Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders |
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| Affiliation: | 1. Department of Orthopaedic Surgery, San Antonio Military Medical Center, Fort Sam Houston, Texas;2. Department of Orthopaedic Surgery, McDonald Army Health Center, Fort Eustis, Virginia;1. Washington DC VA Medical Center, Physical Medicine and Rehabilitation Service, Washington, DC;2. School of Medicine and Health Sciences, George Washington University, Washington, DC;3. Center of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines Jr VA Hospital, US Department of Veterans Affairs, Hines, IL;4. Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL;1. VA Greater Los Angeles Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), Sepulveda, CA, USA;2. Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, CA, USA;3. Denver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care, HSR&D, VA Puget Sound, Seattle, WA, USA;4. Department of Health Services, University of Washington, Seattle, WA, USA;5. Veterans Emergency Management Evaluation Center (VEMEC), North Hills, CA, USA;6. Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA;7. Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, USA |
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| Abstract: | BackgroundStudies suggest that women may be at greater risk for developing chronic pain and pain-related disability.MethodsBecause musculoskeletal disorders (MSD) are the most frequently endorsed painful conditions among veterans, we sought to characterize gender differences in sociodemographic and clinical correlates among veterans upon entry into Veterans Health Administration's Musculoskeletal Disorders Cohort (n = 4,128,008).ResultsWomen were more likely to be younger, Black, unmarried, and veterans of recent conflicts. In analyses adjusted for gender differences in sociodemographics, women were more likely to have diagnoses of fibromyalgia, temporomandibular disorders, and neck pain. Almost one in five women (19.4%) had more than one MSD diagnosis, compared with 15.7% of men; this higher risk of MSD multimorbidity remained in adjusted analyses. Adjusting for sociodemographics, women with MSD were more likely to have migraine headache and depressive, anxiety, and bipolar disorders. Women had lower odds of cardiovascular diseases, substance use disorders, and several MSDs, including back pain conditions. Men were more likely to report “no pain” on the pain intensity Numeric Rating Scale, whereas more women (41%) than men (34%) reported moderate to severe pain (Numeric Rating Scale 4+).ConclusionsBecause women veterans are more likely to have conditions such as fibromyalgia and mental health conditions, along with greater pain intensity in the setting of MSD, women-specific pain services may be needed. |
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