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Rural native veterans in the Veterans Health Administration: characteristics and service utilization patterns.

Carol E Kaufman¹, Elizabeth Brooks, L Jeanne Kaufmann

¹Centers for American Indian and Alaskan Native Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045, USA. carol.kaufman@ucdenver.edu

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association

|June 28, 2013

Summary

Rural Native American veterans accessing VA healthcare are younger, more likely female, and have higher service-connected disabilities than non-Native veterans. Understanding these differences is key for targeted health policies.

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Area of Science:

Health Services Research
Rural Health
Health Disparities

Background:

Native American veterans disproportionately reside in rural areas.
The Department of Veterans Affairs (VA) and Indian Health Service (IHS) aim to improve care for Native veterans through a 2010 Memorandum of Understanding.

Purpose of the Study:

To describe the demographic and service use profile of rural Native American veterans accessing VA healthcare.
To compare these characteristics with those of rural non-Native veterans.

Main Methods:

Data were extracted from the 2008 Veteran Health Administration (VHA) medical dataset.
A comparative analysis was conducted between rural Native American veterans and rural non-Native veterans.

Main Results:

Rural Native American veterans were more likely to be highly rural (8% vs 2%) and younger than non-Native veterans.
While having fewer diagnoses on average, they were more likely to have served in combat and possess higher service-connected disability ratings.
Rural Native American veterans were more likely to be female and had similar median incomes compared to their non-Native counterparts.

Conclusions:

Significant demographic and service-related differences exist between rural Native American and non-Native veterans utilizing VA care.
Identifying these specific characteristics is crucial for developing effective policies and programs tailored to rural Native American veterans.