Joseph L Goulet
Biographic Data
| ID | 1561962 |
|---|---|
| NAME | Joseph L Goulet |
| GIVEN NAMES | Joseph L |
| FAMILY NAME | Goulet |
| SIGNATURE | GOULET J L |
| AFFILIATIONS | Yale University |
| ORCID | 0000-0002-0842-804X |
| VERIFIED | Yes |
| TOTAL WORKS | 30 |
| TOTAL CITATIONS | 7 |
| AUTHOR COUNT | 30 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1999 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
LGBTQ+ status and sex of record in Veterans with post-traumatic stress disorder
Objectives: This study aims to analyze differences between lesbian, gay, bisexual, transgender, and queer (LGBTQ+) and non-LGBTQ+ Veterans with post-traumatic stress disorder (PTSD) in terms of demographics, comorbidities, and medical care usage, including differences by sex of record, including separate analyses for transgender and non-transgender Veterans. Methods: -test, ANOVA Welch one-way testing, and absolute standardized difference analyse…
Opioid use and opioid use disorder in mono and dual-system users of veteran affairs medical centers
Introduction: Efforts to achieve opioid guideline concordant care may be undermined when patients access multiple opioid prescription sources. Limited data are available on the impact of dual-system sources of care on receipt of opioid medications. Objective: We examined whether dual-system use was associated with increased rates of new opioid prescriptions, continued opioid prescriptions and diagnoses of opioid use disorder (OUD). We hypothesize…
Risk factors for suicide among veterans living with and without HIV
Temporal and Geographic Patterns of Documentation of Sexual Orientation and Gender Identity Keywords in Clinical Notes
OBJECTIVE: Disclosure of sexual orientation and gender identity correlates with better outcomes, yet data may not be available in structured fields in electronic health record data. To gain greater insight into the care of sexual and gender-diverse patients in the Veterans Health Administration (VHA), we examined the documentation patterns of sexual orientation and gender identity through extraction and analyses of data contained in unstructured …
Fall-related Injuries and Opioid Administration Among Veterans With Dementia in US Department of Veterans Affairs Community Living Centers
OBJECTIVES: Opioid use is associated with fall-related injuries (FRI) among older adults, especially those with dementia. We examined FRI following changes in national opioid safety initiatives over 3 regulatory periods [preinitiatives baseline (period 1): October 2012 to June 2013; post-Veteran Affairs (VA) opioid safety initiative (period 2): January 2014 to November 2015; post-VA and CDC opioid prescribing guidelines (period 3): March 2017 to …
Using Administrative Data to Predict Suicide After Psychiatric Hospitalization in the Veterans Health Administration System
There is a very high suicide rate in the year after psychiatric hospital discharge. Intensive postdischarge case management programs can address this problem but are not cost-effective for all patients. This issue can be addressed by developing a risk model to predict which inpatients might need such a program. We developed such a model for the 391,018 short-term psychiatric hospital admissions of US veterans in Veterans Health Administration (VH…
Patterns of Alcohol Use Among Patients Living With HIV in Urban, Large Rural, and Small Rural Areas
BACKGROUND: For people living with HIV (PLWH), alcohol use is harmful and may be influenced by unique challenges faced by PLWH living in rural areas. We describe patterns of alcohol use across rurality among PLWH. METHODS: Veterans Aging Cohort Study electronic health record data were used to identify patients with HIV (ICD-9 codes for HIV or AIDS) who completed AUDIT-C alcohol screening between February 1, 2008, and September 30, 2014. Regressio…
Gender Differences in Suicide and Self-Directed Violence Risk Among Veterans With Post-traumatic Stress and Substance Use Disorders
Screening for Military Sexual Trauma Is Associated With Improved HIV Screening in Women Veterans
OBJECTIVE: To examine factors associated with HIV screening among women veterans receiving health care in the Department of Veterans Affairs. MATERIALS AND METHODS: Cross-sectional study of women veterans receiving Veterans Affairs care between 2001 and 2014 derived from the Women Veteran's Cohort Study. Descriptive and bivariate statistics were calculated comparing patients with and without an HIV screen. Generalized estimating equations were co…
Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders
