2022
Gonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration
Keddem S, Maier M, Gardella C, Borgerding J, Lowy E, Chartier M, Haskell S, Hauser RG, Beste LA. Gonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration. Journal Of General Internal Medicine 2022, 37: 706-713. PMID: 36042092, PMCID: PMC9481769, DOI: 10.1007/s11606-022-07578-2.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationChlamydia testingVHA careWomen veteransAge 25Case ratesMilitary sexual traumaHealth AdministrationInfection rateCorrelates of testingIncidence of chlamydiaRetrospective cohort studyCervical cancer screeningEvidence-based guidelinesHealth system factorsIncidence of gonorrhoeaMental health diagnosesLow testing ratesSexual traumaSystem-level interventionsHigher infection rateEffective diagnostic testCohort studyPatient characteristicsResultsAmong womenMilitary 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 impactMini-Residencies to Improve Care for Women Veterans: A Decade of Re-Educating Veterans Health Administration Primary Care Providers
Manwell L, McNeil M, Gerber MR, Iqbal S, Schrager S, Staropoli C, Brown R, Veet L, Haskell S, Hayes P, Carnes M. Mini-Residencies to Improve Care for Women Veterans: A Decade of Re-Educating Veterans Health Administration Primary Care Providers. Journal Of Women's Health 2022, 31: 991-1002. PMID: 35049359, DOI: 10.1089/jwh.2021.0033.Peer-Reviewed Original ResearchConceptsPrimary care providersProvision of careWomen veteransCare providersMini-ResidencyHealth careVeterans Health AdministrationWomen's health careSix-month dataPre-post responsesPelvic examinationMore breastPost-training surveysWomen's healthHealth AdministrationTraining programVeteran carePractice changeCareVeteransClinical trainingWomenProgram contentParticipant comfortDidactic presentations
2021
Differences in Burnout and Intent to Leave Between Women’s Health and General Primary Care Providers in the Veterans Health Administration
Apaydin EA, Mohr DC, Hamilton AB, Rose DE, Haskell S, Yano EM. Differences in Burnout and Intent to Leave Between Women’s Health and General Primary Care Providers in the Veterans Health Administration. Journal Of General Internal Medicine 2021, 37: 2382-2389. PMID: 34618305, PMCID: PMC9360298, DOI: 10.1007/s11606-021-07133-5.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationPrimary care providersCare providersWomen veteransPractice characteristicsHealth AdministrationUnique clinical needsMinority of patientsLogistic regression analysisSatisfied patientsCross-sectional wavesPreventative careWomen's healthClinical needPatientsPractice dataOutcomes of burnoutRegression analysisAdministrationCareClinical demandStaff ratiosVeteransPCPMore researchSex 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 accuracyCoordinating women's preventive health care for rural veterans
Kinney RL, Haskell S, Relyea MR, DeRycke EC, Walker L, Bastian LA, Mattocks KM. Coordinating women's preventive health care for rural veterans. The Journal Of Rural Health 2021, 38: 630-638. PMID: 34310743, DOI: 10.1111/jrh.12609.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationPreventive health careCare coordinationWomen veteransPreventive careCare coordinatorsPreventive health care servicesRural women veteransHealth careRural facilitiesHealth care servicesSemi-structured telephone interviewsNumber of veteransRural veteransPreventive screeningCare settingsVHA providersVA facilitiesCommunity providersHealth AdministrationCare servicesPatient careTelephone interviewsCareVeteransMilitary sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment
Decker SE, Ramsey CM, Ronzitti S, Kerns RD, Driscoll MA, Dziura J, Skanderson M, Bathulapalli H, Brandt CA, Haskell SG, Goulet JL. Military sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment. Psychiatry Research 2021, 303: 114089. PMID: 34247061, DOI: 10.1016/j.psychres.2021.114089.Peer-Reviewed Original ResearchConceptsMental health diagnosesMilitary sexual traumaVeterans Healthcare AdministrationSuicidal ideationHealth diagnosisSexual traumaRelative risk estimatesOEF/OIF/OND veteransSample of veteransPost-9/11 veteransSuicide risk factorsMental health concernsClinical remindersRisk factorsRelative riskHigh riskMen veteransMental healthcareHealth concernRisk estimatesMST survivorsWomenDiagnosisTraumaVeteransDSM‐5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans
