Comparing the health status of male and female veterans who use VA health care: results from the VA Women's Health Project.

Comparing the health status of male and female veterans who use VA health care: results from the VA Women's Health Project.
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比较使用退伍军人管理局医疗保健的男性和女性退伍军人的健康状况:退伍军人管理局妇女健康项目的结果。

DOI:
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发表时间:
1999
期刊:
影响因子:
1.6
通讯作者:
V. Casey
V. Casey
中科院分区:
医学4区
文献类型:
--
作者:
K. Skinner;L. Sullivan;T. Tripp;N. Kressin;D. Miller;L. Kazis;V. Casey

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背景 近年来,在军队服役的妇女人数大幅增加,导致退伍妇女对退伍军人服务的需求增加。本文描述了使用VA门诊服务的女性退伍军人的特点和健康状况。 方法 受访者在VA妇女的健康项目(n = 719)代表一个随机选择的子样本,从所有妇女谁有一个门诊访问1994年7月1日至1995年6月30日在一个大型三级保健VA设施在波士顿地区。提供了使用VA门诊护理的女性退伍军人的八个维度的健康状况(使用SF-36)的汇总统计。对使用退伍军人事务部服务的退伍军人妇女和退伍军人男子进行了比较。 结果 女性退伍军人在多个方面的健康状况得分一直很低,反映出相当大的健康需求。在使用退伍军人事务部服务的退伍军人中,女性比男性退伍军人更年轻,受教育程度更高,结婚的可能性更小。女性退伍军人谁使用VA门诊服务得分较低的每一个规模,除了身体功能和一般健康的看法相比,男性VA用户。在衡量情绪健康的尺度上,女性的差异更为明显。 结论 女退伍军人的健康状况一般或较差。使用退伍军人管理局服务的男性和女性之间的健康状况存在重要差异,这对改善退伍军人管理局设施中女性退伍军人的医疗保健具有影响。这些研究结果强烈表明,需要为寻求VA医疗保健的女性退伍军人提供更多的心理健康服务。
BACKGROUND In recent years the number of women serving in the military has increased substantially, resulting in more demand for VA services by women veterans. This paper describes the characteristics and health status of women veterans who use VA ambulatory services. METHODS Respondents in the VA Women's Health Project (n = 719) represent a randomly selected subsample from all women who had an ambulatory visit between July 1, 1994 and June 30, 1995 at a large tertiary care VA facility in the Boston area. Summary statistics on eight dimensions of health status (using the SF-36) for women veterans who use VA ambulatory care are provided. Comparisons are made between women veterans and men veterans who use VA services. RESULTS Women veterans reported consistently low scores on health status across multiple dimensions, reflecting considerable health needs. Among veterans using VA services, women were younger, better educated, and less likely to be married than male veterans. Women veterans who use VA ambulatory services scored lower on every scale except physical functioning and general health perceptions when compared to male VA users. There were more pronounced differences for women on scales measuring emotional health. CONCLUSIONS Health status among women veterans is moderate to poor. Important differences in health status are observed between men and women who use VA services which have implications for improving health care to women veterans at VA facilities. These findings strongly indicate that increased mental health services need to be available for women veterans seeking VA health care.
DOI: 10.2307/2136961
发表时间: 1989-09-01
影响因子: 5
作者:
VERBRUGGE, LM
通讯作者: VERBRUGGE, LM