VA health care utilization and costs among male and female veterans in the year after service in Afghanistan and Iraq

UMMS Affiliation

Department of Quantitative Health Sciences

Publication Date


Document Type



Adult; Afghan Campaign 2001-; Ambulatory Care; Female; Health Services; Hospitalization; Humans; Iraq War, 2003-2011; Linear Models; Male; Mental Health Services; United States; United States Department of Veterans Affairs; *Veterans


Health and Medical Administration | Women's Health


The objective of this study was to compare the 1-year VA health care service use and costs between male and female Veterans returning from deployment in Afghanistan and Iraq. Using VA administrative data, measures of health care service use and costs were computed for male and female veterans in the year after last deployment. Service use and cost measures included inpatient care, outpatient care, prescription drugs, and fee basis care. Unadjusted differences by gender were evaluated using chi-square and t-tests, and differences adjusted for age, race/ethnicity, education, branch of service, rank, and service-connected status were evaluated using generalized linear models with log links. Study findings indicated that although unadjusted total costs were higher for males than females, this difference did not remain after adjusting for covariates. However, adjusted inpatient costs were lower for women compared to those for men, and outpatient and pharmacy costs were higher.

DOI of Published Version



Mil Med. 2011 Mar;176(3):265-9.

Journal/Book/Conference Title

Military medicine

Related Resources

Link to Article in PubMed

PubMed ID