Trauma and Substance Use Disorders in Rural and Urban Veterans

David L. Nash, Jamie Wilkinson, Bryce Paradis, Stephanie Kelley, Ahsan Naseem, Kathleen M. Grant

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Context: Disparities in the prevalence, morbidity, and mortality of multiple mental health conditions have been described between rural and urban populations. However, there is limited information regarding differences in exposure to trauma and trauma-related mental health conditions in these populations. Given the number of veterans who are returning to rural communities after serving in Operation Enduring Freedom and Operation Iraqi Freedom, differences in trauma exposure are of particular relevance. Trauma exposure is related to a variety of mental health disorders including substance use disorders (SUD). Purpose: The objectives of this preliminary study were to describe lifetime military and nonmilitary trauma and to compare trauma history between rural and urban veterans in SUD treatment. Methods: Sixty adults in SUD treatment were enrolled at 3 Veterans Health Administration sites in Nebraska over a 3-month period in 2008. Subjects completed an interview with study staff, which assessed SUD diagnoses and childhood, lifetime, and military trauma. Rural or urban status was determined by self-report of childhood residence. Childhood trauma, lifetime trauma, and response to military trauma were compared between rural and urban veterans. Findings: Although there were no significant differences in trauma exposure between rural and urban groups, there was an association between specific types of trauma and measures typically associated with increased substance abuse severity and poorer SUD treatment outcome. Conclusion: This is the first study, to our knowledge, which compared trauma exposure between rural and urban veterans and identified an association between childhood trauma exposure and multiple SUD treatment attempts. No claim to original US government works.

Original languageEnglish (US)
Pages (from-to)151-158
Number of pages8
JournalJournal of Rural Health
Volume27
Issue number2
DOIs
StatePublished - Mar 1 2011

Fingerprint

Veterans
Substance-Related Disorders
Wounds and Injuries
Mental Health
2003-2011 Iraq War
Rural Population
Afghan Campaign 2001-
Veterans Health
United States Department of Veterans Affairs
Urban Population
Multiple Trauma
Mental Disorders
Self Report
Therapeutics
Interviews

Keywords

  • Rural
  • Substance abuse
  • Substance use disorders
  • Trauma
  • Veteran

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Nash, D. L., Wilkinson, J., Paradis, B., Kelley, S., Naseem, A., & Grant, K. M. (2011). Trauma and Substance Use Disorders in Rural and Urban Veterans. Journal of Rural Health, 27(2), 151-158. https://doi.org/10.1111/j.1748-0361.2010.00326.x

Trauma and Substance Use Disorders in Rural and Urban Veterans. / Nash, David L.; Wilkinson, Jamie; Paradis, Bryce; Kelley, Stephanie; Naseem, Ahsan; Grant, Kathleen M.

In: Journal of Rural Health, Vol. 27, No. 2, 01.03.2011, p. 151-158.

Research output: Contribution to journalArticle

Nash, DL, Wilkinson, J, Paradis, B, Kelley, S, Naseem, A & Grant, KM 2011, 'Trauma and Substance Use Disorders in Rural and Urban Veterans', Journal of Rural Health, vol. 27, no. 2, pp. 151-158. https://doi.org/10.1111/j.1748-0361.2010.00326.x
Nash DL, Wilkinson J, Paradis B, Kelley S, Naseem A, Grant KM. Trauma and Substance Use Disorders in Rural and Urban Veterans. Journal of Rural Health. 2011 Mar 1;27(2):151-158. https://doi.org/10.1111/j.1748-0361.2010.00326.x
Nash, David L. ; Wilkinson, Jamie ; Paradis, Bryce ; Kelley, Stephanie ; Naseem, Ahsan ; Grant, Kathleen M. / Trauma and Substance Use Disorders in Rural and Urban Veterans. In: Journal of Rural Health. 2011 ; Vol. 27, No. 2. pp. 151-158.
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