Understanding the Health Needs and Barriers to Seeking Health Care of Veteran Students in the Community.
OBJECTIVE
Access to care at Veterans Affairs facilities may be limited by long wait times; however, additional barriers may prevent US military veterans from seeking help at all. We sought to understand the health needs of veterans in the community to identify possible barriers to health-seeking behavior.


METHODS
Focus groups were conducted with veteran students at a community college until thematic saturation was reached. Qualitative data analysis involved both an inductive content analysis approach and deductive elements.


RESULTS
A total of 17 veteran students participated in 6 separate focus groups. Health needs affecting health-seeking behavior were identified. Themes included lack of motivation to improve health, concern about social exclusion and stigma, social interactions and behavior, limited access to affordable and convenient health care, unmet basic needs for self and family, and academics competing with health needs.


CONCLUSIONS
Veterans face a range of personal, societal, and logistical barriers to accessing care. In addition to decreasing wait times for appointments, efforts to improve the transition to civilian life; reduce stigma; and offer assistance related to work, housing, and convenient access to health care may improve health in veteran students.
From the Center for Value Based Care Research, Medicine Institute, Cleveland Clinic, Cleveland, Ohio, the Department of Health Promotion and Human Performance, Jerry & Vickie Moyes College of Education, Weber State University, Ogden, Utah, Veterans Services and Programs, Cuyahoga Community College, Cleveland, Ohio, the Department of Medicine, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio, and the Center for Reducing Health Disparities, Case Western Reserve University, Cleveland, Ohio.
Anita D
AD
Misra-Hebert
From the Center for Value Based Care Research, Medicine Institute, Cleveland Clinic, Cleveland, Ohio, the Department of Health Promotion and Human Performance, Jerry & Vickie Moyes College of Education, Weber State University, Ogden, Utah, Veterans Services and Programs, Cuyahoga Community College, Cleveland, Ohio, the Department of Medicine, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio, and the Center for Reducing Health Disparities, Case Western Reserve University, Cleveland, Ohio.
Laura
L
Santurri
From the Center for Value Based Care Research, Medicine Institute, Cleveland Clinic, Cleveland, Ohio, the Department of Health Promotion and Human Performance, Jerry & Vickie Moyes College of Education, Weber State University, Ogden, Utah, Veterans Services and Programs, Cuyahoga Community College, Cleveland, Ohio, the Department of Medicine, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio, and the Center for Reducing Health Disparities, Case Western Reserve University, Cleveland, Ohio.
Richard
R
DeChant
From the Center for Value Based Care Research, Medicine Institute, Cleveland Clinic, Cleveland, Ohio, the Department of Health Promotion and Human Performance, Jerry & Vickie Moyes College of Education, Weber State University, Ogden, Utah, Veterans Services and Programs, Cuyahoga Community College, Cleveland, Ohio, the Department of Medicine, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio, and the Center for Reducing Health Disparities, Case Western Reserve University, Cleveland, Ohio.
Brook
B
Watts
From the Center for Value Based Care Research, Medicine Institute, Cleveland Clinic, Cleveland, Ohio, the Department of Health Promotion and Human Performance, Jerry & Vickie Moyes College of Education, Weber State University, Ogden, Utah, Veterans Services and Programs, Cuyahoga Community College, Cleveland, Ohio, the Department of Medicine, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio, and the Center for Reducing Health Disparities, Case Western Reserve University, Cleveland, Ohio.
Michael
M
Rothberg
From the Center for Value Based Care Research, Medicine Institute, Cleveland Clinic, Cleveland, Ohio, the Department of Health Promotion and Human Performance, Jerry & Vickie Moyes College of Education, Weber State University, Ogden, Utah, Veterans Services and Programs, Cuyahoga Community College, Cleveland, Ohio, the Department of Medicine, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio, and the Center for Reducing Health Disparities, Case Western Reserve University, Cleveland, Ohio.
Ashwini R
AR
Sehgal
From the Center for Value Based Care Research, Medicine Institute, Cleveland Clinic, Cleveland, Ohio, the Department of Health Promotion and Human Performance, Jerry & Vickie Moyes College of Education, Weber State University, Ogden, Utah, Veterans Services and Programs, Cuyahoga Community College, Cleveland, Ohio, the Department of Medicine, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, Ohio, and the Center for Reducing Health Disparities, Case Western Reserve University, Cleveland, Ohio.
David C
DC
Aron
D000328:Adult; D000346:Afghanistan; D003695:Delivery of Health Care; D005260:Female; D017144:Focus Groups; D015438:Health Behavior; D006293:Health Promotion; D006297:Health Services Accessibility; D006801:Humans; D007493:Iraq; D008297:Male; D008887:Military Medicine; D020380:Needs Assessment; D010342:Patient Acceptance of Health Care; D012307:Risk Factors; D057545:Social Stigma; D013334:Students / Q000523:psychology*; D013997:Time Factors; D014495:Universities; D014728:Veterans / Q000523:psychology*; D058014:Veterans Health; D014857:Warfare