title: Effects of military trauma exposure on women veterans' use and perceptions of Veterans Health Administration care.
abstract: BACKGROUND
  Few studies have addressed how military trauma exposure, particularly sexual assault and combat exposure, affects women veterans' use and perceptions of Veterans Health Administration (VHA) care.
  
  
  OBJECTIVE
  The aim of the present study was to evaluate the effects of military sexual assault and combat exposure on women veterans' use and perceptions of different aspects of VHA care.
  
  
  METHODS
  Cross-sectional telephone survey of a national sample of women veterans.
  
  
  METHODS
  Women from the VA's National Registry of Women Veterans.
  
  
  METHODS
  Sociodemographic characteristics, VHA care utilization, perceptions of care.
  
  
  RESULTS
  Women veterans with histories of military sexual assault reported more use of VHA services, but less satisfaction, poorer perceptions of VHA facilities and staff, and more problems with VHA services compared to women veterans without histories of sexual assault. Combat exposure was related to more problems with VHA staff, although few other differences were observed for women with and without histories of combat exposure.
  
  
  CONCLUSIONS
  Findings provide information on areas that can be targeted with respect to caring for women veterans exposed to military sexual trauma and combat exposure, including improving interactions with VHA staff and the ease of using VHA services.
authors.affiliation: Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA. mkelly@butler.org
authors.forename: Megan M
authors.initials: MM
authors.lastname: Kelly
authors.forename: Dawne S
authors.initials: DS
authors.lastname: Vogt
authors.forename: Emily M
authors.initials: EM
authors.lastname: Scheiderer
authors.forename: Paige
authors.initials: P
authors.lastname: Ouimette
authors.forename: Jennifer
authors.initials: J
authors.lastname: Daley
authors.forename: Jessica
authors.initials: J
authors.lastname: Wolfe
mesh_terms: D000328:Adult; D003130:Combat Disorders; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D017060:Patient Satisfaction; D012742:Sex Offenses; D013313:Stress Disorders, Post-Traumatic; D014481:United States; D014493:United States Department of Veterans Affairs / Q000706:statistics & numerical data*; D014728:Veterans; D014932:Women's Health Services / Q000706:statistics & numerical data*