Table 1.
Characteristics of VA outpatients with unhealthy alcohol use (AUDIT-C ≥ 5): Overall and for transgender and non-transgender patientsa
| Transgender (N=1,392) |
Non-Transgender (N=1,404,342) |
p-value | Total (N=1,405,734) |
||||
|---|---|---|---|---|---|---|---|
| N | (%) | N | (%) | N | (%) | ||
| Documented as Female in EHR | 375 | (26.9) | 55,078 | (3.9) | <0.001 | 55,453 | (3.9) |
| Age categories | <0.001 | ||||||
| <50 | 709 | (50.9) | 523,616 | (37.3) | 524,325 | (37.3) | |
| 50–65 | 539 | (38.7) | 535,731 | (38.2) | 536,270 | (38.2) | |
| >65 | 144 | (10.3) | 344,995 | (24.6) | 345,139 | (24.6) | |
| Race/ethnicity | <0.001 | ||||||
| Black/African American | 175 | (12.6) | 246,490 | (17.6) | 246,665 | (17.6) | |
| Hispanic/Latino | 78 | (5.6) | 98,071 | (7.0) | 98,149 | (7.0) | |
| White | 1,045 | (75.1) | 980,311 | (69.8) | 981,356 | (69.8) | |
| Other | 47 | (3.4) | 38,353 | (3.1) | 38,400 | (2.7) | |
| Unknown | 47 | (3.4) | 41,117 | (2.9) | 41,164 | (2.9) | |
| Financial hardship/VA copay status | <0.001 | ||||||
| Copay required | 131 | (9.4) | 281,345 | (20.0) | 281,476 | (20.0) | |
| No copay required (disability) | 417 | (30.0) | 324,778 | (23.1) | 325,195 | (23.1) | |
| No copay required (means/other) | 571 | (41.0) | 497,238 | (35.4) | 497,809 | (35.4) | |
| Unassigned | 273 | (19.6) | 300,981 | (21.4) | 301,254 | (21.4) | |
| Marital status | <0.001 | ||||||
| Divorced/Separated | 581 | (41.7) | 480,730 | (34.2) | 481,284 | (34.2) | |
| Married | 310 | (22.3) | 587,176 | (41.8) | 587,486 | (41.8) | |
| Never married/Single | 453 | (32.5) | 273,503 | (19.5) | 273,956 | (19.5) | |
| Widowed | 35 | (2.5) | 55,613 | (4.0) | 55,648 | (4.0) | |
| Unknown/Missing | 13 | (0.9) | 7,347 | (0.5) | 7,360 | (0.5) | |
| Hepatitis C | 83 | (6.0) | 58,580 | (4.2) | 0.001 | 58,663 | (4.2) |
| HIV | 35 | (2.5) | 5,305 | (0.4) | <0.001 | 5,340 | (0.4) |
| Charlson Score (w/o HIV) | 0.003 | ||||||
| 0 | 1,013 | (72.8) | 982,895 | (68.6) | 963,908 | (68.6) | |
| 1 | 220 | (15.8) | 250,552 | (17.8) | 250,772 | (17.8) | |
| ≥2 | 159 | (11.4) | 190,895 | (13.6) | 191,054 | (13.6) | |
| Any mental health conditionb | 938 | (67.4) | 540,023 | (38.5) | <0.001 | 540,961 | (38.5) |
| Any non-alcohol SUDc | 517 | (37.1) | 414,955 | (29.6) | <0.001 | 415,472 | (29.6) |
| Smoking status | 0.009 | ||||||
| Current smoking | 742 | (53.3) | 687,705 | (49.0) | 688,447 | (49.0) | |
| Former smoking | 289 | (20.8) | 316,913 | (22.6) | 317,202 | (22.6) | |
| Never smoking | 275 | (19.8) | 294,678 | (21.0) | 294,953 | (21.0) | |
| Unknown smoking status | 86 | (6.2) | 105,046 | (7.5) | 105,132 | (7.5) | |
| AUDIT-C Score | 0.030 | ||||||
| 5 | 422 | (30.3) | 478,022 | (34.0) | 478,444 | (34.0) | |
| 6 | 277 | (19.9) | 257,423 | (18.3) | 257,700 | (18.3) | |
| 7 | 173 | (12.4) | 175,938 | (12.5) | 176,111 | (12.5) | |
| 8 | 148 | (10.6) | 157,791 | (11.2) | 157,939 | (11.2) | |
| 9 | 111 | (8.0) | 94,976 | (6.8) | 95,087 | (6.8) | |
| 10 | 114 | (8.2) | 107,348 | (7.6) | 107,462 | (7.6) | |
| 11 | 67 | (4.8) | 53,118 | (3.8) | 53,185 | (3.8) | |
| 12 | 80 | (5.8) | 79,726 | (5.7) | 79,806 | (5.7) | |
AUDIT-C, Alcohol Use Disorders Identification Consumption; EHR, electronic health record; sd, standard deviation; SUD, substance use disorder; VA, Veterans Health Administration
Transgender patients were identified based on documented ICD diagnoses in the electronic health record.
Includes major depressive disorder, other depression, post-traumatic stress disorder, anxiety disorders, other mood disorders, bipolar disorder, psychoses, and schizophrenia.
Includes amphetamine use disorder, cocaine use disorder, opioid use disorder, cannabis use disorder, hallucinogen use disorder, sedative use disorder, and tobacco use disorder.