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Journal of General Internal Medicine

, Volume 21, Supplement 3, pp S93–S101 | Cite as

Toward a VA women’s health research agenda: Setting evidence-based priorities to improve the health and health care of women veterans

  • Elizabeth M. Yano
  • Lori A. Bastian
  • Susan M. Frayne
  • Alexandra L. Howell
  • Linda R. Lipson
  • Geraldine McGlynn
  • Paula P. Schnurr
  • Margaret R. Seaver
  • Ann M. Spungen
  • Stephan D. Fihn
Perspective

Abstract

The expansion of women in the military is reshaping the veteran population, with women now constituting the fastest growing segment of eligible VA health care users. In recognition of the changing demographics and special health care needs of women, the VA Office of Research & Development recently sponsored the first national VA Women’s Health Research Agenda-setting conference to map research priorities to the needs of women veterans and position VA as a national leader in Women’s Health Research. This paper summarizes the process and outcomes of this effort, outlining VA’s research priorities for biomedical, clinical, rehabilitation, and health services research.

Key words

women’s health research and development research priorities veterans health care quality access and evaluation 

References

  1. 1.
    Yano EM. Toward a VA women’s health research agenda. SGIM Forum. 2004, p. 4, 9.Google Scholar
  2. 2.
    Jordan BK, Schlenger WE, Hough R, et al. Lifetime and current prevalence of specific psychiatric disorders among Vietnam veterans and controls. Arch Gen Psychiatry. 1991;48:206–15.CrossRefGoogle Scholar
  3. 3.
    Fontana A, Schwartz LS, Rosenheck R. Posttraumatic stress disorder among female Vietnam veterans: a causal model of etiology. Am J Public Health. 1997;87:169–75.PubMedCentralPubMedCrossRefGoogle Scholar
  4. 4.
    Zatzick DF, Weiss DS, Marmar CR, et al. Post-traumatic stress disorder and functioning and quality of life outcomes in female Vietnam veterans. Mil Med. 1997;162:661–5.PubMedGoogle Scholar
  5. 5.
    King DW, King LA, Foy DW, Gudanowski DM. Prewar factors in combat-related posttraumatic stress disorder: structural equation modeling with a national sample of female and male Vietnam veterans. J Consult Clin Psychol. 1996;64:520–31.PubMedCrossRefGoogle Scholar
  6. 6.
    King LA, King DW, Fairbank JA, Keane TM, Adams GA. Resilience-recovery factors in post-traumatic stress disorder among female and male Vietnam veterans: hardiness, postwar social support, and additional stressful life events. J Pers Soc Psychol. 1998;74:420–34.PubMedCrossRefGoogle Scholar
  7. 7.
    Kang HK, Mahan CM, Lee KY, Magee CA, Mather SH, Matanoski G. Pregnancy outcomes among U.S. women Vietnam veterans. Am J Ind Med. 2000;38:447–54.PubMedCrossRefGoogle Scholar
  8. 8.
    Kang HK, Mahan CM, Lee KY, Magee CA, Selvin S. Prevalence of gynecologic cancers among female Vietnam veterans. J Occup Environ Med. 2000;42:1121–7.PubMedCrossRefGoogle Scholar
  9. 9.
    Hankin CS, Skinner KM, Sullivan LM, Miller DR, Frayne S, Tripp TJ. Prevalence of depressive and alcohol abuse symptoms among women VA outpatients who report experiencing sexual assault while in the military. J Trauma Stress. 1999;12:601–12.PubMedCrossRefGoogle Scholar
  10. 10.
    Frayne SM, Skinner KM, Sullivan LM, et al. Medical profile of women Veterans Administration outpatients who report a history of sexual assault occurring while in the military. J Womens Health Gend Based Med. 1999;8:835–4.PubMedCrossRefGoogle Scholar
  11. 11.
    Skinner KM, Furey J. The focus on women veterans who use Veterans Administration health care: the Veterans Administration women’s health project. Mil Med. 1998;163:761–6.PubMedGoogle Scholar
  12. 12.
    Skinner KM, Kressin N, Frayne SM, et al. Prevalence of military sexual assault among female Veterans’ Administration outpatients. J Interpers Violence. 2000;15:291–310.CrossRefGoogle Scholar
  13. 13.
    Barnard K, Frayne SM, Skinner KM, Sullivan LM. Health status among women with menstrual symptoms. J Womens Health (Larchmt). 2003;12:911–9.CrossRefGoogle Scholar
  14. 14.
    Frayne SM, Seaver MR, Loveland S, et al. Burden of medical illness in women with depression and posttraumatic stress disorder. Arch Intern Med. 2004;164:1306–12.PubMedCrossRefGoogle Scholar
  15. 15.
    Weaver F, Hynes DM, Goldberg JM, Khuri S, Daley J, Henderson W. Hysterectomy in Veterans Affairs Medical Centers. Obstet Gynecol. 2001;97:880–4.PubMedCrossRefGoogle Scholar
  16. 16.
    Weaver F, Hynes DM, Hopkinson W, et al. Preoperative risks and outcomes of hip and knee arthroplasty in the Veterans Health Administration. J Arthroplasty. 2003;18:693–708.PubMedCrossRefGoogle Scholar
  17. 17.
    Hynes DM, Weaver F, Morrow M, et al. Breast cancer surgery trends and outcomes: results from a national Department of Veterans Affairs study. J Am Coll Surg. 2004;198:707–16.PubMedCrossRefGoogle Scholar
  18. 18.
    Lamoreaux J. The organizational structure for medical information management in the Department of Veterans Affairs: an overview of major health care databases. Med Care. 1996;34(suppl 3):MS31–44.PubMedCrossRefGoogle Scholar
  19. 19.
    Goldzweig CL, Balekian T, Rolon C, Yano EM, Shekelle PG. The state of women veterans’ health research: results of a systematic review. J Gen Intern Med. 2006;21(3):S82-S92.PubMedCentralPubMedCrossRefGoogle Scholar
  20. 20.
    U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health. Agenda for Research on Women’s Health for the 21st Century: A Report of the Task Force on the NIH Women’s Health Research Agenda for the 21st Century, Volume 1. Executive Summary. Bethesda, MD: NIH Publication No. 99-4385, 1999Google Scholar
  21. 21.
    U.S. Department of Defense, Congressionally Directed Medical Research Programs. Defense Women’s Health Research Program. Available at: http://cdmrp.army.mil/annreports/1999annrep/section10.htm. Accessed January 28, 2005.Google Scholar
  22. 22.
    Institute of Medicine. The Program for Research in Military Nursing: Progress and Future Directions. Washington, DC: National Academy Press; 1996.Google Scholar
  23. 23.
    Haseltine FP, Jacobson BG. Women’s Health Research: A Medical and Policy Primer. Washington, DC: American Psychiatric Press; 1997.Google Scholar
  24. 24.
    U.S. Department of Veterans Affairs, Women Veterans Health Program. Final Report of the National Women Veterans Health Strategic Work Group. Washington, DC: Women Veterans Health Program; 2002.Google Scholar
  25. 25.
    U.S. Department of Veterans Affairs. Advisory Committee for Women Veterans. Available at: http://www.va.gov/womenvet/. Accessed February 12, 2004.Google Scholar
  26. 26.
    U.S. Department of Defense. Defense Advisory Committee on Women in the Services (DACOWITS). Available at: http://www.dtic.mil/dacowits/. Accessed January 25, 2005.Google Scholar
  27. 27.
    U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development (ORD). VA R&D Women’s Health Research Conference. Available at: http://wwwl.va.gov/resdev/programs/womens_health/conference/default.cfm. Accessed December 18, 2004.Google Scholar
  28. 28.
    Finnegan LP. The NIH Women’s Health Initiative: its evolution and expected contributions to women’s health. Am J Prev Med. 1996;12:292–3.PubMedGoogle Scholar
  29. 29.
    Riley PL, Finnegan LP. Observations from the CDC: the prevention research centers program: collaboration in women’s health. J Womens Health. 1997;6:281–3.PubMedCrossRefGoogle Scholar
  30. 30.
    Correa-de-Araujo R. A wake-up call to advance women’s health. Women’s Health Issues. 2004;14:31–4.PubMedCrossRefGoogle Scholar
  31. 31.
    Bierman AS. Climbing out of our boxes. Advancing women’s health for the twenty-first century. Women’s Health Issues. 2003;13:201–3.PubMedCrossRefGoogle Scholar
  32. 32.
    Satcher D. American women and health disparities. JAMWA. 2001;56:131–3.PubMedGoogle Scholar

