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Association of Cardiovascular Risk Factors With Mental Health Diagnoses in Iraq and Afghanistan War Veterans Using VA Health Care
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To the Editor: Studies of veterans from prior wars have found that those with posttraumatic stress disorder (PTSD) are at significantly increased risk of developing and dying from cardiovascular disease.1-3 To our knowledge, cardiovascular disease risk has not been evaluated in veterans from the current conflicts in Iraq and Afghanistan. We examined the association of PTSD and other mental disorders with cardiovascular risk factors using national data from veterans of Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) who sought care at Department of Veterans Affairs (VA) facilities.
Methods
The data source was the VA OEF/OIF Roster, containing demographic and military service information on the 41% of eligible OEF/OIF veterans who have accessed VA health care. The study population consisted of 303 223 veterans who were new users of VA health care from October 7, 2001 (the start of OEF), to September 30, 2008. Data were linked to inpatient and outpatient VA electronic health . . . [Full Text of this Article]
Beth E. Cohen, MD, MAS
beth.cohen@va.gov
Department of Medicine
Charles Marmar, MD
Department of Psychiatry
Li Ren, MS
Department of Medicine
Daniel Bertenthal, MPH
Health Services Research Enhancement Award Program
Karen H. Seal, MD, MPH
Department of Medicine
San Francisco Department of Veterans Affairs Medical Center
San Francisco, California
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