{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T06:48:29Z","timestamp":1768805309367,"version":"3.49.0"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>United States Veterans experiencing homelessness often have myriad health concerns that can impact their functioning. Native Hawaiian or Pacific Islander (NHPI) homeless Veterans are up to 82% more likely to have a traumatic brain injury (TBI) diagnosis than non-NHPI homeless Veterans, which can further impact these Veterans\u2019 psychosocial functioning. The Department of Veterans Affairs (VA) offers services to address the health and social needs of these Veterans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We examined VA electronic medical record data from 12,205 NHPI Veterans identified as homeless from 1\/2005\u20137\/2024. We calculated VA service use (i.e., homeless, justice, emergency, primary care, rehabilitative, mental health, and all other VA service settings) among NHPI homeless Veterans using Veteran electronic medical record data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After accounting for sex, age, and VA service-connected disability, NHPI homeless Veterans with a documented TBI diagnosis were significantly more likely to access and use VA services across service settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>NHPI homeless Veterans with TBI histories likely access various types of VA services; as such, wraparound care (e.g., Homeless Patient Aligned Care Teams; case management) are critical for managing care needs. Future research should examine factors that facilitate engagement in and benefit from VA health and social services among these Veterans.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1639888","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T05:27:58Z","timestamp":1758259678000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Traumatic brain injury and VA service use among Native Hawaiian and Pacific Islander Veterans experiencing homelessness"],"prefix":"10.3389","volume":"13","author":[{"given":"Ryan","family":"Holliday","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey","family":"Monteith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shawn","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Lum","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marissa","family":"Sia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gayle","family":"Iwamasa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darrin","family":"Aase","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rishi","family":"Deka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiloh","family":"Jordan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Kindler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa A.","family":"Brenner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"ref1","year":"2024"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e2353778","DOI":"10.1001\/jamanetworkopen.2023.53778","article-title":"Changes in homelessness among US Veterans after implementation of the ending Veteran homelessness initiative","volume":"7","author":"O\u2019Toole","year":"2024","journal-title":"JAMA Netw Open"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"774","DOI":"10.1016\/j.amepre.2020.12.012","article-title":"The problem of Veteran homelessness: an update for the new decade","volume":"60","author":"Tsai","year":"2021","journal-title":"Am J Prev Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1429","DOI":"10.2105\/AJPH.2022.306969","article-title":"Trends in collection of disaggregated Asian American, native Hawaiian, and Pacific islander data: opportunities in federal health surveys","volume":"112","author":"Nguyen","year":"2022","journal-title":"Am J Public Health"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1438","DOI":"10.7205\/MILMED-D-12-00214","article-title":"Mental health of Asian American and Pacific Islander military Veterans: brief review of an understudied group","volume":"177","author":"Tsai","year":"2012","journal-title":"Mil Med"},{"key":"ref6","article-title":"Traumatic brain injury among Native Hawaiian and Pacific Islander Veterans accessing VHA homeless services: A preliminary examination. 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