Table A4.
Adjusted odds ratios for women's health outcomes by mental health status with additional adjustment for primary care utilization
| No MH Dx N = 40,347 | PTSD (no depression) n = 4,279 | Depression (No PTSD) n = 9,756 | PTSD + Depression n = 11,024 | Other MH Dx n = 6,098 | |||||
|---|---|---|---|---|---|---|---|---|---|
| Sexually Transmitted Infections | Reference | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI |
| Cervical dysplasia | 1 | 1.38 | (1.19, 1.60) | 1.61 | (1.44, 1.79) | 1.45 | (1.30, 1.61) | 1.50 | (1.32, 1.70) |
| Genital herpes | 1 | 1.32 | (1.06, 1.63) | 1.86 | (1.62, 2.14) | 1.57 | (1.36, 1.81) | 1.58 | (1.33, 1.89) |
| Genital warts | 1 | 1.33 | (1.05, 1.69) | 1.66 | (1.41, 1.95) | 1.58 | (1.34, 1.86) | 1.58 | (1.30, 1.92) |
| Chlamydia | 1 | 1.24 | (0.69, 2.23) | 1.57 | (1.04, 2.35) | 1.50 | (1.02, 2.22) | 1.55 | (0.95, 2.53) |
| Gonorrhea | 1 | 2.30 | (1.10, 4.80) | 2.81 | (1.66, 4.77) | 2.66 | (1.58, 4.47) | 1.18 | (0.51, 2.74) |
| Trichomonas | 1 | 1.18 | (0.79, 1.77) | 1.67 | (1.29, 2.17) | 2.13 | (1.68, 2.70) | 1.56 | (1.12, 2.16) |
| Sexually transmitted infections | 1 | 1.34 | (1.10, 1.62) | 1.49 | (1.30, 1.71) | 1.57 | (1.38, 1.79) | 1.47 | (1.25, 1.74) |
| Other Infections | |||||||||
| Urinary tract infections | 1 | 1.42 | (1.27, 1.58) | 1.61 | (1.50, 1.74) | 1.78 | (1.65, 1.91) | 1.57 | (1.43, 1.72) |
| Inflammatory diseases of pelvic organs | 1 | 1.45 | (1.31, 1.60) | 1.53 | (1.42, 1.64) | 1.44 | (1.34, 1.54) | 1.50 | (1.37, 1.63) |
| Candida vaginitis | 1 | 1.31 | (1.09, 1.57) | 1.79 | (1.59, 2.02) | 1.47 | (1.30, 1.66) | 1.70 | (1.46, 1.97) |
| Pain-related Conditions | |||||||||
| Dysmenorrhea | 1 | 1.93 | (1.68, 2.22) | 1.82 | (1.64, 2.02) | 2.07 | (1.88, 2.29) | 1.96 | (1.74, 2.21) |
| Female genital pain and other symptoms | 1 | 1.99 | (1.74, 2.28) | 2.13 | (1.93, 2.34) | 2.41 | (2.20, 2.65) | 2.09 | (1.86, 2.35) |
| Dyspareunia | 1 | 1.80 | (1.36, 2.39) | 2.39 | (1.98, 2.90) | 2.38 | (1.98, 2.88) | 2.36 | (1.89, 2.97) |
| Other Diagnoses | |||||||||
| Abnormal PAP (Not cancer) | 1 | 1.20 | (1.09, 1.32) | 1.42 | (1.32, 1.52) | 1.27 | (1.18, 1.36) | 1.54 | (1.42, 1.67) |
| Endometriosis | 1 | 1.81 | (1.43, 2.29) | 1.66 | (1.40, 1.97) | 2.18 | (1.86, 2.56) | 1.40 | (1.12, 1.76) |
| Infertility | 1 | 1.74 | (1.41, 2.16) | 1.65 | (1.41, 1.93) | 1.70 | (1.46, 1.99) | 1.49 | (1.22, 1.82) |
| Polycystic ovarian syndrome | 1 | 2.06 | (1.61, 2.65) | 2.05 | (1.72, 2.46) | 2.23 | (1.86, 2.66) | 1.85 | (1.48, 2.31) |
| Amenorrhea | 1 | 1.49 | (1.26, 1.77) | 1.83 | (1.62, 2.06) | 1.79 | (1.59, 2.01) | 1.51 | (1.30, 1.75) |
| Sexual dysfunction | 1 | 5.40 | (3.33, 8.75) | 5.76 | (3.93, 8.45) | 6.47 | (4.44, 9.42) | 6.61 | (4.36, 10.04) |
Note. MH= Mental Health, Dx=Diagnoses, PTSD=Post-traumatic stress disorder. Odds ratios are adjusted for age, race, marital status, component type, rank, branch, multiple deployments, type of nearest VA, distance to nearest VA, and number of primary care visits.