Barriers to the Use of Veterans Affairs Health Care Services Among Female Veterans Who Served in Iraq and Afghanistan

被引：9
|
作者：
Newins, Amie R. [1 ,2 ,5 ]
Wilson, Sarah M. [2 ,3 ]
Hopkins, Tiffany A. [1 ]
Straits-Troster, Kristy [3 ,4 ]
Kudler, Harold [2 ,3 ]
Calhoun, Patrick S. [2 ,3 ]
机构：
[1] Durham Vet Affairs Med Ctr, Durham, NC 27705 USA
[2] Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Durham, NC 27706 USA
[3] Midatlantic Mental Illness Res Educ & Clin Ctr, Durham, NC USA
[4] Phoenix Vet Affairs Hlth Care Syst, Phoenix, AZ USA
[5] Univ Cent Florida, Dept Psychol, 4111 Pictor Lane,Psychol Bldg 99,Suite 320, Orlando, FL 32816 USA
来源：
PSYCHOLOGICAL SERVICES | 2019年 / 16卷 / 03期
关键词：
female veterans; Iraq; Afghanistan; health care; barriers; MILITARY SEXUAL TRAUMA; POSTTRAUMATIC-STRESS-DISORDER; WOMEN VETERANS; MENTAL-HEALTH; PHYSICAL HEALTH; DEPLOYMENT; SYMPTOMS; ALCOHOL; SAMPLE;
D O I：
10.1037/ser0000230
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
The study investigated barriers to the utilization of Veterans Affairs (VA) health care services among female veterans who served in served in Iraq and Afghanistan, including reasons for not choosing VA health care, reasons for not seeking mental health treatment, and types of desired VA services. Female respondents to a survey assessing Operation Enduring Freedom/Operation Iraqi Freedom veterans' needs and health (N = 186) completed measures of military history, posttraumatic stress disorder, depression, barriers to VA health care, and preferences for services. Barriers to use of VA health care endorsed by female veterans included receiving care elsewhere and logistical issues. Barriers to utilization of mental health services among female veterans who screened positive for depression or posttraumatic stress disorder included negative treatment biases and concerns about stigma, privacy, and cost. Female veterans endorsed preferences for services related to eligibility education, nonprimary care physical health services, vocational assistance, and a few behavioral/mental health services. Findings highlight the need for ongoing outreach and education regarding eligibility and types of resources for physical and mental health problems experienced by female veterans who served in Iraq and Afghanistan, as well as inform types of VA programming and services desired by female veterans.
引用
收藏
页码：484 / 490
页数：7
相关论文
共 50 条
  • [21] PTSD Diagnostic Validity in Veterans Affairs Electronic Records of Iraq and Afghanistan Veterans
    Holowka, Darren W.
    Marx, Brian P.
    Gates, Margaret A.
    Litman, Heather J.
    Ranganathan, Gayatri
    Rosen, Raymond C.
    Keane, Terence M.
    JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2014, 82 (04) : 569 - 579
  • [22] Homeless Veterans Who Served in Iraq and Afghanistan: Gender Differences, Combat Exposure, and Comparisons with Previous Cohorts of Homeless Veterans
    Jack Tsai
    Robert H. Pietrzak
    Robert A. Rosenheck
    Administration and Policy in Mental Health and Mental Health Services Research, 2013, 40 : 400 - 405
  • [23] Private health insurance and veterans use of Veterans Affairs care
    Kashner, TM
    Muller, A
    Richter, E
    Hendricks, A
    Lukas, CV
    Stubblefield, DR
    MEDICAL CARE, 1998, 36 (07) : 1085 - 1097
  • [24] Homeless Veterans Who Served in Iraq and Afghanistan: Gender Differences, Combat Exposure, and Comparisons with Previous Cohorts of Homeless Veterans
    Tsai, Jack
    Pietrzak, Robert H.
    Rosenheck, Robert A.
    ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH, 2013, 40 (05) : 400 - 405
  • [25] Veterans' access to and use of Medicare and veterans affairs health care
    Hynes, Denise M.
    Koelling, Kristin
    Stroupe, Kevin
    Arnold, Noreen
    Mallin, Katherine
    Sohn, Min-Woong
    Weaver, Frances M.
    Manheim, Larry
    Kok, Linda
    MEDICAL CARE, 2007, 45 (03) : 214 - 223
  • [26] Serving Those Who Served: Retention of Newly Returning Veterans From Iraq and Afghanistan in Mental Health Treatment
    Harpaz-Rotem, Ilan
    Rosenheck, Robert A.
    PSYCHIATRIC SERVICES, 2011, 62 (01) : 22 - 27
  • [27] REDUCING BARRIERS TO MENTAL HEALTH AND SOCIAL SERVICES FOR IRAQ AND AFGHANISTAN VETERANS: OUTCOMES OF A NEW INTEGRATED PRIMARY CARE CLINIC
    Seal, Karen Hope
    Cohen, Greg
    Bertenthal, Daniel
    Cohen, Beth
    Maguen, Shira
    Daley, Aaron
    JOURNAL OF GENERAL INTERNAL MEDICINE, 2011, 26 : S210 - S210
  • [28] Attachment and Mental Health Symptoms Among U.S. Afghanistan and Iraq Veterans Seeking Health Care Services
    Currier, Joseph M.
    Holland, Jason M.
    Allen, David
    JOURNAL OF TRAUMATIC STRESS, 2012, 25 (06) : 633 - 640
  • [29] VA Health Care Utilization and Costs Among Male and Female Veterans in the Year After Service in Afghanistan and Iraq
    Leslie, Douglas L.
    Goulet, Joseph
    Skanderson, Melissa
    Mattocks, Kristin
    Haskell, Sally
    Brandt, Cynthia
    MILITARY MEDICINE, 2011, 176 (03) : 265 - 269
  • [30] The Association Between Military Sexual Trauma and Use of VA and Non-VA Health Care Services Among Female Veterans With Military Service in Iraq or Afghanistan
    Calhoun, Patrick S.
    Schry, Amie R.
    Dennis, Paul A.
    Wagner, H. Ryan
    Kimbrel, Nathan A.
    Bastian, Lori A.
    Beckham, Jean C.
    Kudler, Harold
    Straits-Troster, Kristy
    JOURNAL OF INTERPERSONAL VIOLENCE, 2018, 33 (15) : 2439 - 2464
12345