Incidence of Mental Health Diagnoses in Veterans of Operations Iraqi Freedom, Enduring Freedom, and New Dawn, 2001–2014
Objectives. To evaluate gender, age, and race/ethnicity as predictors of incident mental health diagnoses among Operations Iraqi Freedom, Enduring Freedom, and New Dawn veterans. Methods. We used US Veterans Health Administration (VHA) electronic health records from 2001 to 2014 to examine incidence rates and sociodemographic risk factors for mental health diagnoses among 888 142 veterans. Results. Posttraumatic stress disorder (PTSD) was the mos…
Multiple Sources of Prescription Payment and Risky Opioid Therapy Among Veterans
BACKGROUND: Opioid overdose and other related harms are a major source of morbidity and mortality among US Veterans, in part due to high-risk opioid prescribing. OBJECTIVES: We sought to determine whether having multiple sources of payment for opioids-as a marker for out-of-system access-is associated with risky opioid therapy among veterans. RESEARCH DESIGN: Cross-sectional study examining the association between multiple sources of payment and …
Incident Cardiovascular Risk Factors Among Men and Women Veterans After Return From Deployment
BACKGROUND: Stressors associated with military service and reintegration may impact psychologic well-being and behaviors that result in increased incidence rates for cardiovascular (CV) risk factors. OBJECTIVE: Using electronic health record data from the Veterans Health Administration we sought to measure the incidence of newly diagnosed CV risk factors and how these incident risks were moderated by race and mental health conditions. DESIGN: A c…
Minority Men Who Have Sex with Men Demonstrate Increased Risk for HIV Transmission
Psychometric properties of a Move!23 subscale
The MOVE!23, a questionnaire to assess weight-related domains in veterans, was examined. Factor analysis of Perceived Contributors to Weight Change revealed three factors (psychosocial, eating behavior, and medical) that were positively correlated with body mass index, and psychiatric and medical comorbidity ( p's < 0.001). Multivariable cumulative logit models modeling the factor scores indicated that women were more likely than men to endorse p…
Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIV
The Association Between Hiv Status and Homelessness Among Veterans in Care
Veterans seeking care in the Department of Veterans Affairs Health Care System (VA) are more vulnerable to HIV infection and homelessness. However, there is little scholarship on the association between serostatus and homelessness among VA veterans. We examined this association in the Veterans Aging Cohort Study, a sample of 6,819 HIV-positive and HIV-negative veterans attending 8 VAs across the country. We utilized logistic models regressing she…
Sex Differences in Patient and Provider Response to Elevated Low-Density Lipoprotein Cholesterol
STI Diagnosis and HIV Testing Among OEF/OIF/OND Veterans
IMPORTANCE: Patients with sexually transmitted infection (STI) diagnosis should be tested for human immunodeficiency virus (HIV), regardless of previous HIV test results. OBJECTIVE: Estimate HIV testing rates among recent service Veterans with an STI diagnosis and variation in testing rates by patient characteristics. DESIGN, SETTING, AND PARTICIPANTS: The sample comprised 243,843 Veterans who initiated Veterans Health Administration (VHA) servic…
Developing a Teacher Administered Anxiety Rating Scale Suitable for Five to Seven-Year-Old Children
This paper presents results of twin studies pertinent to the development of a rating scale designed for use by teachers to identify anxious and shy children, aged 5 to 7 years, in Kindergarten and Grade One. Currently, no instruments designed specifically for this purpose exist. Children experiencing difficulty with internalizing disorders such as anxiety, shyness, and behavioural inhibition represent a growing segment of the population (Merrell,…
Agreement Between Electronic Medical Record-based and Self-administered Pain Numeric Rating Scale
BACKGROUND: Pain screening may improve the quality of care by identifying patients in need of further assessment and management. Many health care systems use the numeric rating scale (NRS) for pain screening, and record the score in the patients' electronic medical record (EMR). OBJECTIVE: Determine the level of agreement between EMR and patient survey NRS, and whether discrepancies vary by demographic and clinical characteristics. METHODS: We li…
The Burden of Illness in the First Year Home
Systematic Cultural Adaptation of Cognitive-Behavioral Therapy to Reduce Alcohol Use Among HIV-Infected Outpatients in Western Kenya