Masheb RM, Ramsey CM, Marsh AG, Decker SE, Maguen S, Brandt CA, Haskell SG. DSM‐5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans. International Journal Of Eating Disorders 2021, 54: 1171-1180. PMID: 33665848, DOI: 10.1002/eat.23501.Peer-Reviewed Original ResearchConceptsPrevalence estimatesDSM-5Disorder diagnosisDisorder groupNight eating syndromeHigher mean BMIUnited States military veteransMental health symptomsBinge Eating DisorderHigher prevalence estimatesMental health concernsMental Health AssociationMean BMIAtypical ANPurging DisorderDisorder prevalenceVeteran populationGender differencesSpecific diagnosisBulimia nervosaAnorexia nervosaHealth symptomsHealth concernNon-eating disorder groupMental healthAtypical Anorexia Nervosa, not so atypical after all: Prevalence, correlates, and clinical severity among United States military Veterans
Masheb RM, Ramsey CM, Marsh AG, Snow JL, Brandt CA, Haskell SG. Atypical Anorexia Nervosa, not so atypical after all: Prevalence, correlates, and clinical severity among United States military Veterans. Eating Behaviors 2021, 41: 101496. PMID: 33711788, DOI: 10.1016/j.eatbeh.2021.101496.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnorexia NervosaBinge-Eating DisorderBulimia NervosaFemaleHumansMalePrevalenceUnited StatesVeteransConceptsAtypical anorexia nervosaBinge Eating DisorderAnorexia nervosaBulimia nervosaMental healthUnited States military veteransSample of veteransDSM-5AAN groupAverage BMISevere underweightMean ageClinical severitySignificant diagnosisMultivariate analysisWorse functioningPast monthDietary restraintDisorder diagnosisDisorder groupNervosaEra veteransDisordersEating DisordersDiagnosisBaseline 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
A Multisite Quality Improvement Initiative to Enhance the Adoption of Screening Practices for Intimate Partner Violence Into Routine Primary Care for Women Veterans
Portnoy GA, Iverson KM, Haskell SG, Czarnogorski M, Gerber MR. A Multisite Quality Improvement Initiative to Enhance the Adoption of Screening Practices for Intimate Partner Violence Into Routine Primary Care for Women Veterans. Public Health Reports 2020, 136: 52-60. PMID: 33207128, PMCID: PMC7856383, DOI: 10.1177/0033354920966022.Peer-Reviewed Original ResearchConceptsMultisite Quality Improvement InitiativeQuality improvement initiativesVeterans Health AdministrationPrimary careIntimate partner violenceHealth clinicsScreening practicesWomen veteransImprovement initiativesHealth AdministrationEvidence-based implementation strategiesHigh-quality primary careRoutine primary careWomen's health clinicImplementation supportImplementation support strategiesModifiable barriersPartner violenceBaseline surveyUnique facilitatorsCareWomenClinicRespondersAdministrationRetaining VA Women’s Health Primary Care Providers: Work Setting Matters
Schwartz R, Frayne SM, Friedman S, Romodan Y, Berg E, Haskell SG, Shaw JG. Retaining VA Women’s Health Primary Care Providers: Work Setting Matters. Journal Of General Internal Medicine 2020, 36: 614-621. PMID: 33063204, PMCID: PMC7947068, DOI: 10.1007/s11606-020-06285-0.Peer-Reviewed Original ResearchConceptsPrimary care providersHealth centersCare providersVeterans Affairs Healthcare SystemClinic environmentWomen's health centersFront-line providersPrimary care workforceClinic characteristicsProvider characteristicsExperienced providersLower riskClinic workloadHealthcare providersCare deliveryLogistic regressionProtective factorsProvider burnoutClinical contextCare workforceSupport resourcesPotential mechanismsCandidate predictorsHealthcare systemHealthcare workforceIncident Musculoskeletal Conditions Among Men and Women Veterans Returning From Deployment
Haskell SG, Brandt C, Bastian L, Driscoll M, Bathulapalli H, Dziura J. Incident Musculoskeletal Conditions Among Men and Women Veterans Returning From Deployment. Medical Care 2020, 58: 1082-1090. PMID: 32925458, DOI: 10.1097/mlr.0000000000001403.Peer-Reviewed Original ResearchConceptsMSK conditionsAnkle/footVeterans AffairsUpper extremityMen veteransClinical Modification diagnostic codesPercent of womenOperation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn VeteransMSK diagnosesCohort studyNinth RevisionUnadjusted ratesMusculoskeletal conditionsDiagnostic codesIncidence rateOperation New Dawn veteransFirst visitMusculoskeletal injuriesNew Dawn veteransInternational ClassificationWomen veteransLast deploymentWomenVeteransMenEvaluating Bystander Intervention Training to Address Patient Harassment at the Veterans Health Administration
