{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T05:15:02Z","timestamp":1774242902989,"version":"3.50.1"},"reference-count":44,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,9,19]],"date-time":"2013-09-19T00:00:00Z","timestamp":1379548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Headache"],"published-print":{"date-parts":[[2013,11]]},"abstract":"\n Objective<\/jats:title>\n \n To examine the prevalence and correlates of headache diagnoses, by gender, among\n I<\/jats:styled-content>\n raq and\n A<\/jats:styled-content>\n fghanistan\n W<\/jats:styled-content>\n ar\n V<\/jats:styled-content>\n eterans who use\n D<\/jats:styled-content>\n epartment of\n V<\/jats:styled-content>\n eterans\n A<\/jats:styled-content>\n ffairs (\n VA<\/jats:styled-content>\n ) health care.\n <\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n \n Understanding the health care needs of recent Veterans, and how these needs differ between women and men, is a priority for the\n VA<\/jats:styled-content>\n . The potential for a large burden of headache disorders among Veterans seeking\n VA<\/jats:styled-content>\n services exists but has not been examined in a representative sample.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n We conducted a historical cohort study using national\n VA<\/jats:styled-content>\n inpatient and outpatient data from fiscal year 2011. Participants were all (n\u2009=\u2009470,215)\n I<\/jats:styled-content>\n raq and\n A<\/jats:styled-content>\n fghanistan\n W<\/jats:styled-content>\n ar\n V<\/jats:styled-content>\n eteran\n VA<\/jats:styled-content>\n users in 2011; nearly 13% were women. We identified headache diagnoses using\n I<\/jats:styled-content>\n nternational\n C<\/jats:styled-content>\n lassification of\n D<\/jats:styled-content>\n iseases (\n ICD<\/jats:styled-content>\n \u20109) diagnosis codes assigned during one or more\n VA<\/jats:styled-content>\n inpatient or outpatient encounters. Descriptive analyses included frequencies of patient characteristics, prevalence and types of headache diagnoses, and prevalence of comorbid diagnoses. Prevalence ratios (\n PR<\/jats:styled-content>\n ) with 95% confidence intervals (\n CI<\/jats:styled-content>\n ) were used to estimate associations between gender and headache diagnoses. Multivariate models adjusted for age and race. Additional models also adjusted for comorbid diagnoses.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In 2011, 56,300 (11.9%) Veterans received a headache\u2010related diagnosis. While controlling for age and race, headache diagnoses were 1.61 times more prevalent (95%\n CI<\/jats:styled-content>\n \u2009=\u20091.58\u20101.64) among women (18%) than men (11%). Most of this difference was associated with migraine diagnoses, which were 2.66 times more prevalent (95%\n CI<\/jats:styled-content>\n \u2009=\u20092.59\u20102.73) among women. Cluster and post\u2010traumatic headache diagnoses were less prevalent in women than in men. These patterns remained the same when also controlling for comorbid diagnoses, which were common among both women and men with headache diagnoses. The most prevalent comorbid diagnoses examined were depression (46% of women with headache diagnoses vs 40% of men), post\u2010traumatic stress disorder (38% vs 58%), and back pain (38% vs 46%).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Results of this study have implications for the delivery of post\u2010deployment health services to\n I<\/jats:styled-content>\n raq and\n A<\/jats:styled-content>\n fghanistan\n W<\/jats:styled-content>\n ar\n V<\/jats:styled-content>\n eterans. Migraine and other headache diagnoses are common among Veterans, particularly women, and tend to occur in combination with other post\u2010deployment health conditions for which patients are being treated.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/head.12216","type":"journal-article","created":{"date-parts":[[2013,10,8]],"date-time":"2013-10-08T11:25:43Z","timestamp":1381231543000},"page":"1573-1582","source":"Crossref","is-referenced-by-count":22,"title":["Headache Diagnoses Among\n I<\/scp>\n raq and\n A<\/scp>\n fghanistan War Veterans Enrolled in\n VA<\/scp>\n : A Gender Comparison"],"prefix":"10.1111","volume":"53","author":[{"given":"Kathleen F.","family":"Carlson","sequence":"first","affiliation":[{"name":"Portland Center for the Study of Chronic, Comorbid Mental and Physical Disorders Portland VA Medical Center (R&D 66) Portland OR"},{"name":"Department of Public Health and Preventive Medicine Oregon Health and Science University Portland OR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brent C.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Minneapolis VA Healthcare System (152\/2E) Center for Chronic Disease Outcomes Research Minneapolis MN"},{"name":"Department of Medicine University of Minnesota Medical School Division of Epidemiology and Community Health, School of Public Health University of Minnesota Minneapolis MN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily M.","family":"Hagel","sequence":"additional","affiliation":[{"name":"Minneapolis VA Healthcare System (152\/2E) Center for Chronic Disease Outcomes Research Minneapolis MN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Cutting","sequence":"additional","affiliation":[{"name":"Minneapolis VA Healthcare System (152\/2E) Center for Chronic Disease Outcomes Research Minneapolis MN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Kerns","sequence":"additional","affiliation":[{"name":"Pain Research, Informatics, Multimorbidities, and Education (PRIME) Center VA Connecticut Healthcare System (11ACSLG) West Haven CT"},{"name":"Departments of Psychiatry, Neurology and Psychology Yale University West Haven CT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina A.","family":"Sayer","sequence":"additional","affiliation":[{"name":"Minneapolis VA Healthcare System (152\/2E) Center for Chronic Disease Outcomes Research Minneapolis MN"},{"name":"Departments of Medicine, Psychiatry, and Psychology University of Minnesota Medical School Minneapolis MN"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,9,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.29.020907.090940"},{"key":"e_1_2_9_3_1","unstructured":"Department of Veterans Affairs Veterans Health Administration Women Veterans Health Strategic Health Care Group.Women Veterans Health Care: On the frontlines of VA women's health: enhancing services for women veterans. August 2011. Available at:http:\/\/www.womenshealth.va.gov\/WOMENSHEALTH\/docs\/WVHC_ProgressReport_082011.pdf(Accessed July 1 2013)."},{"key":"e_1_2_9_4_1","unstructured":"Department of Veterans Affairs Veterans Health Administration Office of Patient Care Services.Women Veterans Health Care: The changing face of women veterans. March 2012. Available at:http:\/\/www.womenshealth.va.gov\/WOMENSHEALTH\/facts.asp(Accessed July 1 2013)."},{"key":"e_1_2_9_5_1","unstructured":"Department of Veterans Affairs.Health benefits: Returning service members (OEF\/OIF\/OND). August 2012. Available at:http:\/\/www.va.gov\/healthbenefits\/apply\/returning_servicemembers.asp(Accessed July 1 2013)."},{"key":"e_1_2_9_6_1","unstructured":"Department of Veterans Affairs Veterans Health Administration Office of Public Health.Analysis of VA health care utilization among Operation Enduring Freedom (OEF) Operation Iraqi Freedom (OIF) and Operation New Dawn (OND) veterans. March 2013. 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