Depression Symptoms and Treatment Among HIV Infected and Uninfected Veterans
Estimating Alcohol Content of Traditional Brew in Western Kenya Using Culturally Relevant Methods
HIV as a chronic disease
Incidence of Mental Health Diagnoses in Veterans of Operations Iraqi Freedom, Enduring Freedom, and New Dawn, 2001–2014
Objectives. To evaluate gender, age, and race/ethnicity as predictors of incident mental health diagnoses among Operations Iraqi Freedom, Enduring Freedom, and New Dawn veterans. Methods. We used US Veterans Health Administration (VHA) electronic health records from 2001 to 2014 to examine incidence rates and sociodemographic risk factors for mental health diagnoses among 888 142 veterans. Results. Posttraumatic stress disorder (PTSD) was the mos…
Effectiveness of a Targeted Mailing Outreach Program on SSI Applications and Awards
We conducted a randomized controlled trial to test the effectiveness of a targeted mail outreach program on the volume of applications and subsequent awards for Supplemental Security Income (SSI). We targeted mailings to a random sample of current Retirement, Survivors, and Disability Insurance (RSDI) beneficiaries. The sample consisted of RSDI recipients (1) who were disabled or 65 years old or older, (2) whose benefit amount was under the SSI i…
Effectiveness of a Targeted Mailing Outreach Program on SSI Applications and Awards
We conducted a randomized controlled trial to test the effectiveness of a targeted mail outreach program on the volume of applications and subsequent awards for Supplemental Security Income (SSI). We targeted mailings to a random sample of current Retirement, Survivors, and Disability Insurance (RSDI) beneficiaries. The sample consisted of RSDI recipients (1) who were disabled or 65 years old or older, (2) whose benefit amount was under the SSI i…
HIV as a chronic disease
Psychiatric comorbidity and the long-term care of people with aids
Veterans Aging Cohort Study (Vacs)
BACKGROUND: The Veterans Aging Cohort Study (VACS) is a study of human immunodeficiency virus (HIV) infected and uninfected patients seen in infectious disease and general medical clinics. VACS includes the earlier 3 and 5 site studies (VACS 3 and VACS 5) as well as the ongoing 8 site study. OBJECTIVES: We sought to provide background and context for analyses based upon VACS data, including study design and rationale as well as its basic protocol…
Measuring Performance Directly Using the Veterans Health Administration Electronic Medical Record
BACKGROUND: Electronic medical records systems (EMR) contain many directly analyzable data fields that may reduce the need for extensive chart review, thus allowing for performance measures to be assessed on a larger proportion of patients in care. OBJECTIVE: This study sought to determine the extent to which selected chart review-based clinical performance measures could be accurately replicated using readily available and directly analyzable EM…
Depression Symptoms and Treatment Among HIV Infected and Uninfected Veterans
Estimating Alcohol Content of Traditional Brew in Western Kenya Using Culturally Relevant Methods
Systematic Cultural Adaptation of Cognitive-Behavioral Therapy to Reduce Alcohol Use Among HIV-Infected Outpatients in Western Kenya
The Burden of Illness in the First Year Home
Developing a Teacher Administered Anxiety Rating Scale Suitable for Five to Seven-Year-Old Children
This paper presents results of twin studies pertinent to the development of a rating scale designed for use by teachers to identify anxious and shy children, aged 5 to 7 years, in Kindergarten and Grade One. Currently, no instruments designed specifically for this purpose exist. Children experiencing difficulty with internalizing disorders such as anxiety, shyness, and behavioural inhibition represent a growing segment of the population (Merrell,…
Agreement Between Electronic Medical Record-based and Self-administered Pain Numeric Rating Scale
BACKGROUND: Pain screening may improve the quality of care by identifying patients in need of further assessment and management. Many health care systems use the numeric rating scale (NRS) for pain screening, and record the score in the patients' electronic medical record (EMR). OBJECTIVE: Determine the level of agreement between EMR and patient survey NRS, and whether discrepancies vary by demographic and clinical characteristics. METHODS: We li…
Sex Differences in Patient and Provider Response to Elevated Low-Density Lipoprotein Cholesterol
STI Diagnosis and HIV Testing Among OEF/OIF/OND Veterans
