Exploring Disparities in Awarding VA Service-Connected Disability for Post-Traumatic Stress Disorder for Active Duty Military Service Members from Recent Conflicts in Iraq and Afghanistan.


INTRODUCTION:We explore disparities in awarding post-traumatic stress disorder (PTSD) service-connected disability benefits (SCDB) to veterans based on gender, race/ethnicity, and misconduct separation. METHODS:Department of Defense data on service members who separated from October 1, 2001 to May 2017 were linked to Veterans Administration (VA) administrative data. Using adjusted logistic regression models, we determined the odds of receiving a PTSD SCDB conditional on a VA diagnosis of PTSD. RESULTS:A total of 1,558,449 (79% of separating service members) had at least one encounter in VA during the study period (12% female, 4.5% misconduct separations). Females (OR 0.72) and Blacks (OR 0.93) were less likely to receive a PTSD award and were nearly equally likely to receive a PTSD diagnosis (OR 0.97, 1.01). Other racial/ethnic minorities were more likely to receive an award and diagnosis, as were those with misconduct separations (award OR 1.3, diagnosis 2.17). CONCLUSIONS:Despite being diagnosed with PTSD at similar rates to their referent categories, females and Black veterans are less likely to receive PTSD disability awards. Other racial/ethnic minorities and those with misconduct separations were more likely to receive PTSD diagnoses and awards. Further study is merited to explore variation in awarding SCDB.


Mil Med


Military medicine


Redd AM,Gundlapalli AV,Suo Y,Pettey WBP,Brignone E,Chin DL,Walker LE,Poltavskiy EA,Janak JC,Howard JT,Sosnov JA,Stewart IJ




Has Abstract


2020-01-07 00:00:00




Suppl 1










  • Longitudinal Relationship of Combat Exposure With Mental Health Diagnoses in the Military Health System.

    abstract:INTRODUCTION:Combat deployment is associated with mental and physical health disorders and functional impairment. Mental health (MH) diagnoses such as adjustment and anxiety disorders have received little research attention but may reflect important postdeployment sequelae. The purpose of this study was to investigate ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Campbell MS,O'Gallagher K,Smolenski DJ,Stewart L,Otto J,Belsher BE,Evatt DP

    更新日期:2021-01-25 00:00:00

  • Scaphoid fracture detection in a military population: a standardized approach for medical referral.

    abstract:OBJECTIVE:The objective was to test, refine, and implement an algorithm for early detection and referral of clinical scaphoid fractures by U.S. Army medical personnel. Our goal was to reduce complications resulting from delayed diagnosis and to improve outcomes affecting soldier health and unit readiness. METHODS:Data...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Burtis MT,Faillace J,Martin LF,Hermenau S

    更新日期:2006-05-01 00:00:00

  • The association between in-service sexual harassment and post-traumatic stress disorder among Department of Veterans Affairs disability applicants.

    abstract:OBJECTIVE:The goal was to describe the association between post-traumatic stress disorder (PTSD) and in-service sexual harassment in a nationally representative sample of Department of Veterans Affairs PTSD disability applicants. METHOD:The study was a cross-sectional survey. RESULTS:Of 4,918 eligible veterans, 3,337...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Murdoch M,Polusny MA,Hodges J,Cowper D

    更新日期:2006-02-01 00:00:00

  • A comparison of the health risk, health status, self-motivation, psychological symptomatic distress, and physical fitness of overweight and normal-weight soldiers.

    abstract::The purpose of this study was to analyze the assumptions underlying the Army's Weight Control Program (AWCP) and to determine whether overweight and normal-weight soldiers differed with respect to health risk, health status, self-motivation, psychological symptomatic distress, and physical fitness. The sample consiste...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Troumbley PF,Burman KD,Rinke WJ,Lenz ER

    更新日期:1990-09-01 00:00:00

  • A pedometer-based intervention to improve physical activity, fitness, and coronary heart disease risk in National Guard personnel.

    abstract::To compare the effects of a pedometer-based behavioral intervention (Fitness for Life [FFL] program) and a traditional high-intensity fitness (TRAD) program on physical activity (PA), Army Physical Fitness Test (APFT), and coronary heart disease risk factors in Army National Guard members who failed the APFT 2-mile ru...

