Military sexual trauma is associated with post-deployment eating disorders among Afghanistan and Iraq veterans
Military sexual trauma is associated with post-deployment eating disorders among Afghanistan and Iraq veterans
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DOI：
10.1002/eat.22705
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发表时间：
2017-07-01
影响因子：
5.5
通讯作者：
Gundlapalli, Adi V.
中科院分区：
文献类型：
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作者：
Blais, Rebecca K.;Brignone, Emily;Gundlapalli, Adi V.
评估协会军事性创伤（MST）屏幕状态与饮食失调的诊断退伍军人在1年和5年后开始退伍军人健康管理局（VHA）的照顾，以及该协会是否因性别而异。方法回顾性队列研究美国阿富汗/伊拉克退伍军人谁使用VHA服务2004年至2014年（N=595,525）。本研究使用VHA管理数据，以评估存在的饮食失调诊断的医疗记录内1年和5年的启动VHA护理，以及是否为MST阳性屏幕与饮食失调。在1年和5年随访时，分别有0.1%（n= 513，74%女性）和0.2%（n=504，71%女性）被诊断为进食障碍。在对人口统计学变量、服兵役和精神病合并症进行校正的回归模型中，在1年内MST筛查阳性的患者中，进食障碍诊断的存在几乎高出两倍。（调整的比值比[AOR]=1.94，95%置信区间[CI]=1.57-2.40）和5年（AOR=1.86，95%CI=1.49-2.32）队列。在1年队列中，MST对进食障碍诊断的可能性增加在男性退伍军人中比女性退伍军人更强（AOR = 2.13，95%CI = 1.01-4.50）。筛查饮食失调可能是重要的男性和女性退伍军人谁报告MST。
ObjectiveEvaluate the association of military sexual trauma (MST) screen status with eating disorder diagnoses among veterans within 1- and 5-years after initiating Veterans Health Administration (VHA) care, and whether the association varied by sex.MethodRetrospective cohort study of US Afghanistan/Iraq veterans who used VHA services between FY 2004 and 2014 (N=595,525). This study used VHA administrative data to assess the presence of eating disorder diagnoses in medical records within 1- and 5-years of initiating VHA care, and whether a positive screen for MST was associated with eating disorders.ResultsThree percent (n=18,488) screened positive for MST. At 1- and 5-year follow up, 0.1% (n= 513, 74% female), and 0.2% (n=504, 71% female) were diagnosed with an eating disorder, respectively. In regression models adjusted for demographic variables, military service, and psychiatric comorbidities, the presence of an eating disorder diagnosis was nearly two times higher among those with a positive screen for MST in the 1-year (adjusted odds ratio [AOR]=1.94, 95% confidence interval [CI]=1.57-2.40) and 5-year (AOR=1.86, 95%CI=1.49-2.32) cohorts. The increased likelihood conferred by MST for an eating disorder diagnosis was differentially stronger among male veterans than female veterans in the 1-year cohort only (AOR = 2.13, 95%CI = 1.01-4.50).DiscussionVeterans with a positive screen for MST, especially male veterans, had a nearly two-fold increased likelihood of having an eating disorder diagnosis. Screening for eating disorders may be important in both male and female veterans who report MST.