2022
Examining Pregnant Veterans’ Acceptance and Beliefs Regarding the COVID-19 Vaccine
Mattocks KM, Kroll-Desrosiers A, Moore Simas TA, Bastian LA, Marteeny V, Walker L, Sheahan K, Elwy AR. Examining Pregnant Veterans’ Acceptance and Beliefs Regarding the COVID-19 Vaccine. Journal Of General Internal Medicine 2022, 37: 671-678. PMID: 36042080, PMCID: PMC9427157, DOI: 10.1007/s11606-022-07588-0.Peer-Reviewed Original ResearchMeSH KeywordsCohort StudiesCOVID-19COVID-19 VaccinesCross-Sectional StudiesFemaleHumansLactationPregnancyVaccinationVaccinesVeteransConceptsCOVID-19 vaccineVaccine conspiracy beliefsPregnant veteransVaccine safetyVaccine knowledgeCOVID-19 vaccine safetyPast COVID-19 infectionOngoing cohort studyCOVID-19 infectionVA Medical CenterCross-sectional surveyCohort studyVA careKey ResultsOverallMedical CenterSide effectsHealthcare providersPregnancyVaccineConclusionsOur studyLogistic regressionVeterans' decisionsPredictors of acceptanceVaccine conspiracy theoriesVeterans
2021
Post-9/11 Veterans’ Heart Disease Knowledge, Self-Perceived Risk, and Prevention Beliefs and Behaviors
Gaffey AE, Haskell SG, Brandt CA, Bastian LA, Meadows JL, Burg MM. Post-9/11 Veterans’ Heart Disease Knowledge, Self-Perceived Risk, and Prevention Beliefs and Behaviors. Health Psychology 2021, 40: 737-746. PMID: 34780203, PMCID: PMC10691753, DOI: 10.1037/hea0001110.Peer-Reviewed Original ResearchMeSH KeywordsCross-Sectional StudiesFemaleHeart DiseasesHumansMaleMilitary PersonnelPsychotherapyVeteransConceptsSelf-perceived riskHeart diseasePrevention beliefsExact testHeart disease risk factorsPrevention behaviorsNontraditional factorsHeart disease awarenessDisease risk factorsHeart disease riskDisease-related knowledgeHeart disease knowledgeFisher's exact testMental health treatmentPost-9/11 veteransRisk factorsDisease awarenessDisease knowledgeWomen veteransPrevention strategiesHealth treatmentDisease riskGreater riskPersonalized approachDiseaseDocumentation of Screening for Firearm Access by Healthcare Providers in the Veterans Healthcare System: A Retrospective Study
Brandt CA, Workman TE, Farmer MM, Akgün KM, Abel EA, Skanderson M, Bean-Mayberry B, Zeng-Treitler Q, Mason M, Bastian LA, Goulet JL, Post LA. Documentation of Screening for Firearm Access by Healthcare Providers in the Veterans Healthcare System: A Retrospective Study. Western Journal Of Emergency Medicine 2021, 22: 525-532. PMID: 34125022, PMCID: PMC8203018, DOI: 10.5811/westjem.2021.4.51203.Peer-Reviewed Original ResearchConceptsClinical notesPatient characteristicsHealthcare providersFirearm accessElectronic health record clinical notesProportion of patientsOutpatient care visitsVeterans Healthcare SystemCohort of veteransUnited States military veteransMilitary service characteristicsDocumentation of screeningDocumentation of accessFirst yearRace/ethnicityCare visitsOutpatient visitsClinical comorbiditiesRetrospective studyVHA careEmergency clinicHandling of firearmsDemographic dataSystemwide processRisk of violenceWhen Is a Harm a Harm? Discordance between Patient and Medical Experts’ Evaluation of Lung Cancer Screening Attributes
Schapira MM, Rodriguez KL, Chhatre S, Fraenkel L, Bastian LA, Kravetz JD, Asan O, Akers S, Vachani A, Prigge JM, Meline J, Ibarra JV, Corn B, Kaminstein D. When Is a Harm a Harm? Discordance between Patient and Medical Experts’ Evaluation of Lung Cancer Screening Attributes. Medical Decision Making 2021, 41: 317-328. PMID: 33554740, DOI: 10.1177/0272989x20987221.Peer-Reviewed Original ResearchMeSH KeywordsAdultCross-Sectional StudiesDecision MakingEarly Detection of CancerFemaleHumansLung NeoplasmsMass ScreeningConceptsLung cancer screeningIncidental findingHarms of LCSVeterans Affairs Medical CenterRadiation exposureLung cancer deathsSignificant incidental findingsRoutine annual screeningProportion of participantsCross-sectional studyNon-Hispanic whitesPotential harmSDM discussionsAnnual screeningCancer deathCancer screeningPrimary careMortality reductionMedical CenterInvasive proceduresPatientsIndirect costsMost participantsScreening attributesOvertreatment
2020
Racial Differences in the Cesarean Section Rates Among Women Veterans Using Department of Veterans Affairs Community Care
