Goldstein Karen M, Pace Rachel, Dancu Caroline, Raman Sudha R, Bridges-Curry Zoe, Klimek-Johnson Patrycja, Jeevanathan Athavi, Gallion Anna H, Der Tatyana, Tabriz Amir Alishahi, Sprague Syketha, Rushton Sharron, Hammer A Jean, Sims Catherine A, Coleman Jessica N, Martino Justin, Cantrell Sarah, Gordon Adelaide M, Jacobs Morgan, Alexopoulos Anastasia-Stefania, Chen Dazhe, Gierisch Jennifer M
Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Veterans Affairs (VA) Health Care System, Durham, North Carolina.
Department of Medicine, Division of General Internal Medicine, Duke University, Durham, North Carolina.
JAMA Netw Open. 2025 Apr 1;8(4):e256372. doi: 10.1001/jamanetworkopen.2025.6372.
Women veterans are the fastest-growing veteran subpopulation in the US. Women veterans often experience military service-related health issues in addition to conditions common to all women. Because women veterans are more likely to receive care in the civilian setting than through the Department of Veterans Affairs (VA), all women's health clinicians should be equipped to provide patient-centered care for women veterans. The health care of women veterans requires evidence-based care informed by population-specific scientific literature. An updated evidence map evaluating women veteran-focused health literature is needed.
To map the scope and breadth of women veterans' health literature published from 2016 to 2023.
In this systematic review, MEDLINE, Embase, and CINAHL Complete were searched for eligible articles published from 2016 to 2023. Articles reporting about US women veterans' health outcomes or on the experience of providing care to women veterans were included. Included articles were required to report patient-level outcomes that included either data for only women veterans or reported results separately for women veterans. Articles were grouped by primary focus area based on categories previously established by the VA Women's Health research agendas and prior evidence maps.
The volume of women veterans' health literature published between 2016 and 2023 of 932 articles was double that of the prior 8 years. The largest portion of this literature was focused on chronic medical conditions (137 articles [15%]), general mental health (203 articles [22%]), and interpersonal violence (121 articles 3[13%]). Areas of greatest growth included reproductive health (physical and mental), pain, suicide, and nonsuicidal self-injury. Additionally, emerging areas of inquiry were found, including military-related toxic exposures and harassment within the health care setting.
In this systematic review of literature focused on the health of women veterans, the volume of literature was found to have doubled and expanded in important areas that aligned with VA research priorities. However, despite the growth in research related to women veterans, several important research gaps remain within this field of study. Research addressing health issues pertinent to a growing and aging women veterans' population will require rigorous research and program evaluations.
女性退伍军人是美国退伍军人中增长最快的亚群体。女性退伍军人除了面临所有女性共有的健康问题外，还经常经历与军事服役相关的健康问题。由于女性退伍军人比起通过退伍军人事务部（VA），更有可能在民用医疗机构接受治疗，因此所有女性健康临床医生都应具备为女性退伍军人提供以患者为中心的护理的能力。女性退伍军人的医疗保健需要基于特定人群科学文献的循证护理。因此需要一份更新的证据图谱来评估以女性退伍军人为重点的健康文献。
梳理2016年至2023年发表的女性退伍军人健康文献的范围和广度。
在这项系统综述中，检索了MEDLINE、Embase和CINAHL Complete数据库，以查找2016年至2023年发表的符合条件的文章。纳入报道美国女性退伍军人健康结果或为女性退伍军人提供护理经验的文章。纳入的文章必须报告患者层面的结果，包括仅针对女性退伍军人的数据或分别报告女性退伍军人的结果。文章根据VA女性健康研究议程和先前的证据图谱先前确定的类别，按主要重点领域进行分组。
2016年至2023年发表的932篇女性退伍军人健康文献数量是前8年的两倍。这些文献中最大的部分集中在慢性疾病（137篇文章[15%]）、一般心理健康（203篇文章[22%]）和人际暴力（121篇文章[13%]）。增长最大的领域包括生殖健康（生理和心理）、疼痛、自杀和非自杀性自伤。此外，还发现了新出现的研究领域，包括与军事相关的有毒暴露和医疗环境中的骚扰。
在这项针对女性退伍军人健康的文献系统综述中，发现文献数量增加了一倍，并且在与VA研究重点一致的重要领域有所扩展。然而，尽管与女性退伍军人相关的研究有所增长，但该研究领域仍存在一些重要的研究空白。针对不断增长和老龄化的女性退伍军人人口的健康问题进行研究将需要严格的研究和项目评估。
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