2022
Military sexual trauma and incident hypertension: a 16-year cohort study of young and middle-aged men and women
Gaffey AE, Rosman L, Sico JJ, Haskell SG, Brandt CA, Bathulapalli H, Han L, Dziura J, Skanderson M, Burg MM. Military sexual trauma and incident hypertension: a 16-year cohort study of young and middle-aged men and women. Journal Of Hypertension 2022, 40: 2307-2315. PMID: 35983872, DOI: 10.1097/hjh.0000000000003267.Peer-Reviewed Original ResearchConceptsIncident hypertensionRisk factorsPsychiatric disordersMultivariate Cox proportional hazards modelVeterans Health Administration dataGreater riskCox proportional hazards modelTrauma-related psychiatric disordersMiddle-aged veteransCardiovascular risk factorsBaseline blood pressureElevated cardiovascular riskLarge prospective cohortHealth Administration dataMiddle-aged menProportional hazards modelSex-specific analysesPosttraumatic stress disorderMilitary sexual traumaCardiovascular riskCohort studyProspective cohortBlood pressureTreatment attenuatesCardiovascular impactDepression, Insomnia, and Obesity Among Post-9/11 Veterans: Eating Pathology as a Distinct Health Risk Behavior
Ramsey CM, Gaffey AE, Brandt CA, Haskell SG, Masheb RM. Depression, Insomnia, and Obesity Among Post-9/11 Veterans: Eating Pathology as a Distinct Health Risk Behavior. Military Medicine 2022, 188: 921-927. PMID: 35726626, PMCID: PMC11494237, DOI: 10.1093/milmed/usac165.Peer-Reviewed Original ResearchConceptsHealth risk behaviorsRisk of obesityEffect of depressionRisk behaviorsPotential confoundersHealth behaviorsHealth conditionsCo-occurring insomniaWomen Veterans Cohort StudyInsufficient physical activityMultiple health behaviorsChronic health conditionsLikelihood of obesityEffects of insomniaMultiple health conditionsLogistic regression modelsPost-9/11 veteransCohort studyRelated comorbiditiesPhysical activityObesityInsomniaHazardous drinkingEra veteransDepression
2021
Sex Differences in Use of a Clinical Complexity Measure to Predict Primary Care Utilization
Haskell SG, Han L, Abel EA, Bastian L, Driscoll M, Dziura J, Burg MM, Skanderson M, Brandt CA. Sex Differences in Use of a Clinical Complexity Measure to Predict Primary Care Utilization. Journal Of Women's Health 2021, 31: 71-78. PMID: 34388023, DOI: 10.1089/jwh.2021.0103.Peer-Reviewed Original ResearchConceptsPrimary care utilizationCare utilizationWomen veteransCare Assessment Need (CAN) scoreComplex high-risk patientsHigh-risk patientsRisk stratification toolPotential confounding factorsCorporate Data WarehouseSex differencesVA careVisit utilizationCare coordinationHigher oddsReproductive healthConfounding factorsVeterans AffairsPsychosocial variablesStrong associationQuintileWomenNeed scoresMenVeteransGood predictive accuracyPolygenic Breast Cancer Risk for Women Veterans in the Million Veteran Program
Minnier J, Rajeevan N, Gao L, Park B, Pyarajan S, Spellman P, Haskell SG, Brandt CA, Luoh SW. Polygenic Breast Cancer Risk for Women Veterans in the Million Veteran Program. JCO Precision Oncology 2021, 5: 1178-1191. PMID: 34381935, PMCID: PMC8345920, DOI: 10.1200/po.20.00541.Peer-Reviewed Original ResearchConceptsBreast Cancer Risk Assessment ToolCancer Risk Assessment ToolIncident breast cancerAbsolute lifetime riskAA womenRisk assessment toolIncident casesLifetime riskBreast cancerMillion Veteran ProgramAccurate breast cancer risk assessmentProstate Cancer Cohort ConsortiumBreast cancer risk assessmentPrior BC diagnosisBreast cancer riskClinical risk modelVeteran ProgramRisk prediction modelCancer risk assessmentAssessment toolIncident BCAfrican ancestryHazard ratioProspective cohortMultiracial cohortBaseline Characteristics from the Women Veterans Cohort Study: Gender Differences and Similarities in Health and Healthcare Utilization
Gaffey AE, Burg MM, Rosman L, Portnoy GA, Brandt CA, Cavanagh CE, Skanderson M, Dziura J, Mattocks KM, Bastian LA, Haskell SG. Baseline Characteristics from the Women Veterans Cohort Study: Gender Differences and Similarities in Health and Healthcare Utilization. Journal Of Women's Health 2021, 30: 944-955. PMID: 33439756, PMCID: PMC8290312, DOI: 10.1089/jwh.2020.8732.Peer-Reviewed Original ResearchConceptsWomen Veterans Cohort StudyCardiovascular risk factorsVeterans Health AdministrationRisk factorsHealthcare utilizationWomen veteransCohort studyHealth outcomesNontraditional cardiovascular risk factorsTraditional cardiovascular risk factorsUnique healthcareMental healthSingle-site painVHA healthcare systemVHA medical centersVeterans Affairs (VA) careHealth risk factorsOutside health servicesPosttraumatic stress disorder (PTSD) symptomsMultisite painBaseline characteristicsPsychosocial comorbiditiesChronic painCardiovascular diseaseMedical Center
2020
Posttraumatic Stress Disorder, Antidepressant Use, and Hemorrhagic Stroke in Young Men and Women
