - epidemiology
United States Department of Veterans Affairs - statistics & numerical data
Veterans
Veterans - statistics & numerical data
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Summary:To estimate the cumulative incidence of sexual assault during the time of Gulf War I among male Gulf War I Veterans who later applied for Department of Veterans Affairs (VA) post-traumatic stress disorder disability benefits and to identify potential risk and protective factors for sexual assault within the population. Mailed, national, cross-sectional survey supplemented with VA administrative and clinical data. Of 2,415 Veterans sampled, 1,700 (70%) responded. After adjusting for nonignorable missing data, the cumulative incidence of sexual assault during Gulf War I in this population ranged from 18% [95% confidence intervals (CI): 5.0%-51.9%] to 21% (95% CI: 20.0-22.0). Deployment was not associated with sexual assault [Odds Ratio (OR), 0.96; 95% CI: 0.75-1.23], but combat exposure was (OR, 1.80; 95% CI: 1.52-2.10). Other correlates of sexual assault within the population included working in a unit with greater tolerance of sexual harassment (OR, 1.80; 95% CI: 1.52-2.10) and being exposed to more sexual identity challenges (OR, 1.76; 95% CI: 1.55-2.00). The 9-month cumulative incidence of sexual assault in this particular population exceeded the lifetime cumulative incidence of sexual assault in U.S. civilian women. Although Persian Gulf deployment was not associated with sexual assault in this population, combat exposure was.
ISSN:0026-4075
1930-613X
DOI:10.7205/MILMED-D-12-00513