    journal_title:Military medicine

    pub_type: 杂志文章,随机对照试验


    authors: Talbot LA,Metter EJ,Morrell CH,Frick KD,Weinstein AA,Fleg JL

    更新日期:2011-05-01 00:00:00

  • Operation Solace: overview of the mental health intervention following the September 11, 2001 Pentagon attack.

    abstract::At the direction of the Army Surgeon General, the Army behavioral health consultants in psychiatry, psychology, and social work assembled in Washington, DC immediately after the September 11, 2001 attack to plan and implement a proactive behavioral health response to the Pentagon attack. The goal was to minimize the s...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Hoge CW,Orman DT,Robichaux RJ,Crandell EO,Patterson VJ,Engel CC,Ritchie EC,Milliken CS

    更新日期:2002-09-01 00:00:00

  • Allergic rhinitis in the Middle East.

    abstract:BACKGROUND:Current military operations in the Middle East involve active duty, National Guard, and reserve troops from all services. Despite common misconceptions, the desert environment in this region has significant aeroallergen seasons that may exacerbate allergic rhinitis. OBJECTIVE:To review perennial and seasona...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Waibel KH

    更新日期:2005-12-01 00:00:00

  • Implementing a pharmacy patient education center.

    abstract::Ambulatory care federal pharmacists may be readily used by beneficiaries to obtain verbal and written pharmaceutical and/or medical information because of their high visibility and accessibility. In addition to information provided for prescription medications, pharmacists may provide medication and disease informatio...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Huntzinger PE

    更新日期:2003-08-01 00:00:00

  • Validation of an Assessment Tool for Field Endotracheal Intubation.

    abstract:OBJECTIVES:Endotracheal intubation (ETI) is an important skill for all emergency providers; our ability to train and assess our learners is integral to providing optimal patient care. The primary aim of this study was to assess the inter-rater reliability (IRR) and discriminant validity of a novel field ETI assessment ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Hart D,Clinton J,Anders S,Reihsen T,McNeil MA,Rule G,Sweet R

    更新日期:2016-11-01 00:00:00

  • Health care for the children of Army service members: cost of alternatives.

    abstract::The United States Army is committed to providing quality health care for active-duty service members, their dependents, and retired service members. Historically, the Army has never had enough active-duty physicians to provide care for all its beneficiaries. Alternatives utilizing civilian health care providers have b...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Callahan CW Jr,Pierce JR

    更新日期:1991-04-01 00:00:00

  • Diagnostic accuracy of a point-of-care blood typing kit conducted by potential end users.

    abstract::The usability of a rapid point-of-care ABO-Rh blood typing kit was determined by comparing the performance of individuals with extensive medical training/experience to those with a lesser extent. Subjects were asked to use the blood typing kit with their own blood. These outcomes were compared to that listed in the su...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Bienek DR,Perez NM

    更新日期:2013-05-01 00:00:00

  • Uncomplicated pregnancy: clinical pathway genesis based on the nursing process.

    abstract::A prospective study of obstetrical patients from enrollment as outpatients until postpartum discharge was formulated at Madigan Army Medical Center. The control group included uncomplicated obstetrical patients from March 1 to August 31, 1994. The study group included uncomplicated obstetrical patients from March 1 to...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Brandsma C,Calhoun BC,Vannatta JE

    更新日期:2000-11-01 00:00:00

  • Assessing the Well-being of Sexual Minority Soldiers at a Military Academic Institution.

    abstract:INTRODUCTION:The goal of the present study was to characterize behavioral health rates, behavioral health care utilization, loneliness, and perceived prejudice and support among sexual minority soldiers. MATERIALS AND METHODS:Cross-sectional survey data were obtained from 640 active-duty U.S. soldiers enrolled in an a...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: McDonald JL,Ganulin ML,Dretsch MN,Taylor MR,Cabrera OA

    更新日期:2020-01-07 00:00:00

  • Ambulatory surgery in a navy fleet hospital training set.

