LGBTQ+ status and sex of record in Veterans with post-traumatic stress disorder: demographics, comorbidities, and outpatient encounters
ObjectivesThis study aims to analyze differences between lesbian, gay, bisexual, transgender, and queer (LGBTQ+) and non-LGBTQ+ Veterans with post-traumatic stress disorder (PTSD) in terms of demographics, comorbidities, and medical care usage, including differences by sex of record, including separ...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1487866/full |
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| author | Terri Elizabeth Workman Terri Elizabeth Workman Joseph L. Goulet Joseph L. Goulet Cynthia A. Brandt Cynthia A. Brandt Melissa Skanderson Melissa Skanderson John O’Leary John O’Leary Kirsha S. Gordon Kirsha S. Gordon Qing Treitler-Zeng Qing Treitler-Zeng |
| author_facet | Terri Elizabeth Workman Terri Elizabeth Workman Joseph L. Goulet Joseph L. Goulet Cynthia A. Brandt Cynthia A. Brandt Melissa Skanderson Melissa Skanderson John O’Leary John O’Leary Kirsha S. Gordon Kirsha S. Gordon Qing Treitler-Zeng Qing Treitler-Zeng |
| author_sort | Terri Elizabeth Workman |
| collection | DOAJ |
| description | ObjectivesThis study aims to analyze differences between lesbian, gay, bisexual, transgender, and queer (LGBTQ+) and non-LGBTQ+ Veterans with post-traumatic stress disorder (PTSD) in terms of demographics, comorbidities, and medical care usage, including differences by sex of record, including separate analyses for transgender and non-transgender Veterans.MethodsChi-square, t-test, ANOVA Welch one-way testing, and absolute standardized difference analyses were conducted on a cohort of 277,539 Veterans diagnosed with PTSD.ResultsThe study found significant differences, particularly concerning positive LGBTQ+ status and sex of record. There were significant differences found in age, marital status, and medical care usage, as well as pain, mental health, and substance use disorder diagnoses. Differences in having experienced military sexual trauma, crime, or maltreatment were especially significant, with increased percentages among LGBTQ+ individuals, and sex of record females. In separate analyses, there were similar differences among transgender and non-transgender Veterans, with similar increased risks for sex of record females.ConclusionOur findings suggest an intersectionality of LGBTQ+ status and sex of record in the context of PTSD. These findings may help guide future research, policy, and interventions. |
| format | Article |
| id | doaj-art-1e2342c2158e43a396516429003505f6 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-1e2342c2158e43a396516429003505f62025-01-06T06:58:53ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14878661487866LGBTQ+ status and sex of record in Veterans with post-traumatic stress disorder: demographics, comorbidities, and outpatient encountersTerri Elizabeth Workman0Terri Elizabeth Workman1Joseph L. Goulet2Joseph L. Goulet3Cynthia A. Brandt4Cynthia A. Brandt5Melissa Skanderson6Melissa Skanderson7John O’Leary8John O’Leary9Kirsha S. Gordon10Kirsha S. Gordon11Qing Treitler-Zeng12Qing Treitler-Zeng13Washington DC VA Medical Center, Washington, DC, United StatesBiomedical Informatics Center, The George Washington University, Washington, DC, United StatesVA Connecticut Healthcare System, West Haven, CT, United StatesYale School of Medicine, Yale University, New Haven, CT, United StatesVA Connecticut Healthcare System, West Haven, CT, United StatesYale School of Medicine, Yale University, New Haven, CT, United StatesVA Connecticut Healthcare System, West Haven, CT, United StatesYale School of Medicine, Yale University, New Haven, CT, United StatesVA Connecticut Healthcare System, West Haven, CT, United StatesYale School of Medicine, Yale University, New Haven, CT, United StatesVA Connecticut Healthcare System, West Haven, CT, United StatesYale School of Medicine, Yale University, New Haven, CT, United StatesWashington DC VA Medical Center, Washington, DC, United StatesBiomedical Informatics Center, The George Washington University, Washington, DC, United StatesObjectivesThis study aims to analyze differences between lesbian, gay, bisexual, transgender, and queer (LGBTQ+) and non-LGBTQ+ Veterans with post-traumatic stress disorder (PTSD) in terms of demographics, comorbidities, and medical care usage, including differences by sex of record, including separate analyses for transgender and non-transgender Veterans.MethodsChi-square, t-test, ANOVA Welch one-way testing, and absolute standardized difference analyses were conducted on a cohort of 277,539 Veterans diagnosed with PTSD.ResultsThe study found significant differences, particularly concerning positive LGBTQ+ status and sex of record. There were significant differences found in age, marital status, and medical care usage, as well as pain, mental health, and substance use disorder diagnoses. Differences in having experienced military sexual trauma, crime, or maltreatment were especially significant, with increased percentages among LGBTQ+ individuals, and sex of record females. In separate analyses, there were similar differences among transgender and non-transgender Veterans, with similar increased risks for sex of record females.ConclusionOur findings suggest an intersectionality of LGBTQ+ status and sex of record in the context of PTSD. These findings may help guide future research, policy, and interventions.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1487866/fullVeteranssex of recordPTSD - post-traumatic stress disorderLGBTQ+comorbidities |
| spellingShingle | Terri Elizabeth Workman Terri Elizabeth Workman Joseph L. Goulet Joseph L. Goulet Cynthia A. Brandt Cynthia A. Brandt Melissa Skanderson Melissa Skanderson John O’Leary John O’Leary Kirsha S. Gordon Kirsha S. Gordon Qing Treitler-Zeng Qing Treitler-Zeng LGBTQ+ status and sex of record in Veterans with post-traumatic stress disorder: demographics, comorbidities, and outpatient encounters Frontiers in Public Health Veterans sex of record PTSD - post-traumatic stress disorder LGBTQ+ comorbidities |
| title | LGBTQ+ status and sex of record in Veterans with post-traumatic stress disorder: demographics, comorbidities, and outpatient encounters |
| title_full | LGBTQ+ status and sex of record in Veterans with post-traumatic stress disorder: demographics, comorbidities, and outpatient encounters |
| title_fullStr | LGBTQ+ status and sex of record in Veterans with post-traumatic stress disorder: demographics, comorbidities, and outpatient encounters |
| title_full_unstemmed | LGBTQ+ status and sex of record in Veterans with post-traumatic stress disorder: demographics, comorbidities, and outpatient encounters |
| title_short | LGBTQ+ status and sex of record in Veterans with post-traumatic stress disorder: demographics, comorbidities, and outpatient encounters |
| title_sort | lgbtq status and sex of record in veterans with post traumatic stress disorder demographics comorbidities and outpatient encounters |
| topic | Veterans sex of record PTSD - post-traumatic stress disorder LGBTQ+ comorbidities |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1487866/full |
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