SEXUALLY TRANSMITTED INFECTIONS AND SEXUAL DYSFUNCTIONS AMONG NEWLY RETURNED VETERANS WITH AND WITHOUT MILITARY SEXUAL TRAUMA

This cross-sectional study examined the odds of being diagnosed with a sexually transmitted infection (STI) or a sexual dysfunction disorder (SDD) among Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) American veterans receiving care in the Veterans' Health Administration (VHA) in relation to whether or not they have experienced military sexual trauma (MST). Among those veterans who experienced MST, the influence of a diagnosis of posttraumatic stress disorder, a depressive disorder, or a substance use disorder on the odds of being diagnosed with an STI or SDD was also examined. The study utilized nationwide VHA records of 420,725 OEF/OIF male and female veterans who used VHA services in fiscal years 2002 to 2010. Veterans who reported a history of MST were more likely to have a number of STIs and SDDs compared with veterans without a history of MST. Among veterans with MST, the risk for having an STI or SDD increased with the presence of certain mental health diagnoses. Implications for clinical practice and assessment with veterans are discussed.