    abstract::A series of 51 active duty patients who elected to undergo ambulatory surgery in a Navy Fleet Hospital Training Set (a modified field hospital) over a 2-year period were followed prospectively for perioperative complications. All patients were active duty personnel, ranging in grade from E1 to O5, who voluntarily gave...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Covey DC

    更新日期:2003-06-01 00:00:00

  • Intersex patients in military service.

    abstract::The term "intersex" describes a variety of medical conditions in which sex determination is atypical. One of its most severe forms is an inadequate response to androgens due to mutations in the androgen receptor gene, which may manifest as a complete androgen insensitivity syndrome (CAIS). In this form of intersex con...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Marom T,Itskoviz D,Ostfeld I

    更新日期:2008-11-01 00:00:00

  • Evaluation of spouse abuse treatment: description and evaluation of the Air Force Family Advocacy Programs for spouse physical abuse.

    abstract::Data are reported from a sample of 2,991 spouse physical abusers who received Air Force Family Advocacy Program (FAP) services and who volunteered to complete program evaluation measures that were administered before and after treatment and at a 6-month follow-up. As expected, after treatment compared with before trea...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Brewster AL,Milner JS,Mollerstrom WW,Saha BT,Harris N

    更新日期:2002-06-01 00:00:00

  • The great disease enemy, Kak'ke (beriberi) and the Imperial Japanese Army.

    abstract::Although Japanese military officials had discovered that an improved diet could prevent beriberi by the late 19th century, their soldiers in the army suffered from beriberi during the Russo-Japanese War and World War II. A change in diet at the end of the Russo-Japanese War solved the problem and the army applied the ...

    journal_title:Military medicine

    pub_type: 历史文章,杂志文章


    authors: Hawk A

    更新日期:2006-04-01 00:00:00

  • The Association With Physical Fitness and Academic Performance at America's Military Medical School.

    abstract:INTRODUCTION:Undergraduate and graduate medical education both have been reported to have high rates of depression, anxiety, and burnout as a result of the rigors of their educational curricula. Wellness, including physical fitness, is important to the profession because it may help mitigate these increased rates of de...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Macky D,Dong T,Torre D,Schreiber-Gregory D,Singaraju R,Durning SJ

    更新日期:2020-09-10 00:00:00

  • Comparative Efficacy of Multiple Variables of Mesenchymal Stem Cell Transplantation for the Treatment of Neuropathic Pain in Rats.

    abstract:OBJECTIVES:The current treatment options for neuropathic pain due to nerve injuries are limited and largely unsatisfactory. Mesenchymal stem cell transplantation (MSC) has shown promise as an emerging therapy for neuropathic pain. However, a number of critical parameters, including the sources of cells, the number of c...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Liu L,Hua Z,Shen J,Yin Y,Yang J,Cheng K,Liu A,Wang L,Cheng J

    更新日期:2017-03-01 00:00:00

  • Efficacy of a cognitive-behavioral program to improve psychological adjustment among soldiers in recruit training.

    abstract::This study evaluated the efficacy of a brief cognitive-behavioral program in modifying causal attributions, expectancy of control, coping strategies, and psychological adjustment in a sample of Australian Army soldiers undergoing a 45-day recruit training program. Participants (N = 174) were randomly allocated within ...

    journal_title:Military medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Cohn A,Pakenham K

    更新日期:2008-12-01 00:00:00

  • Injuries and illnesses among armor brigade soldiers during operational training.

    abstract::This study describes injury and illness rates and some risk factors among soldiers from an armor division during a rotation at the National Training Center (Fort Irwin, California). Soldiers from a brigade of the 1st Cavalry Division were involved in a 5-week training exercise at the National Training Center. Health c...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Darakjy S,Marin RE,Knapik JJ,Jones BH

    更新日期:2006-11-01 00:00:00

  • N-Acetyl-L-Cysteine Reduces Fibrosis and Improves Muscle Function After Acute Compartment Syndrome Injury.

    abstract:INTRODUCTION:Upon injury, skeletal muscle undergoes a multiphase process beginning with degeneration of the damaged tissue, which is accompanied by inflammation and finally regeneration. One consequence of an injured microenvironment is excessive production of reactive oxygen species, which results in attenuated regene...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Yosef B,Zhou Y,Mouschouris K,Poteracki J,Soker S,Criswell T