Mattocks KM, Kroll-Desrosiers A, Kinney R, Bastian LA, Bean-Mayberry B, Goldstein KM, Shivakumar G, Copeland L. Racial Differences in the Cesarean Section Rates Among Women Veterans Using Department of Veterans Affairs Community Care. Medical Care 2020, 59: 131-138. PMID: 33201084, DOI: 10.1097/mlr.0000000000001461.Peer-Reviewed Original ResearchConceptsC-section rateCesarean section rateObstetrical careVeterans AffairsWomen veteransPregnant veteransC-sectionSection rateEdinburgh Postnatal Depression Scale scoreHigher body mass indexObservational cohort studyBody mass indexC-section deliveryCommunity care providersDepression Scale scoresPublic health problemQuality of careVA medical facilitiesCross-sectional analysisPostpartum veteransMaternal morbidityCohort studyMass indexObstetrical providersVA careObstructive 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 treatmentFacility Variation in Troponin Ordering Within the Veterans Health Administration
Chui PW, Esserman D, Bastian LA, Curtis JP, Gandhi PU, Rosman L, Desai N, Hauser RG. Facility Variation in Troponin Ordering Within the Veterans Health Administration. Medical Care 2020, 58: 1098-1104. PMID: 33003051, PMCID: PMC7666100, DOI: 10.1097/mlr.0000000000001424.Peer-Reviewed Original ResearchMeSH KeywordsAcute Coronary SyndromeAge FactorsAgedAged, 80 and overComorbidityCross-Sectional StudiesDiagnosis-Related GroupsEmergency Service, HospitalGuideline AdherenceHumansMiddle AgedPractice Guidelines as TopicPractice Patterns, Physicians'Sex FactorsSocioeconomic FactorsTroponinUnited StatesUnited States Department of Veterans AffairsConceptsDownstream resource utilizationVeterans Health AdministrationCase mixHealth AdministrationCurrent United States guidelinesDownstream health care utilizationVeterans Health Administration facilitiesFacility characteristicsAcute coronary syndromeEmergency department visitsPercutaneous coronary interventionHealth care utilizationAcute care facilitiesUnited States guidelinesHigh rateCross-sectional analysisCoronary syndromeCoronary interventionED visitsDepartment visitsCare utilizationHighest quartileCoronary angiogramInpatient admissionsLowest quartileFactors 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 ResearchMeSH KeywordsAdultAnalgesics, OpioidCross-Sectional StudiesHumansMaleMiddle AgedPainRetrospective StudiesSleep Apnea, ObstructiveVeteransConceptsDiagnosis 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 categoryPerceived Stress Mediates the Association between Deployment Sexual Trauma and Nicotine Dependence in Women Veterans
Gross GM, Colon R, Bastian LA, Hoff R. Perceived Stress Mediates the Association between Deployment Sexual Trauma and Nicotine Dependence in Women Veterans. Women's Health Issues 2020, 30: 214-220. PMID: 32317136, DOI: 10.1016/j.whi.2020.03.001.Peer-Reviewed Original ResearchConceptsNicotine dependenceWomen veteransSexual traumaBaseline interview dataRates of smokingCross-sectional associationsRelated health consequencesDeleterious health outcomesPerceived stressMilitary sexual traumaRisk factorsTobacco useHayes mediation modelHealth outcomesClinical targetsHealth consequencesTraumaVeteran sampleSmokingVeteransAssociationPresent studySurvey of experiencesCivilian counterpartsSignificant mediatorPredictors 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 rankSex Differences in Associations Between Depression and Posttraumatic Stress Disorder Symptoms and Tobacco Use Among Veterans of Recent Conflicts
Gross GM, Bastian LA, Smith NB, Harpaz-Rotem I, Hoff R. Sex Differences in Associations Between Depression and Posttraumatic Stress Disorder Symptoms and Tobacco Use Among Veterans of Recent Conflicts. Journal Of Women's Health 2020, 29: 677-685. PMID: 31934813, DOI: 10.1089/jwh.2019.8082.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderTobacco usePTSD symptomsFemale veteransSex differencesAssociation of depressionTobacco use cessationBaseline interview dataCross-sectional associationsMental health conditionsLogistic regression modelsPosttraumatic stress disorder (PTSD) symptomsBinary logistic regression modelSex-specific barriersTobacco usersSymptomsStress disorderAlcohol useHealth conditionsDepressionDisorder symptomsVeteran sampleMH conditionsIntervention strategiesEffects of demographics
2018