Relyea MR, Portnoy GA, Klap R, Yano EM, Fodor A, Keith JA, Driver JA, Brandt CA, Haskell SG, Adams L. Evaluating Bystander Intervention Training to Address Patient Harassment at the Veterans Health Administration. Women's Health Issues 2020, 30: 320-329. PMID: 32830008, DOI: 10.1016/j.whi.2020.06.006.Peer-Reviewed Original ResearchConceptsBystander intervention trainingWomen veteran patientsBystander approachGender harassmentBystander interventionCommunity membersHarassmentIntervention trainingCare staffGroup discussionsHealth care staffVeterans Health AdministrationStaff experiencesEffective facilitationMajority of staffAdministrative staffMost staffStaffStates health care systemVeteran patientsAttitudinal outcomesVA staffHealth AdministrationFactors 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 disordersBarriers 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 womenAssociation of prescription opioids and incident cardiovascular risk factors among post-9/11 Veterans
Chui PW, Gordon KS, Dziura J, Burg MM, Brandt CA, Sico JJ, Leapman MS, Cavanagh CE, Rosman L, Haskell S, Becker WC, Bastian LA. Association of prescription opioids and incident cardiovascular risk factors among post-9/11 Veterans. Preventive Medicine 2020, 134: 106036. PMID: 32097753, DOI: 10.1016/j.ypmed.2020.106036.Peer-Reviewed Original ResearchConceptsCVD risk factorsLong-term opioid therapyCurrent smoking statusRisk factorsOpioid useOpioid therapySmoking statusCardiovascular diseaseHigh riskLong-term exposureIncident cardiovascular risk factorsModifiable CVD risk factorsPrevalent CVD risk factorsFirst primary care visitCardiovascular risk factorsPrimary care visitsBaseline periodElectronic health record dataMain outcome measuresHealth record dataOpioid prescriptionsCare visitsPrescription opioidsMain exposureOutcome measuresSex Differences in Military Sexual Trauma and Severe Self-Directed Violence
Gross GM, Ronzitti S, Combellick JL, Decker SE, Mattocks KM, Hoff RA, Haskell SG, Brandt CA, Goulet JL. Sex Differences in Military Sexual Trauma and Severe Self-Directed Violence. American Journal Of Preventive Medicine 2020, 58: 675-682. PMID: 32037020, DOI: 10.1016/j.amepre.2019.12.006.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaSelf-directed violenceSexual traumaWomen veteransCox proportional hazards regression modelVeterans Health Administration (VHA) careProportional hazards regression modelsHazards regression modelsOperations Enduring Freedom/Iraqi Freedom/New Dawn veteransPsychiatric morbidityNew Dawn veteransSuicide attemptsBivariate analysisPreventative effortsTraumaWomenMenSex differencesVeteransRiskRegression modelsDemographic variablesSevere selfHospitalizationMorbidityTailoring an evidence-based lifestyle intervention to meet the needs of women Veterans with prediabetes
Dyer KE, Moreau JL, Finley E, Bean-Mayberry B, Farmer MM, Bernet D, Kress A, Lewis JL, Batuman FK, Haskell SG, Hamilton AB, Moin T. Tailoring an evidence-based lifestyle intervention to meet the needs of women Veterans with prediabetes. Women & Health 2020, 60: 748-762. PMID: 31959089, PMCID: PMC8435559, DOI: 10.1080/03630242.2019.1710892.Peer-Reviewed Original ResearchMeSH KeywordsAdultBehavior TherapyDiabetes Mellitus, Type 2Electronic Health RecordsEvidence-Based MedicineFemaleGlycated HemoglobinHealth PromotionHumansInterviews as TopicLife StyleMiddle AgedPatient ParticipationPrediabetic StateQualitative ResearchSocial SupportTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthWeight Reduction ProgramsConceptsDiabetes Prevention ProgramWomen veteransEvidence-based lifestyle interventionModality choiceType 2 diabetes riskLifestyle change interventionsLifestyle interventionPopulation-specific needsPatient preferencesDiabetes riskLifestyle changesPatient engagementPrevention programsPrediabetesU.S. adultsProgram reachAccess barriersMore womenWomenMixed-methods studyImplementation outcomesChange interventionsHigh rateOne-thirdVeterans