Get access

The Role of Military Social Support in Understanding the Relationship Between PTSD, Physical Health, and Healthcare Utilization in Women Veterans

Authors

  • Keren Lehavot,

    Corresponding author
    1. VA Puget Sound Health Care System, Seattle, Washington, USA
    2. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA
    • Correspondence concerning this article should be addressed to Keren Lehavot, 1660 S. Columbian Way (S-116-POC), Seattle, WA 98108. E-mail: klehavot@uw.edu

    Search for more papers by this author
  • Claudia Der-Martirosian,

    1. Veterans Emergency Management Evaluation Center (VEMEC), Department of Veterans Affairs, North Hills, California, USA
    Search for more papers by this author
  • Tracy L. Simpson,

    1. VA Puget Sound Health Care System, Seattle, Washington, USA
    2. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA
    Search for more papers by this author
  • Jillian C. Shipherd,

    1. National Center for PTSD, Women's Health Sciences Division, Boston, Massachusetts, USA
    2. VA Boston Healthcare System, Boston, Massachusetts, USA
    3. Boston University School of Medicine, Boston, Massachusetts, USA
    4. VA Patient Care Services LGBT Program, Washington, DC, USA
    Search for more papers by this author
  • Donna L. Washington

    1. VA Greater Los Angeles Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), Sepulveda, California, USA
    2. Department of Medicine, University of California Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles, California, USA
    Search for more papers by this author

  • This study was funded by the Department of Veterans Affairs (VA) Women's Health Services in the Office of Patient Care Services and the VA Health Services Research and Development (HSR&D) Service (#SDR-08-270). This material was also supported by resources from the VA Office of Academic Affiliations, Advanced Fellowship Program in Mental Illness Research and Treatment, VA Puget Sound Healthcare System, VA Greater Los Angeles HSR&D Center of Excellence, and VA Boston Healthcare System. The authors gratefully acknowledge Su Sun Mor, MPH and Michael Mitchell, PhD, for assistance with database construction, and Mark Canning for project management. The views expressed within are solely those of the authors, and do not necessarily represent the views of the Department of Veterans Affairs or of the United States government.

Abstract

Posttraumatic stress disorder (PTSD) is a significant predictor of both poorer physical health and increased health care utilization, whereas adequate social support is associated with better physical health and less health care utilization. However, research has not previously examined the simultaneous effects of PTSD and social support on health and health care utilization. This study examined both the independent and interactive effects of PTSD and a particular type of social support (postactive-duty social support from military friends) on self-reported physical health and number of Veterans Health Administration (VHA) visits in the last year. These relationships were examined in a representative, national sample of 3,524 women veterans who completed telephone interviews as part of the National Survey of Women Veterans in 2008–2009. Regression analyses were conducted using these cross-sectional data to examine main effects of PTSD and military social support on physical health and VHA utilization and their interaction. Screening positive for PTSD was associated with poorer health (B = −3.19, SE = 1.47) and increased VHA utilization (B = 0.98, SE = 0.16), whereas greater military social support was associated with better health (B = 0.97, SE = 0.44) and less frequent VHA utilization (B = −0.15, SE = 0.05). Neither moderation model was significant, such that military social support behaved in a similar way regardless of PTSD status.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:軍中社會支援在女性退役軍人的創傷後壓力症,身體健康和醫療服務使用率之間的關係

撮要:創傷後壓力症(PTSD)能有效預測較差身體健康和更高醫療保健使用率,而充足社會支援則與較好身體健康和較低醫療保健使用率相關。以往研究未有探討PTSD和社會支援同時影響健康和醫療保健使用的情況。本文檢視PTSD的獨立和互動效果及一種獨特社會支援(軍中友好的現役後社會支援),對以往一年自我報告身體健康及退役健康及退役健康醫療(VHA)診治次數的影響。樣本從全國女性退役兵(2008–2009年)調查的電話訪談中選取3524名全國代表性樣本。回歸分析這些橫斷資料,來檢討PTSD和軍中社會支援對身體健康和VHA使用方面的主要影響,及其互動關係。篩選為PTSD者與較差健康(в = -3.19, SE = 1.47)和更高VHA使用(в = 0.98, SE = 0.16)有相連;更多軍中社會支援則與較好健康(в = 0.97, SE = 0.44)和較低VHA使用(в = -0.15, SE = 0.05) 相關連。沒有任何節制模型是有效的,所以無論有否患上PTSD,軍中社會支援都是一樣影響身體健康及VHA使用。

标题:军中社会支持在女性退役军人的创伤后压力症,身体健康和医疗服务使用率之间的关系

撮要:创伤后压力症(PTSD)能有效预测较差身体健康和更高医疗保健使用率,而充足社会支持则与较好身体健康和较低医疗保健使用率相关。以往研究未有探讨PTSD和社会支持同时影响健康和医疗保健使用的情况。本文检视PTSD的独立和互动效果及一种独特社会支持(军中友好的现役后社会支持),对以往一年自我报告身体健康及退役健康及退役健康医疗(VHA)诊治次数的影响。样本从全国女性退役兵(2008–2009年)调查的电话访谈中选取3524名全国代表性样本。回归分析这些横断数据,来检讨PTSD和军中社会支持对身体健康和VHA使用方面的主要影响,及其互动关系。筛选为PTSD者与较差健康(в = -3.19, SE = 1.47)和更高VHA使用(в = 0.98, SE = 0.16)有相关;更多军中社会支持则与较好健康(в = 0.97, SE = 0.44)和较低VHA使用(в = -0.15, SE = 0.05) 相关。没有任何节制模型是有效的,所以无论有否患上PTSD,军中社会支持都是一样影响身体健康及VHA使用。

Ancillary