Gaffey AE, Rosman L, Burg MM, Haskell SG, Brandt CA, Skanderson M, Dziura J, Sico JJ. Posttraumatic Stress Disorder, Antidepressant Use, and Hemorrhagic Stroke in Young Men and Women. Stroke 2020, 52: 121-129. PMID: 33297868, PMCID: PMC7770089, DOI: 10.1161/strokeaha.120.030379.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderHemorrhagic strokeHealth care utilizationUse of SSRIsGreater riskSSRI useStroke riskCare utilizationStress disorderEffects of PTSDIncident hemorrhagic strokeMiddle-aged veteransModifiable risk factorsNon-pharmacological treatmentMultivariate Cox modelNorepinephrine reuptake inhibitorsOverall incidence rateHemorrhagic stroke riskSNRI useIncident strokeAntidepressant useReuptake inhibitorsComorbid conditionsLifestyle factorsPsychiatric comorbidityObstructive Sleep Apnea and Pain Intensity in Young Adults.
Athar W, Card ME, Charokopos A, Akgün KM, DeRycke EC, Haskell SG, Yaggi HK, Bastian LA. Obstructive Sleep Apnea and Pain Intensity in Young Adults. Annals Of The American Thoracic Society 2020, 17: 1273-1278. PMID: 32644865, PMCID: PMC7640622, DOI: 10.1513/annalsats.201910-750oc.Peer-Reviewed Original ResearchMeSH KeywordsAdultCohort StudiesCross-Sectional StudiesHumansIraq War, 2003-2011PainRisk FactorsSleep Apnea, ObstructiveYoung AdultConceptsObstructive sleep apneaPain intensityYoung adultsSevere painSleep apneaVeterans Health Administration primary care clinicsDiagnosis of OSAMultivariate logistic regression modelEffective OSA treatmentSevere pain intensityAverage pain intensityPrimary care clinicsBody mass indexHigher pain intensityMental health diagnosesElectronic medical recordsCross-sectional analysisLogistic regression modelsCohort studyOlder patientsCare clinicsChronic painMass indexSmoking statusOSA treatmentFactors Associated With Posttraumatic Stress Disorder Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care
Coleman BC, Corcoran KL, DeRycke EC, Bastian LA, Brandt CA, Haskell SG, Heapy AA, Lisi AJ. Factors Associated With Posttraumatic Stress Disorder Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care. Journal Of Manipulative And Physiological Therapeutics 2020, 43: 753-759. PMID: 32534740, DOI: 10.1016/j.jmpt.2019.10.016.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Armed ConflictsChiropracticCohort StudiesComorbidityCross-Sectional StudiesFemaleHumansIraq War, 2003-2011Logistic ModelsMaleManipulation, ChiropracticMiddle AgedMusculoskeletal PainPain ManagementPrevalenceStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPost-traumatic stress disorderOEF/OIF/OND veteransBody mass indexSubstance use disordersChiropractic carePTSD diagnosisPain intensityMass indexStress disorderUse disordersOperations Enduring Freedom/Iraqi Freedom/New DawnPrior PTSD diagnosisSevere pain intensityVA chiropractic clinicDiagnosis of PTSDPain management outcomesPrimary outcome measureNational cohort studyElectronic health record dataHealth record dataManagement of veteransCross-sectional analysisPosttraumatic stress disorderClinical characteristicsCohort studyNeuropsychological assessments and psychotherapeutic services in Veterans with multiple sclerosis: Rates of utilization and their associations with socio-demographics and clinical characteristics using Veterans Health Administration-based data
Gromisch ES, Kulas JF, Altalib H, Kerns RD, Mattocks KM, Brandt CA, Haskell S. Neuropsychological assessments and psychotherapeutic services in Veterans with multiple sclerosis: Rates of utilization and their associations with socio-demographics and clinical characteristics using Veterans Health Administration-based data. Multiple Sclerosis And Related Disorders 2020, 43: 102220. PMID: 32480347, DOI: 10.1016/j.msard.2020.102220.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationCo-occurring conditionsMultiple sclerosisWomen Veterans Cohort StudyService utilizationClinical characteristicsMood disordersService useHealth AdministrationVHA Corporate Data WarehouseNeuropsychological assessmentAlcohol-related disordersTraumatic brain injuryMental health servicesPsychotherapeutic servicesCorporate Data WarehouseRace/ethnicityCohort studyDiagnosis dateBrain injuryComprehensive careSleep disordersInitial appointmentSubsequent logistic regressionCognitive disordersPredictors of prenatal smoking among US women veterans
Coleman JN, DeRycke EC, Bastian LA, Calhoun PS, Beckham JC, Kroll-Desrosiers AR, Haskell SG, Mattocks K, Brandt CA, Wilson SM. Predictors of prenatal smoking among US women veterans. Journal Of Health Psychology 2020, 26: 2648-2655. PMID: 32255376, DOI: 10.1177/1359105320913100.Peer-Reviewed Original ResearchMeSH KeywordsCohort StudiesCross-Sectional StudiesFemaleHumansPregnancySmokingTobacco SmokingVeteransConceptsUS women veteransPrenatal smokingWomen veteransVeterans Health Administration primary careMultivariable logistic regressionSubstance use disordersLikelihood of smokingPosttraumatic stress disorderPerinatal smokingCohort studyCurrent smokersFormer smokersPrimary careWhite raceUse disordersSmokingLogistic regressionStress disorderMental healthSubstance useCross-sectional dataSmokersVeteransDisordersOfficer rankThe role of insomnia in the association between posttraumatic stress disorder and hypertension.