Dual Use of Department of Veterans Affairs and Medicare Benefits on High‐Risk Opioid Prescriptions in Veterans Aged 65 Years and Older: Insights from the VA Musculoskeletal Disorders Cohort
Chui PW, Bastian LA, DeRycke E, Brandt CA, Becker WC, Goulet JL. Dual Use of Department of Veterans Affairs and Medicare Benefits on High‐Risk Opioid Prescriptions in Veterans Aged 65 Years and Older: Insights from the VA Musculoskeletal Disorders Cohort. Health Services Research 2018, 53: 5402-5418. PMID: 30298672, PMCID: PMC6235820, DOI: 10.1111/1475-6773.13060.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationOpioid prescriptionsHigh-risk opioid prescriptionsLong-term opioid therapyLong-term opioid useMultivariable logistic regressionMusculoskeletal disorder diagnosisMSD cohortOpioid therapyClinical characteristicsOpioid useVHA dataRetrospective analysisHealth AdministrationNational MedicareDisorder cohortDual useLogistic regressionDisorder diagnosisMedicareMedicare benefitsVeteransPrescriptionCohortAssociationImpact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C
Lynch SM, Wilson SM, DeRycke EC, Driscoll MA, Becker WC, Goulet JL, Kerns RD, Mattocks KM, Brandt CA, Bathulapalli H, Skanderson M, Haskell SG, Bastian LA. Impact of Cigarette Smoking Status on Pain Intensity Among Veterans With and Without Hepatitis C. Pain Medicine 2018, 19: s5-s11. PMID: 30203017, DOI: 10.1093/pm/pny146.Peer-Reviewed Original ResearchMeSH KeywordsAdultChronic PainCigarette SmokingCohort StudiesCross-Sectional StudiesFemaleHepatitis CHumansMalePain MeasurementVeteransYoung AdultConceptsHepatitis C virusSevere pain intensityPain intensityElectronic medical recordsCurrent smokersSmoking statusVeterans Health Administration primary care clinicsOperations Enduring Freedom/Iraqi Freedom/New DawnIndependent risk factorInteraction of smokingNumeric rating scalePrimary care clinicsHigher pain intensityCigarette smoking statusICD-9 codesOEF/OIF/OND veteransCross-sectional analysisCohort studyCurrent smokingHepatitis C.Severe painPain managementTobacco smokingCare clinicsChronic painOpioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care
Lisi AJ, Corcoran KL, DeRycke EC, Bastian LA, Becker WC, Edmond SN, Goertz CM, Goulet JL, Haskell SG, Higgins DM, Kawecki T, Kerns RD, Mattocks K, Ramsey C, Ruser CB, Brandt CA. Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care. Pain Medicine 2018, 19: s54-s60. PMID: 30203014, DOI: 10.1093/pm/pny114.Peer-Reviewed Original ResearchConceptsOEF/OIF/OND veteransOpioid prescriptionsChiropractic visitsOpioid useChiropractic careOperations Enduring Freedom/Iraqi Freedom/New DawnMore opioid prescriptionsVA chiropractic servicesPercentage of veteransCross-sectional analysisOpioid receiptClinic visitsClinical characteristicsCurrent smokingSevere painChiropractic clinicChiropractic servicesVisitsHigher likelihoodVeteransPrescriptionCareFurther studiesAdministrative dataOne-third
2017
Implementation of guideline-based therapy for chronic obstructive pulmonary disease: Differences between men and women veterans
Rinne ST, Elwy AR, Liu CF, Wiener RS, Thayer L, Gerity A, Bastian LA. Implementation of guideline-based therapy for chronic obstructive pulmonary disease: Differences between men and women veterans. Chronic Respiratory Disease 2017, 14: 385-391. PMID: 28618875, PMCID: PMC5729732, DOI: 10.1177/1479972317702141.Peer-Reviewed Original ResearchMeSH KeywordsAdministration, InhalationAdrenergic beta-AgonistsCross-Sectional StudiesDrug PrescriptionsDrug Therapy, CombinationFemaleGuideline AdherenceHumansInappropriate PrescribingMaleMuscarinic AntagonistsPractice Guidelines as TopicPulmonary Disease, Chronic ObstructiveRetrospective StudiesSex FactorsSteroidsUnited StatesVeteransConceptsChronic obstructive pulmonary diseaseObstructive pulmonary diseaseCOPD medicationsHospital outcomesPulmonary diseaseBeta agonistsMuscarinic antagonistGuideline-based therapyBaseline patient characteristicsMultivariable logistic regressionLength of stayVeterans Affairs hospitalChronic disease managementCross-sectional studyQuality of careCOPD guidelinesCOPD therapyOral steroidsInhaler therapyCOPD managementPatient characteristicsHospital readmissionSame therapyCurrent guidelinesVA hospitalsImpact of Gender on Satisfaction and Confidence in Cholesterol Control Among Veterans at Risk for Cardiovascular Disease
