This research was supported by a VA Health Services Research & Development grant (IAC 06-266) to the first author and by the Center for Chronic Disease Outcomes Research, VA Medical Center, Minneapolis, MN. A portion of this research was presented at the 2007 VA Health Services Research & Development National Meeting in Arlington, VA, February 23, 2007. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs.
Race and ethnicity as factors in mental health service use among veterans with PTSD†
Version of Record online: 17 NOV 2009
Copyright © 2009 International Society for Traumatic Stress Studies
Journal of Traumatic Stress
Special Issue: Special Section: Innovations in Trauma Research Methods, 2008
Volume 22, Issue 6, pages 648–653, December 2009
How to Cite
Spoont, M. R., Hodges, J., Murdoch, M. and Nugent, S. (2009), Race and ethnicity as factors in mental health service use among veterans with PTSD. J. Traum. Stress, 22: 648–653. doi: 10.1002/jts.20470
- Issue online: 21 DEC 2009
- Version of Record online: 17 NOV 2009
Many veterans with posttraumatic stress disorder (PTSD) either do not seek treatment or participate in treatment only episodically. The authors conducted a retrospective cohort study using Department of Veterans Affairs (VA) administrative data to determine rates of mental health care use and to examine whether the odds of service use varied by race or ethnicity. They examined all veterans with a new diagnosis of PTSD during a one-year period. Analyses used logistic or negative binomial regression with generalized estimating equations to measure associations of race and ethnicity with mental health service use after controlling for demographic, disability, and access factors. After adjustment, veteran race, but not Hispanic ethnicity, was associated with decreases in some pharmacotherapy measures and increases in some counseling measures.