Copyright information

© Society of General Internal Medicine 2006

Authors and Affiliations

  • Elizabeth M. Yano
    • 1
    • 2
  • Lori A. Bastian
    • 3
    • 4
  • Susan M. Frayne
    • 5
    • 6
  • Alexandra L. Howell
    • 7
    • 8
  • Linda R. Lipson
    • 9
  • Geraldine McGlynn
    • 10
  • Paula P. Schnurr
    • 8
    • 11
  • Margaret R. Seaver
    • 12
    • 13
  • Ann M. Spungen
    • 14
    • 15
  • Stephan D. Fihn
    • 16
    • 17
  1. 1.VA Greater Los Angeles HSR&D Center of ExcellenceVA Greater Los Angeles Healthcare SystemSepulvedaUSA
  2. 2.Department of Health ServicesUCLA School of Public HealthLos AngelesUSA
  3. 3.Center for Health Services Research in Primary CareVA HSR&D Center of Excellence, VA Medical CenterDurhamUSA
  4. 4.Duke UniversityDurhamUSA
  5. 5.Genter for Healthcare EvaluationVA HSR&D Center of Excellence, VA Palo Alto Healthcare SystemPalo AltoUSA
  6. 6.Stanford UniversityPalo AltoUSA
  7. 7.VA Medical CenterWhite River JunctionUSA
  8. 8.Dartmouth Medical SchoolHanoverUSA
  9. 9.Veterans Health AdministrationVA HSR&D ServiceWashington, DCUSA
  10. 10.Center for Information Dissemination and Education Resources (CIDER)VA HSR&D Service, VA Boston Healthcare SystemBostonUSA
  11. 11.VA National Center for Posttraumatic Stress Disorder, VA Medical CenterWhite River JunctionUSA
  12. 12.Primary Care Service LineVA Boston Healthcare SystemBostonUSA
  13. 13.Department of MedicineBoston University School of MedicineBostonUSA
  14. 14.Center of Excellence for the Medical Consequences of Spinal Cord InjuryVA Rehabilitation Research and Development (RR&D), James J. Peter VA Medical CenterBronxUSA
  15. 15.Mount Sinai School of MedicineNew YorkUSA
  16. 16.Northwest Center for Outcomes Research in Older AdultsVA HSR&D Center of Excellence, VA Puget Sound Healthcare SystemSeattleUSA
  17. 17.Department of MedicineUniversity of WashingtonSeattleUSA

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