Abstract
A veteran is defined as someone who has served but is not currently serving on active duty in the US Army, Navy, Air Force, Marine Corps, Space Force, or Coast Guard and those who served in the US Merchant Marine during World War II. The Veteran’s Health Administration provides medical care to veterans, trains health professionals, and conducts medical research that benefits society at large. In addition to chronic conditions that afflict all populations, veterans have physical, mental, and psychosocial health needs unique to their service. Musculoskeletal injuries, chronic pain, traumatic brain injury, post-traumatic stress disorder, moral injury, depression, substance use disorder, chronic pain, and suicide are common chronic issues for veterans. Sexual trauma and occupational exposures may play a role in compromising the health of a veteran. Health equities and homelessness contribute to the challenges many veterans face.
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References
Bureau, U.C. https://www.census.gov/topics/population/veterans/about/glossary.html.
Vespa JE. Those Who Served: America’s Veterans from World War II to the War on Terror, A.C.S.R. ACS-32, Editor. Washington DC: US Census Bureau; 2020.
Oster C, et al. The health and wellbeing needs of veterans: a rapid review. BMC Psychiatry. 2017;17(1):414.
Waszak DL, Holmes AM. The Unique Health Needs of Post-9/11 U.S. Veterans. Workplace Health Saf. 2017;65(9):430–44.
Yedlinsky NT, Neff LA, Jordan KM. Care of the military veteran: selected health issues. Am Fam Physician. 2019;100(9):544–51.
Olenick M, Flowers M, Diaz VJ. US veterans and their unique issues: enhancing health care professional awareness. Adv Med Educ Pract. 2015;6:635–9.
Howard JT, et al. Use of combat casualty care data to assess the US military trauma system during the Afghanistan and Iraq Conflicts, 2001-2017. JAMA Surg. 2019;154(7):600–8.
Gawande A. Casualties of war—military care for the wounded from Iraq and Afghanistan. N Engl J Med. 2004;351(24):2471–5.
Fontana A, Rosenheck R. Treatment-seeking veterans of Iraq and Afghanistan: comparison with veterans of previous wars. J Nerv Ment Dis. 2008;196(7):513–21.
Rostker BD. Providing for the casualties of war: the American Experience Through World War II. Santa Monica, CA: RAND Corporation; 2013.
VA History. 2021. http://www.va.gov/history.
Veterans Health Administration https://www.va.gov/health/ originally accessed 13 Nov 21 and reaccessed 2 Apr 23.
Eligibility for VA Health Care https://www.va.gov/health-care/eligibility/ originally accessed 13 Nov 21 and reaccessed 2 Apr 23.
Krishnamurthy A, et al. Synopsis of the 2020 US Department of Veterans Affairs/US Department of Defense Clinical Practice Guideline: the non-surgical management of hip and knee osteoarthritis. Mayo Clin Proc. 2021;96(9):2435–47.
Stanishewski M, Zimmermann B. Osteoarthritis treatment in the veteran population. Fed Pract. 2015;32(Suppl 12):21S–5S.
Gauntlett-Gilbert J, Wilson S. Veterans and chronic pain. Br J Pain. 2013;7(2):79–84.
Higgins DM, et al. Persistent pain and comorbidity among Operation Enduring Freedom/Operation Iraqi Freedom/operation New Dawn veterans. Pain Med. 2014;15(5):782–90.
Taylor SS, et al. Prevalence of and characteristics associated with insomnia and obstructive sleep apnea among veterans with knee and hip osteoarthritis. BMC Musculoskelet Disord. 2018;19(1):79.
Department of Veterans Affairs, D.o.D., VA/DoD Clinical Practice Guideline for the Non-surgical management of hip and knee osteoarthritis. 2020.
Allen KD, et al. A combined patient and provider intervention for management of osteoarthritis in veterans: a randomized clinical trial. Ann Intern Med. 2016;164(2):73–83.
Kane SF, et al. When war follows combat veterans home. J Fam Pract. 2013;62(8):399–407.
Lew HL, et al. Soldiers with occult traumatic brain injury. Am J Phys Med Rehabil. 2005;84(6):393–8.
Marshall KR, et al. Mild traumatic brain injury screening, diagnosis, and treatment. Mil Med. 2012;177(8 Suppl):67–75.
Daggett VS, et al. Needs and concerns of male combat Veterans with mild traumatic brain injury. J Rehabil Res Dev. 2013;50(3):327–40.
Schneiderman AI, Braver ER, Kang HK. Understanding sequelae of injury mechanisms and mild traumatic brain injury incurred during the conflicts in Iraq and Afghanistan: persistent postconcussive symptoms and posttraumatic stress disorder. Am J Epidemiol. 2008;167(12):1446–52.
