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Sexually Transmitted Infection Testing and Prevalence Among Veterans With and Without Military Sexual Trauma.

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Military sexual trauma (MST) is linked to higher sexually transmitted infection (STI) risk in male Veterans, but not female Veterans. This study highlights a critical health disparity in STI acquisition among male service members with a history of MST.

Keywords:
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Area of Science:

  • Veterans Health Administration
  • Military Sexual Trauma (MST)
  • Sexually Transmitted Infections (STIs)

Background:

  • Universal screening for MST in the Veterans Health Administration (VHA) since 2001 has identified significant prevalence among female and male Veterans.
  • MST is known to negatively impact physical and mental health and is associated with increased risk of STIs.
  • However, the specific association between MST and STI risk in Veterans remains understudied.

Purpose of the Study:

  • To evaluate STI testing rates, prevalence, and acquisition risk among Veterans receiving VHA care in 2022.
  • To compare these metrics between Veterans with and without a history of MST.

Main Methods:

  • A retrospective cohort study was conducted using VHA data from 2022.
  • Participants included all Veterans in VHA care during 2022 who had completed MST screening questions.
  • Data on STI testing and infection were extracted for the study period.

Main Results:

  • Nearly 6.4 million Veterans were included; 35% of females and 2% of males reported MST.
  • Male Veterans with MST showed higher STI prevalence (0.7% vs. 0.2%) compared to those without MST.
  • Among tested male Veterans, MST was associated with a 23% increased odds of acquiring an STI, while no significant difference was observed in female Veterans.

Conclusions:

  • MST is associated with an increased risk of STI acquisition in male Veterans tested for STIs.
  • This association was not observed in female Veterans, suggesting potential differences in healthcare utilization, sexual behaviors, or mental health sequelae.
  • Further research is needed to understand the underlying reasons for this gender-specific disparity in STI risk post-MST.