National Center for PTSD, VA Boston Healthcare System.
Psychol Serv. 2013 May;10(2):145-151. doi: 10.1037/a0032088.
What factors predict whether Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) veterans who need mental health care receive that care? The present research examined factors associated with a need for care, sociodemographic characteristics, deployment experiences, and perceptions of care as gender-specific predictors of overall mental health care use and Veterans Affairs (VA) mental health care use for male and female OEF/OIF veterans (N = 1,040). Only veterans with a probable need for mental health care, as determined by scores on self-report measures of mental health symptomatology, were included in the sample. Overall, predictors of service use were similar for women and men. A notable exception was the finding that lower income predicted use of both overall and VA mental health care for women, but not men. In addition, sexual harassment was a unique predictor of VA service use for women, whereas non-White race was predictive of VA service use for men only. Knowledge regarding the factors that are associated with use of mental health care (broadly and at VA) is critical to ensuring that veterans who need mental health care receive it.
哪些因素可以预测需要心理健康护理的持久自由行动和伊拉克自由行动（OEF/OIF）退伍军人是否会接受这种护理？本研究调查了与护理需求相关的因素、社会人口统计学特征、部署经历以及对护理的看法，这些因素是男性和女性 OEF/OIF 退伍军人整体心理健康护理使用和退伍军人事务部（VA）心理健康护理使用的性别特定预测因素（N=1040）。只有通过心理健康症状自评量表得分确定有合理的心理健康护理需求的退伍军人才被纳入样本。总体而言，服务使用的预测因素在女性和男性中相似。一个值得注意的例外是，收入较低预测女性对整体和 VA 心理健康护理的使用，但对男性没有预测作用。此外，性骚扰是女性使用 VA 服务的独特预测因素，而非白种人种族仅预测男性使用 VA 服务。了解与心理健康护理（广泛和在 VA）使用相关的因素对于确保需要心理健康护理的退伍军人获得护理至关重要。
