Objective. Subtle neuropsychological deficits have been found in some children with type 1 diabetes. However, these data inconsistent, and it is not clear what the impact of might be on learning diabetes over time. The purpose this study was to determine whether significantly interferes development functional academic skills. It hypothesized that 1) would demonstrate performance behavior when compared sibling or classmate control subjects 2) decline slightly but time whereas siblings...

Purpose: To determine whether the type or frequency of intentional violence experiences among women during military service influences health status healthcare utilization. Differences in utilization and were also examined while controlling for life span exposures important patient characteristic confounders. Methods: A cross-sectional survey veterans was conducted using a random sample stratified by region era service. Women who served Vietnam subsequent eras (n = 520) selected from...

We examine lifetime eating disorders (EDOs) and associations with post-traumatic stress disorder (PTSD) sexual trauma during various stages of the life course (childhood, military service, lifetime) among women veterans. The sample included 1,004 aged 20 to 52 years who had enrolled at 2 Midwestern Veterans Affairs Medical Centers or outlying clinics completed a retrospective telephone interview. Over 16% reported EDO (4.7% received diagnosis, an additional 11.5% self-reported suffering from...

Background: Congress has enacted 2 major pieces of legislation to improve access care for Veterans within the Department Affairs (VA). As a result, VA undergone transformation in way that is delivered with an increased reliance on community-based provider networks. No studies have examined relationship between and contracted community providers. This study examines facility directors’ perspectives their successes challenges building relationships providers Community Care Network (CCN)....

OBJECTIVE—To examine academic achievement in children with diabetes and to identify predictors of achievement. RESEARCH DESIGN AND METHODS—Participants were 244 children, ages 8–18 years, type 1 diabetes. Measures included school-administered standardized tests (Iowa Tests Basic Skills Iowa Educational Development [ITBS/ITED]), grade point averages (GPAs), school absences, behavioral assessment, age at disease onset, hospitalizations, HbA1c. Statistical differences between subgroups...

Abstract The association of rape history and sexual partnership with alcohol drug use consequences in women veterans is unknown. Midwestern ( N = 1,004) completed a retrospective telephone interview assessing demographics, history, substance abuse dependence, depression, posttraumatic stress disorder (PTSD). One third met lifetime criteria for (SUD), half reported rape, childhood one quarter in‐military 11% sex women. Lifetime SUD was higher (64% vs. 44%). Women as partners had significantly...

Congress enacted the Veterans Access, Choice, and Accountability Act of 2014 [Veterans Choice (VCA)] to improve access timely, high-quality health care for Veterans. Although mandated that VCA must begin within 90 days passage legislation, no guidelines were provided in legislation ensure had an adequate number community providers across different specialties or distinct geographic areas, including rural areas country.To examine policy implementation a sampling Health Administration (VHA)...

ABSTRACT Introduction The aim is to elucidate approaches care for comorbid chronic pain and PTSD (CP + PTSD) in the Veterans Administration (VA). These conditions are co-magnifying highly but traditionally treated separate clinical settings. Materials Methods This multimethod analysis examined CP via administrative data analyses qualitative interviews of VA-served veterans. Results All participants with diagnoses 2021 were identified using VA (N = 456,544). Visits during following year...

Background: Little is known about the reproductive health of military women. This study sought to determine women Veterans' competing risk factors, including life span sexual assault (LSA) exposures, associated with recent and lifetime cervical cytologic abnormalities. Methods: cross-sectional a retrospective cohort 999 Midwestern Veterans (enrolled in VA) included computer-assisted telephone interviews chart reviews. Results: Over half (57%) participants self-reported abnormal cytology....

Military Veterans in the United States are more likely than general population to live rural areas, and often have limited geographic access Health Administration (VHA) facilities. In an effort improve for living far from VHA facilities, recently-enacted Choice Act directed purchase care non-VHA providers who 40 miles nearest facility. To explore potential impacts of these reforms on healthcare providers, we identified VHA-users were eligible purchased based distance quantified availability...

Genetic discrimination-defined as the denial of rights, privileges, or opportunities other adverse treatment based solely on genetic information (including family history)-is an important concern to patients, healthcare professionals, lawmakers, and members at risk for carrying a deleterious gene. Data from United States, Canada, Australia were collected 433 individuals Huntington disease (HD) who have tested either positive negative gene that causes HD affected 50% developing disorder but...

Abstract Genetic discrimination may be experienced in the day‐to‐day lives of people at risk for Huntington disease (HD), encompassing occurrences workplace, when seeking insurance, within social relationships, and during other daily encounters. At‐risk individuals who have tested either positive or negative genetic expansion that causes HD, as well at‐risk persons with a 50% chance developing disorder but not had DNA testing completed International RESPOND‐HD (I‐RESPOND‐HD) survey. One...

ABSTRACT Military women are a unique population with occupational risks that may influence their sexual health, yet relatively little is known about specific correlates associated servicewomen's functioning. One thousand and four Midwestern U.S. veterans aged 52 years of age younger completed telephone interview assessing assault history, mental gynecologic health-related quality life. Half experienced at least one during lifetime. Most (68%) reported sex was important in lives, three...

Abstract Purpose Disparities in health and care access between rural urban Americans are well documented. There is evidence that these disparities mirrored within the US veteran population. However, there few studies assessing this issue among women veterans (WVs). Methods Using 2008–2009 National Survey of Women Veterans, a population‐based cross‐sectional national telephone survey, we examined WVs’ compared to WVs. We measured using Medical Outcomes Study Short‐Form (SF‐12); measures...

Abstract Background Women are more likely to experience multiple overlapping pain conditions (MOPCs) relative men. Post‐traumatic stress disorder can negatively impact the severity and trajectory of chronic its treatment. Specific associations between gender, post‐traumatic (PTSD), MOPCs require further examination. Methods A cohort all Veterans in 2021 who met criteria for one or 12 types was created using national Health Administration administrative data. were defined as number which each...

Abstract Purpose Distance from health care facilities can be a barrier to colorectal cancer (CRC) screening, especially for colonoscopy. Alternatively, an improved at‐home stool‐based screening tool, the fecal immunochemical test (FIT), requires only single sample and has better sensitivity‐specificity balance compared traditional guaiac occult blood tests. Our objective was determine if FITs mailed asymptomatic, average‐risk patients overdue resulted in higher rates versus mailing...

To determine if military leader behaviors are associated with active component and Reserve-National Guard servicewomen's risk of sexual assault in the (SAIM) for nondeployed locations.

Objective The aim of this study was to determine whether current physical health status in female veterans is associated with rape during military service and same-sex partnership. Methods Retrospective computer-assisted telephone interviews 1004 Midwestern US identified from Veterans Affairs electronic records were conducted. Data included history including military, sex partnership history, demographics, medical chronic pain, mental (depression posttraumatic stress disorder [PTSD]), the...