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Pain among Veterans of Operations Enduring Freedom and Iraqi Freedom: Do Women and Men Differ?
Pain Medicine, 10/13/09

Haskell SG et al. – As the Veterans Administration (VA) plans care for the increasing numbers of female Veterans returning from Iraq and Afghanistan, a better understanding of the prevalence of pain, as well as sex–specific variations in the experience and treatment of pain, is important for policy makers and providers who seek to improve identification and management of diverse pain disorders.

• The observational cohort consisted of Veterans discharged from the U.S. military from October 1, 2001 to November 30, 2007 that enrolled for Veterans Administration (VA) services or received VA care before January 1, 2008.
• The authors limited the sample to the 153,212 Veterans (18,481 female, 134,731 male) who had 1 year of observation after their last deployment.

• Pain was assessed in 59.7% (n = 91,414) of Veterans in this sample.
• Among those assessed, 43.3% (n = 39,591) reported any pain, 63.2% (n = 25,028) of whom reported moderate–severe pain.
• Over 20% (n = 3,427) of Veterans with repeated pain measures reported persistent pain.
• The authors found no significant difference in the probability of pain assessment by sex.
• Female Veterans were less likely to report any pain.
• Among those with any pain, female Veterans were more likely to report moderate–severe pain and less likely to report persistent pain.

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