Gaffey AE, Redeker NS, Rosman L, Mullington JM, Brandt CA, Haskell SG, Burg MM. The role of insomnia in the association between posttraumatic stress disorder and hypertension. Journal Of Hypertension 2020, 38: 641-648. PMID: 31725076, PMCID: PMC8176546, DOI: 10.1097/hjh.0000000000002311.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderPTSD symptom severityInsomnia symptomsSymptom severityStress disorderMiddle-aged veteransHigh blood pressureElectronic health record dataSelf-reported treatmentWomen Veterans Cohort StudyCross-sectional associationsHealth record dataRole of insomniaIncident hypertensionCohort studyBlood pressureRecent symptomsCardiovascular healthHypertensionSleep problemsInsomniaSymptomsRecord dataSeveritySelf-report surveyBarriers to cardiovascular disease preventive behaviors among OEF/OIF/OND women and men veterans.
Cavanagh CE, Rosman L, Chui PW, Bastian L, Brandt C, Haskell S, Burg MM. Barriers to cardiovascular disease preventive behaviors among OEF/OIF/OND women and men veterans. Health Psychology 2020, 39: 298-306. PMID: 31999178, PMCID: PMC7078021, DOI: 10.1037/hea0000844.Peer-Reviewed Original ResearchMeSH KeywordsAdultCardiovascular DiseasesCohort StudiesFemaleHumansIraq War, 2003-2011MalePrevalenceUnited StatesVeteransConceptsOEF/OIF/OND veteransLow response ratePreventive behaviorsCardiovascular diseaseResponse rateCVD risk preventionEndorsement of barriersSex differencesMultivariate logistic regressionVeterans Health AdministrationDisease preventive behaviorsPrevalence of barriersImplementation science methodsInadequate social supportCVD incidenceCVD riskLifestyle changesElevated riskMen veteransRisk individualsHealth AdministrationMultivariate analysisLogistic regressionMore menMore womenSevere Maternal Morbidity Among a Cohort of Post-9/11 Women Veterans
Combellick JL, Bastian LA, Altemus M, Womack JA, Brandt CA, Smith A, Haskell SG. Severe Maternal Morbidity Among a Cohort of Post-9/11 Women Veterans. Journal Of Women's Health 2020, 29: 577-584. PMID: 31905319, DOI: 10.1089/jwh.2019.7948.Peer-Reviewed Original ResearchConceptsSevere maternal morbidity eventSevere maternal morbidityMaternal morbidityMorbidity eventsVeteran womenVeterans AffairsChart reviewWomen veteransHealth statusPerinatal mental healthSurveillance methodologyWomen's health statusQuality of carePositive predictive valueMental health problemsOperation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn VeteransPregnancy outcomesOperation New Dawn veteransDiseases codesMorbidityInternational ClassificationNew Dawn veteransOutpatient dataPredictive valueHealth problems
2009
Discontinuing postmenopausal hormone therapy
Haskell SG, Bean-Mayberry B, Gordon K. Discontinuing postmenopausal hormone therapy. Menopause The Journal Of The North American Menopause Society 2009, 16: 494-499. PMID: 19182695, DOI: 10.1097/gme.0b013e31818fbff5.Peer-Reviewed Original ResearchConceptsMenopausal symptomsFemale veteransVA Pharmacy Benefits Management databaseVitamin EPharmacy Benefits Management databaseCurrent evidence-based guidelinesVeterans Affairs Healthcare SystemMenopausal symptom scoresPostmenopausal hormone therapyEvidence-based guidelinesUse of yogaDiscontinuation strategiesHormone therapyHT useSymptom scoresLess smokingHealth factorsMultivariate analysisSignificant associationYounger ageSymptomsBivariate analysisDietary supplementsMedian yearsHealthcare system