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Journal of Addictive Diseases

Volume 32, 2013 - Issue 2
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ARTICLES

Substance Use Among Women Veterans: Epidemiology to Evidence-Based Treatment

Michael A. Cucciare PhD Center for Health Care Evaluation , Veterans Affairs Palo Alto Health Care System , Menlo Park , California , USA
,
Tracy Simpson PhD Center of Excellence in Substance Abuse Treatment and Education , VA Puget Sound Health Care System , Seattle , Washington , USA ; Department of Psychiatry and Behavioral Sciences , University of Washington, School of Medicine , Seattle , Washington , USA
,
Katherine J. Hoggatt PhD Center for the Study of Healthcare Provider Behavior , Veterans Affairs Greater Los Angeles Health Care System , Los Angeles , California , USA
,
Elizabeth Gifford PhD Center for Health Care Evaluation , Veterans Affairs Palo Alto Health Care System , Menlo Park , California , USA ; Program Evaluation Resource Center , Veterans Affairs Palo Alto Health Care System , Menlo Park , California , USA
&
Christine Timko PhD Center for Health Care Evaluation , Veterans Affairs Palo Alto Health Care System , Menlo Park , California , USA ; Department of Psychiatry and Behavioral Sciences , Stanford University School of Medicine , Stanford , California , USA
Pages 119-139
Accepted author version posted online: 23 Apr 2013
Published online:01 Jul 2013
 
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ARTICLES

Substance Use Among Women Veterans: Epidemiology to Evidence-Based Treatment

Abstract

An increasing percentage of women are U.S. Military Veterans. We review the substance misuse rates and comorbidities and the risk factors for and consequences of substance use among women Veterans. Women Veterans may have higher rates of substance misuse and comorbid psychiatric and medical disorders than male Veterans and women who are not Veterans. Studies support the AUDIT-C as a scaled marker of alcohol-related risk among female Veterans, but validated drug screening instruments are needed. We discuss evidence-based approaches in terms of treating women Veterans’ substance misuse in primary and specialty care settings, along with knowledge gaps and potential research priorities to improve care in this special population.

Acknowledgments

This article is not subject to U.S. copyright law.

This research was supported by a Career Development Award–2 (CDA 08-004-3) to Dr. Michael A. Cucciare by the Department of Veterans Health Services Research and Development Service. Dr. Katherine J. Hoggatt is funded through a VA HSR&D QUERI Career Development Award (CDA 11-261) at the VA Greater Los Angeles and has received additional support from the VA Office of Academic Affiliations. This work was also supported by the Department of Veterans Affairs (VA) Office of Research and Development Health Services Research & Development Service, RCS 00-001 (awarded to Dr. Christine Timko).

The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government.

 

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