Military sexual trauma-related posttraumatic stress disorder service-connection: Characteristics of claimants and award denial across gender, race, and compared to combat trauma.

Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE

Original Publication: San Francisco, CA : Public Library of Science

Stress Disorders, Post-Traumatic*/epidemiology ; Veterans* ; Military Personnel* ; Sex Offenses*; Male ; United States/epidemiology ; Humans ; Female ; Retrospective Studies ; Military Sexual Trauma ; United States Department of Veterans Affairs

The current study characterizes a cohort of veteran claims filed with the Veterans Benefits Administration for posttraumatic stress disorder secondary to experiencing military sexual trauma, compares posttraumatic stress disorder service-connection award denial for military sexual trauma-related claims versus combat-related claims, and examines military sexual trauma -related award denial across gender and race. We conducted analyses on a retrospective national cohort of veteran claims submitted and rated between October 2017-May 2022, including 102,409 combat-related claims and 31,803 military sexual trauma-related claims. Descriptive statistics were calculated, logistic regressions assessed denial of service-connection across stressor type and demographics, and odds ratios were calculated as effect sizes. Military sexual trauma-related claims were submitted primarily by White women Army veterans, and had higher odds of being denied than combat claims (27.6% vs 18.2%). When controlling for age, race, and gender, men veterans had a 1.78 times higher odds of having military sexual trauma-related claims denied compared to women veterans (36.6% vs. 25.4%), and Black veterans had a 1.39 times higher odds of having military sexual trauma-related claims denied compared to White veterans (32.4% vs. 25.3%). Three-fourths of military sexual trauma-related claims were awarded in this cohort. However, there were disparities in awarding of claims for men and Black veterans, which suggest the possibility of systemic barriers for veterans from underserved backgrounds and/or veterans who may underreport military sexual trauma.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.)

Womens Health Issues. 2019 Jun 25;29 Suppl 1:S67-S73. (PMID: 31253245)
Am J Public Health. 2007 Dec;97(12):2160-6. (PMID: 17971558)
Trauma Violence Abuse. 2014 Apr;15(2):94-101. (PMID: 24231941)
Fed Pract. 2022 Feb;39(2):70-75. (PMID: 35444382)
J Womens Health (Larchmt). 2017 Sep;26(9):933-940. (PMID: 28488917)
Mil Med. 2020 Jan 7;185(Suppl 1):296-302. (PMID: 32074380)
Psychol Assess. 2017 Jun;29(6):710-719. (PMID: 28594214)
Womens Health Issues. 2023 Jul-Aug;33(4):428-434. (PMID: 37003918)
Psychol Serv. 2013 May;10(2):213-22. (PMID: 22984877)
Trauma Violence Abuse. 2018 Dec;19(5):584-597. (PMID: 30415636)
Health Serv Res. 2018 Dec;53(6):4565-4583. (PMID: 29667171)
Med Care. 2003 Apr;41(4):536-49. (PMID: 12665717)
LGBT Health. 2016 Jun;3(3):177-9. (PMID: 27135527)
LGBT Health. 2023 Sep;10(S1):S61-S69. (PMID: 37754922)
J Gen Intern Med. 2023 Nov;38(14):3188-3197. (PMID: 37291361)

UL1 TR001863 United States TR NCATS NIH HHS

Date Created: 20240111 Date Completed: 20240115 Latest Revision: 20240312

20240312

PMC10783784

10.1371/journal.pone.0280708

38206995