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Using population-level data to examine between-group health differences among transgender and cisgender United States military veterans
Title
Using population-level data to examine between-group health differences among transgender and cisgender United States military veterans
Creator
Woodward, Honor
Date
2021
Description
Some subgroups of military veterans, including those with marginalized identities, may be especially vulnerable to poor health. This...
Show moreSome subgroups of military veterans, including those with marginalized identities, may be especially vulnerable to poor health. This hypothesis is supported by the Minority Stress Theory framework, which posits that disparities in health can be attributed to the stress that minority individuals experience as a result of discrimination, prejudice, and oppression (Meyer, 1995; Meyer, 2003). A specific, potentially marginalized group of veterans that is under-explored regarding health is transgender veterans. Using data from the 2019 U.S. Behavioral Risk Factor Surveillance System (BRFSS), the current study hypothesized that transgender U.S. military veterans will report worse health than cisgender U.S. military veterans. Using case control matching, groups of transgender veterans (n = 124) and cisgender veterans (n = 104) were compared on several population-relevant health outcome measures. Chi-square tests of independence were conducted to test for significant differences between transgender and cisgender military veterans on the likelihood of experiencing certain health conditions, engaging in certain health behaviors, and utilizing health care services. Independent samples t-tests were used to test continuous health outcomes, such as self-reported mental health, physical health, and access to health care services. Gender identity was significantly associated with only one health outcome variable, with transgender veterans being more likely than cisgender veterans to have received a formal depression diagnosis (p = .01, phi = .17). No significant differences emerged between transgender and cisgender veterans on continuous health outcome variables. This suggests that previous literature on health disparities between transgender and cisgender individuals may not be generalizable to transgender veterans.
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PTSD Symptoms as a Potential Link Between Military Sexual Assault and Disordered Eating
Title
PTSD Symptoms as a Potential Link Between Military Sexual Assault and Disordered Eating
Creator
Sandhu, Danielle
Date
2020
Description
Despite increasing rates of sexual assault in the military and high rates of disordered eating and posttraumatic stress disorder (PTSD) among...
Show moreDespite increasing rates of sexual assault in the military and high rates of disordered eating and posttraumatic stress disorder (PTSD) among veterans, little is known about how these constructs are related. The present study examined whether PTSD symptoms mediate the relation between military sexual assault and disordered eating among female veterans. Prolific Academic was used to recruit 98 United States female veterans as participants for the study. Participants completed an online questionnaire of self-report measures assessing demographic characteristics, military sexual assault, PTSD symptoms, and disordered eating. Mediational analyses were conducted using the PROCESS v3 macro in IBM SPSS Statistics. Within the sample, 61% of female veterans reported being sexually assaulted while serving in the military. Military sexual assault was associated with higher levels of PTSD symptoms and disordered eating. Findings did not support the hypothesis that PTSD symptoms would mediate the relation between military sexual assault and disordered eating among women veterans. Given the heterogeneous nature of disordered eating, post-hoc mediational analyses were conducted to examine specific facets of eating pathology. Results indicated that PTSD symptoms fully mediated the relation between military sexual assault and bulimia and food preoccupation. Awareness of these psychopathological sequelae following military sexual assault may improve screening and intervention efforts at Veteran Affairs (VA) medical centers. The present study highlights the importance of future longitudinal studies that can establish temporal precedence in order to better understand the pathways leading to disordered eating in female veterans.
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