265072 Gender stratified factors associated with Major Depression among Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans seeking VA Health Care

Monday, October 29, 2012 : 9:30 AM - 9:50 AM

Nkemka Esiobu, MPH , Women Veterans Cohort Study, Yale School of Medicine, West Haven, CT
Harini Bathulapalli, MPH , PRIME Research Center, VA Connecticut Healthcare, Yale University, West Haven, CT
E. Jennifer Edelman, MD, MPH , Robert Wood Johnson Clinical Scholar, Yale School of Medicine, West Haven VA, West Haven, CT
Joseph Erdos, MD, PhD , Psychiatry, Medical Informatics, Yale School of Medicine, West Haven VA, West Haven, CT
Kirsha Gordon, MS , Yale School of Medicine, West Haven VA, West Haven, FL
Joseph Goulet, PhD , Internal Medicine, Psychiatry, Yale University School of Medicine, West Haven, CT
Sally Haskell, MD , Internal Medicine, Yale School of Medicine, West Haven VA, West Haven, CT
Amy Justice , VA Connecticut Healthcare System, Yale University, West Haven, CT
Cynthia Brandt, MD, MPH , Medical Informatics, Yale University, New Haven, CT
The female Veteran population has increased significantly in size and diversity. Previous studies have seen higher rates of major depression among returning female OEF/OIF Veterans. To explore the mental health needs of this growing and unique population, we identified socio-demographic and clinical characteristics associated with major depression diagnoses in returning Veterans and determined if and how they differed by gender. We obtained data from the VA OEF/OIF roster and VA clinical/administrative databases including all personnel discharged from the U.S. military from October 1, 2001 to September 2010. Multivariable logistic regression models were used to determine associations with major depression. Results confirmed that female Veterans were more likely to have a major depression diagnosis (8.7% vs 5.1%, p<.0001; OR=1.76). In female Veterans, factors associated with major depression after adjustment were Hispanic ethnicity (OR = 1.26), other psychiatric Illnesses (OR=5.41 ), alcohol abuse disorder (OR=2.48), substance abuse disorder (OR=1.90 ), service connected disability (100% OR = 5.41), back/joint disorder (OR=1.57 ), and hypertension (OR = 1.35 ). Among male Veterans, in addition to the above factors, not identifying as White, Black, or Hispanic (aka “Other” ) (OR=1.14 ) and older age (10 year OR=1.06 ) were associated with major depression. Race/ethnicity and age were associated differently with major depression within each gender group and service connected disability had a much higher association with major depression in women. Further research on gender differences in the relationship between major depression and disability, age, and race/ethnicity is needed in this cohort.

Learning Areas:
Clinical medicine applied in public health
Occupational health and safety
Provision of health care to the public
Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify factors associated with Major depression by gender among Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans seeking VA Health Care

Keywords: Women's Health, Veterans' Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I graduated with an MPH (Epidemiology concentration) from the University of Florida and I am currently a second year medical student at Yale School of Medicine. I have 4 years of research experience and worked closely under Dr. Cynthia Brandt who is a principal investigator in the federally funded Women Veterans Cohort Study. My interests include gender, racial, and ethnic health disparities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.