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. 2018 Jul 20;33(10):1785–1795. doi: 10.1007/s11606-018-4566-8

Table 2.

Summary of Results Reported by Included Articles on Rurality, Trauma, and Sexual Orientation

Number of articles reporting results
Category Results description Veterans and non-Veterans Engaged and non-engaged
Low quality Medium or high quality Low quality Medium or high quality
Rurality Prevalence No difference* 2 6 3 5
Higher for Veterans/engaged 1 1
Higher for non-Veterans/non-engaged 1 1 2
Mixed or unclear results 1 2
Health behaviors
Health services utilization Rurality associated with lower utilization 1 1
Mixed or unclear results 1 1
Health outcomes No association of rurality with general health 1 1
No association of rurality with mental health 3 1
No association of rurality with risk of hospitalization due to ambulatory care sensitive conditions 1 1
Trauma exposure Prevalence No difference* 2 1
Higher for Veterans/engaged 4 4 1
Higher for non-Veterans/non-engaged 3 1
Health behaviors Trauma associated with more smoking 3
Trauma associated with more heavy drinking 2
Unclear association with heavy drinking 1
Unclear association with lack of exercise 1
No association with drug use 1
Accounting for trauma reduced association of Veteran status with more smoking 1
Health services utilization
Health outcomes Trauma associated with more depression 2
Trauma associated with worse general health, days of poor physical health, and days of poor mental health 1
Accounting for trauma reduced association of Veteran status with greater disability 1
Unclear association with mortality risk 1
Sexual orientation Prevalence No difference* 2
Health behaviors
Health services utilization
Health outcomes Sexual minority status associated with higher risk for all-cause mortality 1

Articles may have addressed more than one social determinant, and may or may not have examined the role of social determinants in health behaviors, health services access, and/or various health outcomes

*Non-significant difference or if no statistical testing, < 5% difference