Potentially traumatic events and health among lesbian, gay, bisexual and heterosexual Vietnam veterans: Results from the Vietnam Era Health Retrospective Observational study.
Potentially traumatic events and health among lesbian, gay, bisexual and heterosexual Vietnam veterans: Results from the Vietnam Era Health Retrospective Observational study.
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DOI：
10.1037/tra0001025
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发表时间：
2022-05
期刊：
影响因子：
--
通讯作者：
Davey VJ
中科院分区：
文献类型：
--
作者：
Blosnich JR;Hilgeman MM;Cypel YS;Akhtar FZ;Fried D;Ishii EK;Schneiderman A;Davey VJ
研究越南时期退伍军人中女同性恋者、男同性恋者、双性恋者(LGB)和异性恋者在潜在创伤事件(PTE)、可能的创伤后应激障碍(PTSD)和健康相关生活质量(HRQOL)方面的差异。数据来自2016-2017越南时代健康回顾观察性研究调查(n=18,866；45%的应答率)。使用10个项目的创伤简明问卷和一个关于受访者是否在服兵役期间目击性侵的二分项目来定义PTES。目前可能的创伤后应激障碍通过初级护理创伤后应激障碍筛查进行测量，并使用SF-8™评估精神和身体的高分辨生活质量。多变量回归分析首先根据社会人口和军事相关特征进行调整，然后将PTE作为计数变量，范围为0-11。调查权重占抽样设计的复杂性和无回复率。大约1.5%的退伍军人是LGB。与异性恋退伍军人相比，LGB退伍军人更有可能报告遭受自然灾害、童年身体虐待、成年身体攻击和性侵犯，他们不太可能报告战斗暴露、目睹某人严重受伤或被杀，或在军队中目击性侵。与异性恋退伍军人相比，路易斯安那州退伍军人发生当前可能的创伤后应激障碍的几率更高(调整后的优势比=1.5 0，95%CI=1.0 4-2.16)，而心理健康状况较差(B=−1.7 0，SE=0.72，p=.018)。PTES减少了可能的创伤后应激障碍(AOR=1.2 7，95%CI=0.82~1.97)和较差的心理健康状况(B=−1.2 2，SE=0.6 7，p=.067)的性取向差异。在越战时代的退伍军人中，PTE因为性取向而不同，这导致LGB退伍军人目前可能存在的创伤后应激障碍的患病率更高，而相对于异性恋退伍军人，精神HRQOL更差。
To examine differences in potentially traumatic events (PTEs), probable PTSD, and health-related quality of life (HRQoL) between lesbian, gay, and bisexual (LGB) and heterosexual Vietnam Era veterans. Data are from the 2016-2017 Vietnam Era Health Retrospective Observational Study survey (n=18,866; 45% response rate). PTEs were defined using the 10-item Brief Trauma Questionnaire and a dichotomous item about whether respondents witnessed sexual assault during military service. Current probable PTSD was measured with the Primary Care PTSD Screen, and mental and physical HRQoL was assessed with the SF-8™. Multivariable regression analyses were first adjusted for socio-demographic and military-related characteristics, and then with PTEs as a count variable ranging from 0-11. Survey weights accounted for the complex sampling design and non-response. Approximately 1.5% of veterans were LGB. Compared to heterosexual veterans, LGB veterans were more likely to report exposure to natural disasters, childhood physical abuse, adulthood physical assault, and sexual assault, and they were less likely to report combat exposure, witnessing someone being seriously injured or killed, or witnessing sexual assault while in the military. Compared to heterosexual veterans, LGB veterans had greater odds of current probable PTSD (adjusted odds ratio [aOR]=1.50, 95%CI=1.04-2.16) and poorer mental HRQoL (B=−1.70, SE=0.72, p=.018). PTEs attenuated sexual orientation differences in probable PTSD (aOR=1.27, 95%CI=0.82-1.97) and poorer mental HRQoL (B=−1.22, SE=0.67, p=.067). Among Vietnam Era veterans, PTEs differ based on sexual orientation, and contribute to LGB veterans’ greater prevalence of current probable PTSD and poorer mental HRQoL relative to heterosexual veterans.
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