Hoge CW, Goldberg HM, Castro CA. Care of war veterans with mild traumatic brain injury—flawed perspectives. N Engl J Med. 2009;360(16):1588–91.
Tsai J, et al. Examining the relation between combat-related concussion, a novel 5-factor model of posttraumatic stress symptoms, and health-related quality of life in Iraq and Afghanistan veterans. J Clin Psychiatry. 2012;73(8):1110–8.
Wall PL. Posttraumatic stress disorder and traumatic brain injury in current military populations: a critical analysis. J Am Psychiatr Nurses Assoc. 2012;18(5):278–98.
APA. Diagnostic and statistical manual of mental disorders (DSM-5). 5th ed. 2013.
Fulton JJ, et al. The prevalence of posttraumatic stress disorder in Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans: a meta-analysis. J Anxiety Disord. 2015;31:98–107.
Ostacher MJ, Cifu AS. Management of posttraumatic stress disorder. JAMA. 2019;321(2):200–1.
VA/DoD Clinical Practice Guideline for the Management of Posttraumatic Stress Disorder and Acute Stress Disorder. 2017.
Aase DM, et al. Impact of PTSD on post-concussive symptoms, neuropsychological functioning, and pain in post-9/11 veterans with mild traumatic brain injury. Psychiatry Res. 2018;268:460–6.
Tanev KS, et al. PTSD and TBI co-morbidity: scope, clinical presentation and treatment options. Brain Inj. 2014;28(3):261–70.
Griffin BJ, et al. Moral injury: an integrative review. J Trauma Stress. 2019;32(3):350–62.
Burnett-Zeigler I, et al. Depression treatment in older adult veterans. Am J Geriatr Psychiatry. 2012;20(3):228–38.
Boakye EA, et al. Self-reported lifetime depression and current mental distress among veterans across service eras. Mil Med. 2017;182(3):e1691–6.
Blore JD, et al. Depression in Gulf War veterans: a systematic review and meta-analysis. Psychol Med. 2015;45(8):1565–80.
Arenson MB, et al. Posttraumatic stress disorder, depression, and suicidal ideation in veterans: results from the mind your heart study. Psychiatry Res. 2018;265:224–30.
Johnson BS, et al. Enhancing veteran-centered care: a guide for nurses in non-VA settings. Am J Nurs. 2013;113(7):24–39; quiz 54, 40.
Lan CW, et al. The epidemiology of substance use disorders in US Veterans: a systematic review and analysis of assessment methods. Am J Addict. 2016;25(1):7–24.
Seal KH, et al. Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002-2008. Am J Public Health. 2009;99(9):1651–8.
Seal KH, et al. Association of mental health disorders with prescription opioids and high-risk opioid use in US veterans of Iraq and Afghanistan. JAMA. 2012;307(9):940–7.
Kang HK, et al. Suicide risk among 1.3 million veterans who were on active duty during the Iraq and Afghanistan wars. Ann Epidemiol. 2015;25(2):96–100.
Department of Veterans Affairs, D.o.D. VA/DoD clinical practice guideline for the assessment and management of patients at risk for suicide. 2013.
Treede RD, et al. A classification of chronic pain for ICD-11. Pain. 2015;156(6):1003–7.
Adams RS, et al. Predictors of Veterans Health Administration utilization and pain persistence among soldiers treated for postdeployment chronic pain in the Military Health System. BMC Health Serv Res. 2021;21(1):494.
Outcalt SD, et al. Does comorbid chronic pain affect posttraumatic stress disorder diagnosis and treatment? Outcomes of posttraumatic stress disorder screening in Department of Veterans Affairs primary care. J Rehabil Res Dev. 2016;53(1):37–44.
Outcalt SD, et al. Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress. J Rehabil Res Dev. 2014;51(4):559–70.
Alschuler KN, Otis JD. Coping strategies and beliefs about pain in veterans with comorbid chronic pain and significant levels of posttraumatic stress disorder symptoms. Eur J Pain. 2012;16(2):312–9.
Thompson JM, et al. A sailor’s pain: Veterans’ musculoskeletal disorders, chronic pain, and disability. Can Fam Physician. 2009;55(11):1085–8.
Lofquist DA. Characteristics of female veterans—an analytic view across age-cohorts: 2015. 2017.
Carter A, et al. Racial and ethnic health care disparities among women in the veterans affairs healthcare system: a systematic review. Womens Health Issues. 2016;26(4):401–9.
Asmundson GJ, Wright KD, Stein MB. Pain and PTSD symptoms in female veterans. Eur J Pain. 2004;8(4):345–50.