Goldstein KM, Stechuchak KM, Zullig LL, Oddone EZ, Olsen MK, McCant FA, Bastian LA, Batch BC, Bosworth HB. Impact of Gender on Satisfaction and Confidence in Cholesterol Control Among Veterans at Risk for Cardiovascular Disease. Journal Of Women's Health 2017, 26: 806-814. PMID: 28192012, PMCID: PMC5507731, DOI: 10.1089/jwh.2016.5739.Peer-Reviewed Original ResearchMeSH KeywordsAgedBlood PressureCardiovascular DiseasesCholesterol, LDLCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleHealth BehaviorHealth Status DisparitiesHealthcare DisparitiesHumansHyperlipidemiasHypolipidemic AgentsMaleMiddle AgedNorth CarolinaPersonal SatisfactionRisk FactorsSex FactorsSocioeconomic FactorsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsLipid controlCholesterol levelsCardiovascular diseaseLow-density lipoprotein valuesPoor lipid controlHigher health literacyPatient-centered factorsBaseline survey responsesSelf-rated satisfactionSocial supportCholesterol controlLipoprotein valuesLipid levelsHigh riskAdjusted modelHealth literacyTelemedicine studiesTracking medicationsGender-based disparitiesMedication trackingSociodemographic characteristicsMedicationsWomenMean scoreSignificant differences
2016
Cigarette Smoking Status and Receipt of an Opioid Prescription Among Veterans of Recent Wars
Bastian LA, Driscoll MA, Heapy AA, Becker WC, Goulet JL, Kerns RD, DeRycke EC, Perez E, Lynch SM, Mattocks K, Kroll-Desrosiers AR, Brandt CA, Skanderson M, Bathulapalli H, Haskell SG. Cigarette Smoking Status and Receipt of an Opioid Prescription Among Veterans of Recent Wars. Pain Medicine 2016, 18: 1089-1097. PMID: 27659441, DOI: 10.1093/pm/pnw223.Peer-Reviewed Original ResearchConceptsCurrent pain intensityOpioid prescriptionsPain intensitySmoking statusOEF/OIF/OND veteransCurrent smokersFormer smokersOpioid useVeterans Health Administration primary care clinicsOperations Enduring Freedom/Iraqi Freedom/New DawnMild pain intensityMore opioid prescriptionsSevere pain intensityNumeric rating scalePrimary care clinicsCigarette smoking statusCross-sectional analysisOpioid receiptFormer smokingCohort studyCurrent smokingCare clinicsChronic painCigarette smokersSmoking cessationOrganizational structure for chronic heart failure and chronic obstructive pulmonary disease.
Rinne ST, Liu CF, Wong ES, Hebert PL, Heidenreich P, Bastian LA, Au DH. Organizational structure for chronic heart failure and chronic obstructive pulmonary disease. The American Journal Of Managed Care 2016, 22: e82-7. PMID: 26978239.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseCross-Sectional StudiesDelivery of Health CareDisease ManagementFemaleHealth Care SurveysHeart FailureHospitals, VeteransHumansMaleOrganizational ObjectivesPatient Care PlanningPulmonary Disease, Chronic ObstructiveQuality of Health CareSeverity of Illness IndexTreatment OutcomeUnited StatesConceptsChronic obstructive pulmonary diseaseChronic heart failureObstructive pulmonary diseaseHeart failurePulmonary diseaseBurden of COPDManagement of CHFGuideline-based careHome monitoring programBurden of diseaseVeterans Affairs facilitiesHospital readmission penaltiesChief of CardiologyQuality of careHigh-quality careCOPD clinicCOPD surveyChief of medicineCHF clinicPulmonary medicineReadmission penaltiesMeasures of qualityCareDiseaseDisease managementHysterectomy and Bilateral Salpingo-Oophorectomy: Variations by History of Military Service and Birth Cohort
Callegari LS, Gray KE, Zephyrin LC, Harrington LB, Gerber MR, Cochrane BB, Weitlauf JC, Bean-Mayberry B, Bastian LA, Mattocks KM, Haskell SG, Katon JG. Hysterectomy and Bilateral Salpingo-Oophorectomy: Variations by History of Military Service and Birth Cohort. The Gerontologist 2016, 56: s67-s77. PMID: 26768393, PMCID: PMC5881615, DOI: 10.1093/geront/gnv666.Peer-Reviewed Original ResearchConceptsPrevalence of hysterectomyEarly hysterectomyWomen veteransBirth cohortUnadjusted prevalenceWomen's Health Initiative clinical trialsBilateral salpingo-oophorectomyLogistic regression modelsPostmenopausal veteransSalpingo-oophorectomyMultinomial logistic regression modelsClinical trialsHigh prevalenceObservational studyHysterectomyHigher oddsElevated riskClinical practiceHealth needsCohortPrevalenceBaseline dataVeteransHealth risksRisk