Abstract：
Aging Veterans face complex needs across multiple domains. However, the needs of older female Veterans and the degree to which unmet needs differ by sex are unknown. We analyzed responses to the HERO CARE survey from 7,955 Veterans aged 55 years and older (weighted N = 490,148), 93.9% males and 6.1% females. We evaluated needs and unmet needs across the following domains: activities of daily living (ADLs), instrumental ADLs (IADLs), health management, and social. We calculated weighted estimates and compared sex differences using age-adjusted prevalence ratios. On average, female Veterans were younger, more were Non-Hispanic Black and unmarried. Females and males reported a similar prevalence of problems across all domains. However, compared to males, female Veterans had a lesser prevalence of missed appointments due to transportation (aPR 0.49; 95% CI: 0.26-0.92), housework unmet needs (aPR: 0.44; 95% CI: 0.20-0.97), and medication management unmet needs (aPR: 0.33; 95% CI: 0.11-0.95) but a higher prevalence of healthcare communication unmet needs (aPR: 2.40; 95% CI: 1.13-5.05) and monitoring health conditions unmet needs (aPR: 2.13, 95% CI: 1.08-4.20). Female Veterans\' common experience of unmet needs in communicating with their healthcare teams could result in care that is less aligned with their preferences or needs. As the number of older female Veterans grows, these data and additional work to understand sex-specific unmet needs and ways to address them are essential to providing high-quality care for female Veterans.
摘要：
老年退伍军人面临着跨多个领域的复杂需求。然而,老年女性退伍军人的需求以及未满足的需求因性别而异的程度尚不清楚。我们分析了7,955名55岁及以上的退伍军人对HEROCARE调查的回应（加权N=490,148），男性93.9%，女性6.1%。我们评估了以下领域的需求和未满足的需求：日常生活活动(ADL)、工具性ADL(IADL)，健康管理,和社会。我们计算了加权估计值，并使用年龄调整后的患病率比较了性别差异。平均而言,女性退伍军人更年轻，更多的是非西班牙裔黑人和未婚。女性和男性报告的所有领域的问题患病率相似。然而,与男性相比，女性退伍军人因交通而错过预约的患病率较低(aPR0.49;95%CI:0.26-0.92)，家务劳动未满足的需求(APR：0.44；95%CI：0.20-0.97)，和药物管理未满足的需求(aPR:0.33;95%CI:0.11-0.95),但医疗保健沟通未满足的需求(aPR:2.40;95%CI:1.13-5.05)和监测健康状况未满足的需求(aPR:2.13,95%CI:1.08-4.20)的患病率较高.女性退伍军人在与医疗团队沟通中未满足需求的共同经验可能会导致与他们的偏好或需求不太一致的护理。随着老年女性退伍军人数量的增加，这些数据以及了解特定性别未满足的需求和解决这些需求的方法的额外工作对于为女性退伍军人提供高质量的护理至关重要.
