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Similaire à Minority Women Veterans' Use of VA Services
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Minority Women Veterans' Use of VA Services
- 1. Fiorella Morales, University of San Diego Behavioral Neuroscience (Class of 2016) Niloofar Afari, Ph.D (Principal Investigator: VA, UCSD) Jena Hales, Ph.D (Mentor, USD)
- 2. Women veteran population is quickly growing in the VA healthcare system Clinical Health/Optimization of Care
- 3. Do women veterans who are minorities take advantage of services offered by Veterans Affairs more or less than non-minority women veterans?
- 4. Recruitment ◦ 150 participants ◦ 83 consented/participated Consent Process Electronic based Questionnaire (E-screening) ◦ Self-reported ◦ 31 modules PTSD, MST, Depression, Suicidality, AUDIT-C, DAST Data collection and analysis
- 5. PTSD (PCL-C) Below is a list of problems and complaints that veterans sometimes have in response to stressful life experiences. Please read each one carefully, and choose a button to indicate how much you have been bothered by that problem in the past 4 weeks. Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? Avoid activities or situations because they remind you of a stressful experience from the past? Not at all, A little bit, Moderately, Quite a bit, Extremely
- 6. Military Sexual Trauma (MST) When you were in the military, did you ever receive uninvited or unwanted sexual attention(i.e, touching, cornering, pressure for sexual favors or inappropriate verbal remarks, etc.)? 2. When you were in the military, did anyone ever use force or the threat of force to have sex against your will? 'No' to both questions, 'Yes' to one or both questions, Decline to answer question regarding MST
- 7. Depression (PHQ-9) :Over the past 2 weeks, how often have you been bothered by any of the following problems? Little interest or pleasure in doing things Trouble falling asleep, staying asleep, or sleeping too much Suicidality Thinking that you would be better off dead or that you want to hurt yourself in some way Not at all, Several days, More than half the days, Nearly every day
- 8. Table 1. Characteristics of Women Veterans for Women’s Study Characteristics N=41 Age: Mean 42 Minority Hispanic/Latino American Indian Asian/Pacific Islander 24 (59%) Black/African American Other/Multiracial Non-Minority White/Caucasian 17 (41%)
- 9. Incomplete Questionnaires Participants not showing up Lack of Women enrolled in VA ◦ Accessibility Technical issues with E-screening Cross-sectional nature of study ◦ Causality cannot be inferred
- 10. Optimization of VA Healthcare for Women ◦ Learning needs ◦ Preferences Earlier detection and attention to any health issues/concerns Future innovation/improvement for more accessibility
- 11. Mentor: ◦ Jena Hales PhD Center of Exellence and Mental Health (CESAMH) Staff: ◦ Niloo Afari PhD ◦ Liz Floto ◦ Ryan Wong ◦ Katie Godfrey Funding: ◦ TRiO McNair
Notes de l'éditeur
- Name, lab, mentor Healthcare has over looked women in general so looking into this is very important I personally enjoy clinical health, when the opportunity came up to work in clinical health and with veterans I was excited to join the lab
- More than 44% of Women Veterans (WV) are enrolled in the VA Healthcare System (Hayes & Krauthamer, 2009) -general healthcare in world geared towards males -women underrepresented generally -How many women are actually using their care -Defense Secretary Leon Panetta passed law in 2013 that lifted a ban by the Pentagon that did not allow women to participate in combat jonbs - See more at: http://www.publichealth.va.gov/epidemiology/studies/new-generation/index.asp#sthash.ClWKQQJQ.dpuf
- It is important for clinicians to know who they are serving, how they want to be served, and what kind of services they want. We look at that and more in this study. Women’s services need to optimized and we can only do that by knowing who’s being served and what services they use most frequently.
- This study assesses women Veterans across several domains, including treatment preferences/barriers to care, mental and physical health issues, and pre-deployment, deployment, and post-deployment experiences. All women Veterans 18 years of age or older are eligible to participate, and will receive $40 in canteen coupons after completing a one time 2-hour assessment. All assessments are conducted at VMRF in Rm. 322 at La Jolla VA. Providers will have access to clinically-relevant findings (e.g., PCL, PHQ-9, GAD-7, SI assessment, etc.), which are automatically uploaded to CPRS upon completion of the assessment. Consent Checklist: Subject Capable, Study Explained, Given Opportunity to Ask Questions, Questions Answered to Satisfaction, Consent / HIPAA (Health Insurance Portability and Accountability Act)--- Initialed / Signed / Dated, Copies given: signed Consent & HIPAA / Bill of Rights / VA Volunteering in Research brochure, Subject Met Inclusion / Exclusion Criteria Recruitment: Flyers, VA healthcare facilities (e.g., CBOCs), In the community (college campuses, Vet Centers, etc.), VA providers, Study referral lists
- Lickert Scales Not at all, A little bit, Moderately, Quite a bit, Extremely
- Yes, No, Decline 'No' to both questions,1='Yes' to one or both questions,2=Decline to answer question regarding MST
- Lickert Scale 0=Not at all,1=Several days,2=More than half the days,3=Nearly every day
- Data from 2014 Minority Non-Minority All of these women were interested in at least one service at the VA I’m still working on the data for this to show which group has more interest in va services vs the other
- Center of Excellence for Stress and Mental Health (CESAMH)