• Author: Nicholas A. Livingston
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Factor structure and factorial invariance of scores on the PCL-5, PHQ-8, and GAD-7 across Veterans by sexual orientation and gender identity

Abstract: This study examined whether the 20-item Posttraumatic Stress Disorder Checklist (PCL-5), eight-item Patient Health Questionnaire (PHQ-8), and seven-item Generalized …

LGBQ+ Veteran and service member health and health care: A scoping review of research from 1994 to 2023

Abstract:Background: People who are lesbian, gay, bisexual, queer, and other minoritized sexual orientations (LGBQ+) have served in the US military for generations. Despite …

Using self-identified gender identity data to advance health equity among transgender and gender diverse Veterans in the Veterans Health Administration

Abstract: BACKGROUND: Identification of transgender and gender diverse (TGD) people has been limited to diagnoses and text rather than self-identified gender identity (SIGI), …

Characteristics of Veterans receiving medication for opioid use disorder: An observational cohort study

Abstract:The Veterans Health Administration (VHA) is the largest provider of opioid use disorder (OUD) care in the United States. Providing access to life-saving medications for …

Sex and race-ethnicity influences on opioid overdose deaths among Veterans diagnosed with opioid use disorder between 2016 and 2021

Abstract: Objective: Given increases in opioid overdose rates, and policy changes expanding access to medications for OUD, during the COVID-19 pandemic, we sought to understand how …

Measurement invariance of the PTSD checklist for the DSM-5 (PCL-5) in a Veteran sample

Abstract: The PTSD checklist for the DSM-5 (PCL-5) is among the most widely used measures of posttraumatic stress disorder (PTSD) symptoms. Although its psychometrics are well …

Identifying opioid relapse during COVID-19 using natural language processing of nationwide Veterans Health Administration electronic medical record data

Abstract: Novel and automated means of opioid use and relapse risk detection are needed. Unstructured electronic medical record data, including written progress notes, can be mined …

Opioid overdose, suicide mortality, and premature death among Veterans with alcohol or opioid use disorders: The impact of military sexual trauma

Abstract: Veterans with a history of military sexual trauma (MST + ) are more likely to have substance use disorders (SUD) and may be at an elevated risk of premature death, …

Sex differences in suicide, lethal means, and years of potential life lost among Veterans with substance use disorder

Abstract: Background: Veterans with substance use disorders (SUDs) are at elevated risk of dying by suicide. We examined sex and age differences in rates and means of suicide death …

Women and men Veterans' initiation, engagement, and retention in treatment for substance use disorders: A cross-sectional investigation using VHA administrative data

Abstract: INTRODUCTION: More men have substance use disorders (SUD) in the US compared to women; however, the gender gap is closing, including among US veterans. Little information …

Emergency department visits, inpatient hospitalizations, and nonfatal and fatal drug overdoses during COVID-19 among Veterans with opioid use disorder

Abstract: OBJECTIVE: The COVID-19 pandemic had dramatic adverse impacts on people with opioid use disorder (OUD), as evidenced by significant disruptions to care and unprecedented …

Sexual orientation moderates the association between health care utilization-related factors and mental health service nonutilization among United States military Veterans

Abstract: This study examined mental health treatment nonutilization among sexual minority versus heterosexual Veterans with demonstrated psychiatric need. Data were analyzed from …