Journal article
Health Care Utilization and Mental Health Diagnoses Among Veterans With Tinnitus
American journal of audiology, Vol.28(1), pp.181-190
01 Apr 2019
PMID: 31022360
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose: Tinnitus is prevalent among military Veterans and may frequently co-occur with mental health disorders. This study examined health care utilization and mental health diagnoses among Veterans with and without tinnitus who receive Department of Veterans Affairs (VA) health care.
Method: We randomly sampled 10% of VA health care users for a 5-year period between 2011 and 2016. Tinnitus and other diagnoses were identified using International Classification of Diseases diagnosis codes; Veterans assigned 1 or more inpatient codes or 2 or more outpatient codes were considered to have the respective diagnosis. We examined demographics, military service, clinical characteristics, and health care utilization of Veterans with and without tinnitus diagnoses. Bivariable and multivariable logistic regression was used to estimate associations between tinnitus and mental health diagnoses of interest.
Results: Among 617,534 eligible Veterans, 3.8% met criteria for tinnitus diagnosis. Prevalence of tinnitus was associated with sex, age, race, marital status, and VA service connection status; additionally, hearing loss and traumatic brain injury were frequently codiagnosed with tinnitus. Veterans with tinnitus had higher annual health care utilization than those without. While controlling for potential confounders, tinnitus diagnoses were associated with mental health diagnoses, including anxiety, depression, and substance use disorders.
Conclusion: Findings suggest that Veterans who are diagnosed with tinnitus have more health care utilization and are more frequently diagnosed with mental health disorders than Veterans who are not diagnosed with tinnitus. This suggests a need for coordinated tinnitus and mental health care services for Veterans in the VA system of care.
Metrics
1 Record Views
Details
- Title
- Health Care Utilization and Mental Health Diagnoses Among Veterans With Tinnitus
- Creators
- Kathleen F. Carlson - VA Portland Health Care SystemTess A. Gilbert - VA Portland Health Care SystemMaya E. O'Neil - VA Portland Hlth Care Syst, VA Rehabil Res & Dev Serv, Natl Ctr Rehabil Auditory Res, Portland, OR 97239 USATara L. Zaugg - VA Portland Health Care SystemCandice A. Manning - VA Portland Health Care SystemChristine Kaelin - VA Portland Health Care SystemEmily J. Thielman - VA Portland Health Care SystemKelly M. Reavis - VA Portland Health Care SystemJames A. Henry - VA Portland Health Care System
- Publication Details
- American journal of audiology, Vol.28(1), pp.181-190
- Publisher
- Amer Speech-Language-Hearing Assoc
- Number of pages
- 10
- Grant note
- SPiRE 121 RX002216-01; C9427S; C9230C / Veterans Health Administration, Office of Research and Development, Rehabilitation Research and Development Service; US Department of Veterans Affairs I21RX002216 / Veterans Affairs; US Department of Veterans Affairs
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Audiology - Distance
- Web of Science ID
- WOS:000466121200005
- Scopus ID
- 2-s2.0-85065425207
- Other Identifier
- 991022058592604721
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Audiology & Speech-language Pathology
- Otorhinolaryngology