    更新日期:2020-01-07 00:00:00

  • Antibiotic Therapy for Acute Watery Diarrhea and Dysentery.

    abstract::Diarrheal disease affects a large proportion of military personnel deployed to developing countries, resulting in decreased job performance and operational readiness. Travelers' diarrhea is self-limiting and generally resolves within 5 days; however, antibiotic treatment significantly reduces symptom severity and dura...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Tribble DR

    更新日期:2017-09-01 00:00:00

  • Comparison of three strategies for preventing hypothermia in critically injured casualties during aeromedical evacuation.

    abstract::Critically injured patients are at risk for hypothermia. This study determined the efficacy of three hypothermia prevention strategies: the ChillBuster warming blanket, ChillBuster with a reflective blanket, and two wool blankets. A quasi-experimental design was used to compare changes in core temperature. Following r...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Schmelz JO,Bridges EJ,Wallace CM,Sanders SF,Shaw T,Kester N,Bauer S,Sylvester JC

    更新日期:2007-03-01 00:00:00

  • Latex content in adult vaccines.

    abstract:INTRODUCTION:Hypersensitivity reactions to natural rubber latex are well-characterized occupational concerns for health care personnel. Health care providers are at increased risk for exposure and possibly transmission of vaccine preventable diseases. Therefore, many health care facilities require providers to be vacci...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Davenport J,Gomez R,Smith D

    更新日期:2020-03-02 00:00:00

  • Three-dose vaccination of infants under 8 months of age with a conjugate Haemophilus influenzae type B vaccine.

    abstract::The first licensed Haemophilus influenzae type B (Hib) vaccines were of a purified capsular oligosaccharide. Unfortunately, oligosaccharides are poorly immunogenic in younger children and resulted in these vaccines not routinely being used until past the period of peak incidence of Hib disease. Subsequent Hib vaccine ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Rowe JE,Messinger IK,Schwendeman CA,Popejoy LA

    更新日期:1990-10-01 00:00:00

  • "Ecstasy"-induced hepatitis in an active duty soldier.

    abstract::3,4-Methylenedioxymethamphetamine, or "Ecstasy," is a drug commonly used at "rave" parties to heighten energy and intimacy. Although its complications have been well described in Europe, including less common side effects such as hepatic failure and rhabdomyolysis, physicians in the United States have less experience ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Hwang I,Daniels AM,Holtzmuller KC

    更新日期:2002-02-01 00:00:00

  • Traits associated with personality disorders and adjustment to military life: predictive validity of self and peer reports.

    abstract::This study demonstrated that traits and features associated with several types of personality disorders are related to work performance and the ability to conform to requirements of military life. The Schedule for Nonadaptive and Adaptive Personality and a peer nomination procedure were used to assess traits associate...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Fiedler ER,Oltmanns TF,Turkheimer E

    更新日期:2004-03-01 00:00:00

  • Cross-Sectional Study of Sexual Behavior, Alcohol Use, and Mental Health Conditions Associated With Sexually Transmitted Infections Among Deploying Shipboard US Military Personnel.

    abstract:INTRODUCTION:Limited comprehensive data exist on risk behavior associated with sexually transmitted infections (STI) among ship-assigned US military personnel during the predeployment time period (PDT). This study examined whether sexual risk behaviors, alcohol use, involuntary drug consumption (IDC), posttraumatic str...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Harbertson J,Scott PT,Lemus H,Michael NL,Hale BR

    更新日期:2019-12-01 00:00:00

  • Collaborative Systems Biology Projects for the Military Medical Community.

    abstract:INTRODUCTION:This pilot study was conducted to examine, for the first time, the ongoing systems biology research and development projects within the laboratories and centers of the U.S. Army Medical Research and Materiel Command (USAMRMC). The analysis has provided an understanding of the breadth of systems biology act...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Zalatoris JJ,Scheerer JB,Lebeda FJ

    更新日期:2017-09-01 00:00:00