{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T20:47:22Z","timestamp":1788641242122,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,4,12]],"date-time":"2017-04-12T00:00:00Z","timestamp":1491955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["IIR 12\u2013084"],"award-info":[{"award-number":["IIR 12\u2013084"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["150HX001240"],"award-info":[{"award-number":["150HX001240"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Evaluate the association of military sexual trauma (MST) screen status with eating disorder diagnoses among veterans within 1\u2010 and 5\u2010years after initiating Veterans Health Administration (VHA) care, and whether the association varied by sex.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Retrospective cohort study of US Afghanistan\/Iraq veterans who used VHA services between FY 2004 and 2014 (<jats:italic>N<\/jats:italic>\u2009=\u2009595,525). This study used VHA administrative data to assess the presence of eating disorder diagnoses in medical records within 1\u2010 and 5\u2010years of initiating VHA care, and whether a positive screen for MST was associated with eating disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three percent (<jats:italic>n<\/jats:italic>\u2009=\u200918,488) screened positive for MST. At 1\u2010 and 5\u2010year follow up, 0.1% (<jats:italic>n<\/jats:italic>= 513, 74% female), and 0.2% (<jats:italic>n<\/jats:italic>\u2009=\u2009504, 71% female) were diagnosed with an eating disorder, respectively. In regression models adjusted for demographic variables, military service, and psychiatric comorbidities, the presence of an eating disorder diagnosis was nearly two times higher among those with a positive screen for MST in the 1\u2010year (adjusted odds ratio [AOR]\u2009=\u20091.94, 95% confidence interval [CI]\u2009=\u20091.57\u20132.40) and 5\u2010year (AOR\u2009=\u20091.86, 95%CI\u2009=\u20091.49\u20132.32) cohorts. The increased likelihood conferred by MST for an eating disorder diagnosis was differentially stronger among male veterans than female veterans in the 1\u2010year cohort only (AOR = 2.13, 95%CI = 1.01\u20134.50).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Veterans with a positive screen for MST, especially male veterans, had a nearly two\u2010fold increased likelihood of having an eating disorder diagnosis. Screening for eating disorders may be important in both male and female veterans who report MST.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22705","type":"journal-article","created":{"date-parts":[[2017,4,12]],"date-time":"2017-04-12T07:26:38Z","timestamp":1491981998000},"page":"808-816","source":"Crossref","is-referenced-by-count":38,"title":["Military sexual trauma is associated with post\u2010deployment eating disorders among Afghanistan and Iraq veterans"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2483-1576","authenticated-orcid":false,"given":"Rebecca K.","family":"Blais","sequence":"first","affiliation":[{"name":"Informatics, Decision Enhancement, and Analytic Sciences Center, VA Salt Lake City Health Care System Salt Lake City Utah"},{"name":"Department of Psychology Utah State University Logan Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Brignone","sequence":"additional","affiliation":[{"name":"Informatics, Decision Enhancement, and Analytic Sciences Center, VA Salt Lake City Health Care System Salt Lake City Utah"},{"name":"Department of Psychology Utah State University Logan Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shira","family":"Maguen","sequence":"additional","affiliation":[{"name":"Department of OEF\/OIF Integrated Care Clinic San Francisco VA Medical Center San Francisco California"},{"name":"Medical School, University of California San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjorie E.","family":"Carter","sequence":"additional","affiliation":[{"name":"Informatics, Decision Enhancement, and Analytic Sciences Center, VA Salt Lake City Health Care System Salt Lake City Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamison D.","family":"Fargo","sequence":"additional","affiliation":[{"name":"Informatics, Decision Enhancement, and Analytic Sciences Center, VA Salt Lake City Health Care System Salt Lake City Utah"},{"name":"Department of Psychology Utah State University Logan Utah"},{"name":"National Center for Homelessness Among Veterans, VA Medical Center Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adi V.","family":"Gundlapalli","sequence":"additional","affiliation":[{"name":"Informatics, Decision Enhancement, and Analytic Sciences Center, VA Salt Lake City Health Care System Salt Lake City Utah"},{"name":"Department of Internal Medicine University of Utah School of Medicine Salt Lake City Utah"},{"name":"Department of Biomedical Informatics University of Utah School of Medicine Salt Lake City Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,12]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Agency for Healthcare Research and Quality. HCUP Clinical Classifications Software (CCS) for ICD\u20109\u2010CM. Healthcare Cost and Utilization Project (HCUP). 2006\u20132009. Rockville MD.: Agency for Healthcare Research and Quality. Available at:www.hcup-us.ahrq.gov\/toolssoftware\/ccs\/ccs.jsp."},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington DC: American Psychiatric Association.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22454"},{"key":"e_1_2_7_6_1","unstructured":"Blais R. K. Brignone E. Fargo J. M. &Gundlapalli A. V.(2016).Military sexual trauma in U.S. women service members\/Veterans: Associations of rank ethnicity assault by fellow unit members with inaccurate disclosure of sexual assault. 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