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Comparison of outpatient health care utilization among returning women and men veterans from Afghanistan and Iraq
Women’s Health Research Faculty Publications
  • Mona Duggal, Yale University
  • Joseph L. Goulet, Yale University
  • Julie Womack, VA Connecticut Health Care System
  • Kirsha Gordon, VA Connecticut Health Care System
  • Kristin M. Mattocks, University of Massachusetts Medical School Worcester
  • Sally G. Haskell, Yale University
  • Amy C. Justice, Yale University
  • Cynthia A. Brandt, Yale University
UMMS Affiliation
Department of Quantitative Health Sciences
Publication Date
Document Type
Adult; Afghan Campaign 2001-; Ambulatory Care Facilities; Cohort Studies; Female; Humans; Iraq War, 2003-2011; Male; Retrospective Studies; United States; *Veterans

BACKGROUND: The number of women serving in the United States military increased during Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF), leading to a subsequent surge in new women Veterans seeking health care services from the Veterans Administration (VA). The objective of this study was to examine gender differences among OEF/OIF Veterans in utilization of VA outpatient health care services. METHODS: Our retrospective cohort consisted of 1,620 OEF/OIF Veterans (240 women and 1380 men) who enrolled for outpatient healthcare at a single VA facility. We collected demographic data and information on military service and VA utilization from VA electronic medical records. To assess gender differences we used two models: use versus nonuse of services (logistic regression) and intensity of use among users (negative binomial regression). RESULTS: In our sample, women were more likely to be younger, single, and non-white than men. Women were more likely to utilize outpatient care services (odds ratio [OR] = 1.47, 95% confidence interval [CI]:1.09, 1.98), but once care was initiated, frequency of visits over time (intensity) did not differ by gender (incident rate ratio [IRR] = 1.07; 95% CI: 0.90, 1.27). CONCLUSION: Recently discharged OEF/OIF women Veterans were more likely to seek VA health care than men Veterans. But the intensity of use was similar between women and men VA care users. As more women use VA health care, prospective studies exploring gender differences in types of services utilized, health outcomes, and factors associated with satisfaction will be required.

DOI of Published Version
BMC Health Serv Res. 2010 Jun 22;10:175. doi: 10.1186/1472-6963-10-175. Link to article on publisher's site

At the time of publication, Kristin Mattocks was not yet affiliated with the University of Massachusetts Medical School.

Related Resources
Link to Article in PubMed
PubMed ID
Citation Information
Mona Duggal, Joseph L. Goulet, Julie Womack, Kirsha Gordon, et al.. "Comparison of outpatient health care utilization among returning women and men veterans from Afghanistan and Iraq" Vol. 10 (2010) ISSN: 1472-6963 (Linking)
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