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

Autor:	Warren B. P. Pettey, Emily Brignone, Jonathan A. Sosnov, Eduard Poltavskiy, Lauren E Walker, Jeffrey T. Howard, Andrew Redd, Ian J. Stewart, Jud C. Janak, Adi V. Gundlapalli, David L. Chin, Ying Suo
Rok vydání:	2020
Předmět:	Adult Male medicine.medical_specialty 0211 other engineering and technologies Ethnic group Poison control 02 engineering and technology Suicide prevention Occupational safety and health Stress Disorders Post-Traumatic Disability Evaluation 03 medical and health sciences Misconduct 0302 clinical medicine Disability benefits Injury prevention Humans Medicine Healthcare Disparities Psychiatry Iraq War 2003-2011 021110 strategic defence & security studies Afghan Campaign 2001 business.industry Public Health Environmental and Occupational Health Traumatic stress General Medicine Middle Aged United States humanities 030227 psychiatry United States Department of Veterans Affairs Military Personnel Female business
Zdroj:	Military Medicine. 185:296-302
ISSN:	1930-613X 0026-4075
DOI:	10.1093/milmed/usz208
Popis:	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.
Databáze:	OpenAIRE
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