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 womenMini-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
Polygenic 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 cohortAtypical 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 ResearchConceptsAtypical 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 DisordersDiagnosis
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 ResearchConceptsObstructive 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 treatmentIncident 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 studyAssociations between obstructive sleep apnea and prescribed opioids among veterans.
Chen K, Yaggi HK, Fiellin DA, DeRycke EC, Athar W, Haskell S, Bastian LA. Associations between obstructive sleep apnea and prescribed opioids among veterans. Pain 2020, 161: 2035-2040. PMID: 32358418, PMCID: PMC7606219, DOI: 10.1097/j.pain.0000000000001906.Peer-Reviewed Original ResearchConceptsDiagnosis of OSAObstructive sleep apneaOpioid prescriptionsRelative risk ratiosSleep apneaMultimodal pain management strategiesPoor pain controlTwo-fold likelihoodPain management strategiesHigher pain intensityPain controlPrescribed opioidsFormer smokersPain intensityPain managementPrimary outcomeChronic prescriptionPrescription opioidsPsychiatric comorbidityOSA treatmentPrimary exposureNational cohortRisk ratioChronic durationOpioid categoryThe 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 ResearchConceptsOEF/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-thirdVeteransSevere 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
2019
Women Veterans’ Experiences with Perceived Gender Bias in U.S. Department of Veterans Affairs Specialty Care
Mattocks K, Casares J, Brown A, Bean-Mayberry B, Goldstein KM, Driscoll M, Haskell S, Bastian L, Brandt C. Women Veterans’ Experiences with Perceived Gender Bias in U.S. Department of Veterans Affairs Specialty Care. Women's Health Issues 2019, 30: 113-119. PMID: 31735581, DOI: 10.1016/j.whi.2019.10.003.Peer-Reviewed Original ResearchConceptsSpecialty care providersPrimary care settingSpecialty careCare providersWomen veteransCare settingsVeterans AffairsWomen veterans' experiencesHealth clinicsHealth trainingWomen's Health TrainingMental health care settingsPrimary care providersWomen's health clinicQuality of careHealth care settingsPatient satisfactionSpecialty providersHormonal fluctuationsVA facilitiesVeterans' experiencesHealth conditionsCareSymptomsWomenPosttraumatic Stress Disorder and Risk for Stroke in Young and Middle-Aged Adults
Rosman L, Sico JJ, Lampert R, Gaffey AE, Ramsey CM, Dziura J, Chui PW, Cavanagh CE, Brandt C, Haskell S, Burg MM. Posttraumatic Stress Disorder and Risk for Stroke in Young and Middle-Aged Adults. Stroke 2019, 50: 2996-3003. PMID: 31619151, DOI: 10.1161/strokeaha.119.026854.Peer-Reviewed Original ResearchConceptsTransient ischemic attackIncident transient ischemic attackPosttraumatic stress disorderEffects of PTSDIschemic strokeIncident strokeHealthcare utilizationIncidence of TIAStress disorderYoung adultsMiddle-aged veteransStroke risk factorsMultivariate Cox modelIschemic stroke riskAge-specific prevention strategiesVeterans Health AdministrationMiddle-aged adultsIschemic attackStroke riskPsychological factorsUnadjusted analysesRisk factorsEffect modificationCox modelPsychiatric disordersPosttraumatic Stress Disorder and Risk for Early Incident Atrial Fibrillation: A Prospective Cohort Study of 1.1 Million Young Adults
Rosman L, Lampert R, Ramsey CM, Dziura J, Chui PW, Brandt C, Haskell S, Burg MM. Posttraumatic Stress Disorder and Risk for Early Incident Atrial Fibrillation: A Prospective Cohort Study of 1.1 Million Young Adults. Journal Of The American Heart Association 2019, 8: e013741. PMID: 31564191, PMCID: PMC6806049, DOI: 10.1161/jaha.119.013741.Peer-Reviewed Original ResearchConceptsIncident atrial fibrillationPosttraumatic stress disorderMiddle-aged veteransAtrial fibrillationRisk factorsMultivariate Cox proportional hazards modelIncidence of AFCox proportional hazards modelStress disorderAF risk factorsCardiovascular risk factorsNew atrial fibrillationProspective cohort studyHigher overall incidenceVeterans Health AdministrationProportional hazards modelAcute psychological stressChronic stress syndromeCohort studyOverall incidenceAtrial tachycardiaLifestyle factorsAtrial flutterHealthcare useEffect modification
2008
The Association of Sexual Trauma with Persistent Pain in a Sample of Women Veterans Receiving Primary Care
Haskell SG, Papas RK, Heapy A, Reid MC, Kerns RD. The Association of Sexual Trauma with Persistent Pain in a Sample of Women Veterans Receiving Primary Care. Pain Medicine 2008, 9: 710-717. PMID: 18565005, DOI: 10.1111/j.1526-4637.2008.00460.x.Peer-Reviewed Original ResearchConceptsPain-related interferencePresence of painPersistent painPain intensityWomen veteransClinic populationChronic conditionsHealth centersSexual traumaDepressive symptom severity scoresMultivariate logistic regression analysisOngoing pain problemsMultivariate linear regression analysisMore chronic conditionsGreater pain intensityDepressive symptom scoresSymptom severity scoresWomen's health centersLogistic regression analysisRegression analysisDepression symptom severityHigh rateMilitary sexual harassmentPain interferenceRoutine appointments