Johnson NL, et al. Establishing a new military sexual trauma treatment program: issues and recommendations for design and implementation. Psychol Serv. 2015;12(4):435–42.
Stahlman S, et al. Mental health and substance use factors associated with unwanted sexual contact among U.S. Active Duty Service Women. J Trauma Stress. 2015;28(3):167–73.
Martz E, et al. Tinnitus, depression, anxiety, and suicide in recent veterans: a retrospective analysis. Ear Hear. 2018;39(6):1046–56.
Swan AA, et al. Prevalence of hearing loss and tinnitus in Iraq and Afghanistan Veterans: a chronic effects of neurotrauma consortium study. Hear Res. 2017;349:4–12.
Burns-O’Connell G, Stockdale D, Hoare DJ. Soldiering on: a survey on the lived experience of tinnitus in aged military veterans in the UK. Med Humanit. 2019;45(4):408–15.
Moore BCJ. The effect of exposure to noise during military service on the subsequent progression of hearing loss. Int J Environ Res Public Health. 2021;18(5):2436.
Henry JA, et al. Tinnitus: an epidemiologic perspective. Otolaryngol Clin N Am. 2020;53(4):481–99.
Theodoroff SM, et al. Hearing impairment and tinnitus: prevalence, risk factors, and outcomes in US service members and veterans deployed to the Iraq and Afghanistan wars. Epidemiol Rev. 2015;37:71–85.
Falvo MJ, et al. Airborne hazards exposure and respiratory health of Iraq and Afghanistan veterans. Epidemiol Rev. 2015;37:116–30.
Thatcher TH, et al. Analysis of Postdeployment Serum Samples Identifies Potential Biomarkers of Exposure to Burn Pits and Other Environmental Hazards. J Occup Environ Med. 2019;61(Suppl 12):S45–54.
VA, Service Connection for Respiratory Condition Due to Exposure to Particulate Matter. 2021.
National Academies of Sciences, E.g., and Medicine, et al. Veterans and agent orange: update 11 (2018). 2018.
Public Health Agent Orange. https://www.publichealth.va.gov/exposures/agentorange.
Davis TD, et al. Utilization of VA mental health and primary care services among Iraq and Afghanistan veterans with depression: the influence of gender and ethnicity status. Mil Med. 2014;179(5):515–20.
Saha S, et al. Racial and ethnic disparities in the VA health care system: a systematic review. J Gen Intern Med. 2008;23(5):654–71.
Tsai J, Rosenheck RA. Risk factors for homelessness among US veterans. Epidemiol Rev. 2015;37:177–95.
Tsai J, et al. Addressing veteran homelessness to prevent veteran suicides. Psychiatr Serv. 2018;69(8):935–7.
Tsai J, Pietrzak RH, Szymkowiak D. The problem of veteran homelessness: an update for the new decade. Am J Prev Med. 2021;60(6):774–80.
Mattocks KM, et al. Understanding VA’s use of and relationships with community care providers under the MISSION act. Med Care. 2021;59(Suppl 3):S252–8.
Massarweh NN, Itani KMF, Morris MS. The VA MISSION act and the future of Veterans’ access to quality health care. JAMA. 2020;324(4):343–4.
Schwab KA, et al. Screening for traumatic brain injury in troops returning from deployment in Afghanistan and Iraq: initial investigation of the usefulness of a short screening tool for traumatic brain injury. J Head Trauma Rehabil. 2007;22(6):377–89.
Olson-Madden JH, et al. Validating the traumatic brain injury-4 screening measure for veterans seeking mental health treatment with psychiatric inpatient and outpatient service utilization data. Arch Phys Med Rehabil. 2014;95(5):925–9.
Theadom A, et al. The Brain Injury Screening Tool (BIST): tool development, factor structure and validity. PLoS One. 2021;16(2):e0246512.
Donnelly KT, et al. Reliability, sensitivity, and specificity of the VA traumatic brain injury screening tool. J Head Trauma Rehabil. 2011;26(6):439–53.
NIMH. Ask Suicide Screening Questions Tool Kit. https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials.
Defense and Veterans Pain Rating Scale. 2022. https://www.dvcipm.org/clinical-resources/defense-veterans-pain-rating-scale-dvprs/.
Polomano RC, et al. Psychometric testing of the defense and veterans pain rating scale (DVPRS): a new pain scale for military population. Pain Med. 2016;17(8):1505–19.
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Kane, S. (2023). Special Populations: Care of Military Veterans. In: Daaleman, T.P., Helton, M.R. (eds) Chronic Illness Care. Springer, Cham. https://doi.org/10.1007/978-3-031-29171-5_31
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