title: Rape, sex partnership, and substance use consequences in women veterans.
abstract: The association of rape history and sexual partnership with alcohol and drug use consequences in women veterans is unknown. Midwestern women veterans (N = 1,004) completed a retrospective telephone interview assessing demographics, rape history, substance abuse and dependence, depression, and posttraumatic stress disorder (PTSD). One third met lifetime criteria for substance use disorder (SUD), half reported lifetime completed rape, a third childhood rape, one quarter in-military rape, 11% sex with women. Lifetime SUD was higher for women with rape history (64% vs. 44%). Women with women as sex partners had significantly higher rates of all measures of rape, and also lifetime substance use disorder. Postmilitary rape, sex partnership, and current depression were significantly associated with lifetime SUD in multivariate models (odds ratio = 2.3, 3.6, 2.1, respectively). Many women veterans have a high need for comprehensive mental health services.
authors.affiliation: Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA. boothbrendam@uams.edu
authors.forename: Brenda M
authors.initials: BM
authors.lastname: Booth
authors.forename: Michelle
authors.initials: M
authors.lastname: Mengeling
authors.forename: James
authors.initials: J
authors.lastname: Torner
authors.forename: Anne G
authors.initials: AG
authors.lastname: Sadler
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D011902:Rape / Q000523:psychology*; D012189:Retrospective Studies; D012747:Sexual Partners; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis; D019966:Substance-Related Disorders / Q000150:complications* / Q000523:psychology*; D011795:Surveys and Questionnaires; D014481:United States; D014728:Veterans / Q000523:psychology*; D055815:Young Adult