Veterans who have experienced military sexual trauma (MST) are at increased risk for a host of negative outcomes, including posttraumatic stress disorder, depressive disorders, and substance use disorders. Previous studies have shown racial differences in MST exposure, namely that Black veterans experience MST more frequently than White veterans. One way to help clinicians and researchers understand the impact of these ethnoracial differences in MST exposure is through an applied theory of ecological resources, which has demonstrated ecological factors (e.g., aspects of identity, beliefs, and environmental stressors) contribute to veteran well-being in the aftermath of MST. The present study aimed to examine ethnoracial differences in ecological resources (i.e., available social support, spiritual coping, past-year interpersonal violence, financial sufficiency, and stable living environment). Participants (N = 505) were U.S. veterans who sought care at a Veterans Healthcare Administration clinic in the midwestern United States for mental health issues related to MST. Results demonstrated Black veterans were more likely than White veterans to report being financially insecure, U = 18,091.50, z = –2.04, p = .042, r = .10. Black veterans were also more likely to report spiritual beliefs that assisted with coping, Cramer's V = .19, but less likely to report having a social support system, Cramer's V = .16. These findings highlight the importance of assessing and addressing disparities illuminated by ethnoracial differences in ecological resources and barriers in veterans seeking care for MST.

中文翻译：

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背景下的军事性创伤：寻求治疗的退伍军人生态资源的种族差异

经历过军事性创伤 (MST) 的退伍军人出现一系列负面结果的风险增加，包括创伤后应激障碍、抑郁症和物质使用障碍。先前的研究表明 MST 暴露的种族差异，即黑人退伍军人比白人退伍军人更频繁地经历 MST。帮助临床医生和研究人员了解这些种族差异对 MST 暴露的影响的一种方法是通过生态资源的应用理论，该理论已经证明生态因素（例如，身份、信仰和环境压力源的方面）有助于退伍军人的福祉在 MST 之后。本研究旨在检验生态资源（即可用的社会支持、精神应对、过去一年的人际暴力、资金充足，生活环境稳定）。参加者（N = 505) 是美国退伍军人，他们因与 MST 相关的心理健康问题在美国中西部的退伍军人医疗保健管理局诊所寻求治疗。结果表明，黑人退伍军人比白人退伍军人更有可能报告经济不安全，U = 18,091.50，z = –2.04，p = .042，r = .10。黑人退伍军人也更有可能报告有助于应对的精神信仰，Cramer 的V = .19，但不太可能报告拥有社会支持系统，Cramer 的V= .16。这些发现强调了评估和解决由生态资源的种族差异和寻求 MST 护理的退伍军人障碍所阐明的差异的重要性。