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 impact
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 cohort
2020
Evaluating 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 surveyTailoring 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-thirdVeteransUnderutilization of Pulmonary Function Testing in Veterans Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation: Who are We Missing?
Bade BC, DeRycke EC, Skanderson M, Crothers K, Haskell S, Bean-Mayberry B, Cain HC, Brandt C, Bastian LA, Akgün KM. Underutilization of Pulmonary Function Testing in Veterans Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation: Who are We Missing? COPD Journal Of Chronic Obstructive Pulmonary Disease 2020, 17: 15-21. PMID: 31948267, DOI: 10.1080/15412555.2019.1711036.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAlcoholismDelayed DiagnosisDisease ProgressionEthnicityFemaleHealth Services MisuseHospitalizationHumansLogistic ModelsMaleMiddle AgedOdds RatioPulmonary Disease, Chronic ObstructiveRespiratory Function TestsRetrospective StudiesRisk FactorsSex FactorsSmokersSmokingSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsChronic obstructive pulmonary diseasePulmonary function testingDrug use disordersCurrent Procedural TerminologyUse disordersFunction testingChronic obstructive pulmonary disease exacerbationsVeterans Affairs Health Care SystemObstructive pulmonary disease exacerbationsLogistic regressionPulmonary disease exacerbationsObstructive pulmonary diseaseHistory of alcoholHealth care systemDisease exacerbationIndex hospitalizationCurrent smokersCOPD hospitalizationsPatient factorsPrimary outcomePulmonary diseaseRetrospective analysisInternational ClassificationMost veteransQuality care
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
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
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 appointmentsDeterminants of Hormone Therapy Discontinuation among Female Veterans Nationally
Haskell SG, Bean-Mayberry B, Goulet JL, Skanderson M, Good CB, Justice AC. Determinants of Hormone Therapy Discontinuation among Female Veterans Nationally. Military Medicine 2008, 173: 91-96. PMID: 18251338, PMCID: PMC3115618, DOI: 10.7205/milmed.173.1.91.Peer-Reviewed Original ResearchConceptsVA women's clinicsHormone therapyHealth care servicesFemale veteransWomen's clinicWomen's Health Initiative clinical trialsVeterans Affairs Health Care SystemUse of HTWomen's health care servicesVA systemGender-specific careAfrican American raceHormone therapy discontinuationHealth care systemHT discontinuationHT GuidelineTherapy discontinuationDiscontinuation ratesHT useClinical trialsHeart diseaseHispanic ethnicityVA pharmacyAmerican raceCare services
2006
The Prevalence and Age-Related Characteristics of Pain in a Sample of Women Veterans Receiving Primary Care
Haskell SG, Heapy A, Reid MC, Papas RK, Kerns RD. The Prevalence and Age-Related Characteristics of Pain in a Sample of Women Veterans Receiving Primary Care. Journal Of Women's Health 2006, 15: 862-869. PMID: 16999642, DOI: 10.1089/jwh.2006.15.862.Peer-Reviewed Original ResearchConceptsWomen veteransPain problemsPrimary careHealth clinicsHealth centersHigh prevalenceVA women’s health clinicAnalgesic medication useOngoing pain problemsPrevalence of painMental health visitsAverage pain intensityCharacteristics of painWomen's health clinicWomen's health centersPain intensity levelsPain prevalenceAnalgesic medicationPain sitesPain statusHealth visitsMedication usePain intensityPain treatmentRoutine appointments