IMPORTANCE: Patients with sexually transmitted infection (STI) diagnosis should be tested for human immunodeficiency virus (HIV), regardless of previous HIV test results. OBJECTIVE: Estimate HIV testing rates among recent service Veterans with an STI diagnosis and variation in testing rates by patient characteristics. DESIGN, SETTING, AND PARTICIPANTS: The sample comprised 243,843 Veterans who initiated Veterans Health Administration (VHA) servic…
Trends in Any and High-Dose Opioid Analgesic Receipt Among Aging Patients With and Without HIV
The Association Between Hiv Status and Homelessness Among Veterans in Care
Veterans seeking care in the Department of Veterans Affairs Health Care System (VA) are more vulnerable to HIV infection and homelessness. However, there is little scholarship on the association between serostatus and homelessness among VA veterans. We examined this association in the Veterans Aging Cohort Study, a sample of 6,819 HIV-positive and HIV-negative veterans attending 8 VAs across the country. We utilized logistic models regressing she…
Minority Men Who Have Sex with Men Demonstrate Increased Risk for HIV Transmission
Psychometric properties of a Move!23 subscale
The MOVE!23, a questionnaire to assess weight-related domains in veterans, was examined. Factor analysis of Perceived Contributors to Weight Change revealed three factors (psychosocial, eating behavior, and medical) that were positively correlated with body mass index, and psychiatric and medical comorbidity ( p's < 0.001). Multivariable cumulative logit models modeling the factor scores indicated that women were more likely than men to endorse p…
Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders
Incidence of Mental Health Diagnoses in Veterans of Operations Iraqi Freedom, Enduring Freedom, and New Dawn, 2001–2014
Objectives. To evaluate gender, age, and race/ethnicity as predictors of incident mental health diagnoses among Operations Iraqi Freedom, Enduring Freedom, and New Dawn veterans. Methods. We used US Veterans Health Administration (VHA) electronic health records from 2001 to 2014 to examine incidence rates and sociodemographic risk factors for mental health diagnoses among 888 142 veterans. Results. Posttraumatic stress disorder (PTSD) was the mos…
Multiple Sources of Prescription Payment and Risky Opioid Therapy Among Veterans
BACKGROUND: Opioid overdose and other related harms are a major source of morbidity and mortality among US Veterans, in part due to high-risk opioid prescribing. OBJECTIVES: We sought to determine whether having multiple sources of payment for opioids-as a marker for out-of-system access-is associated with risky opioid therapy among veterans. RESEARCH DESIGN: Cross-sectional study examining the association between multiple sources of payment and …
Incident Cardiovascular Risk Factors Among Men and Women Veterans After Return From Deployment
BACKGROUND: Stressors associated with military service and reintegration may impact psychologic well-being and behaviors that result in increased incidence rates for cardiovascular (CV) risk factors. OBJECTIVE: Using electronic health record data from the Veterans Health Administration we sought to measure the incidence of newly diagnosed CV risk factors and how these incident risks were moderated by race and mental health conditions. DESIGN: A c…
Patterns of Alcohol Use Among Patients Living With HIV in Urban, Large Rural, and Small Rural Areas
BACKGROUND: For people living with HIV (PLWH), alcohol use is harmful and may be influenced by unique challenges faced by PLWH living in rural areas. We describe patterns of alcohol use across rurality among PLWH. METHODS: Veterans Aging Cohort Study electronic health record data were used to identify patients with HIV (ICD-9 codes for HIV or AIDS) who completed AUDIT-C alcohol screening between February 1, 2008, and September 30, 2014. Regressio…
Gender Differences in Suicide and Self-Directed Violence Risk Among Veterans With Post-traumatic Stress and Substance Use Disorders
Screening for Military Sexual Trauma Is Associated With Improved HIV Screening in Women Veterans
OBJECTIVE: To examine factors associated with HIV screening among women veterans receiving health care in the Department of Veterans Affairs. MATERIALS AND METHODS: Cross-sectional study of women veterans receiving Veterans Affairs care between 2001 and 2014 derived from the Women Veteran's Cohort Study. Descriptive and bivariate statistics were calculated comparing patients with and without an HIV screen. Generalized estimating equations were co…
Using Administrative Data to Predict Suicide After Psychiatric Hospitalization in the Veterans Health Administration System
There is a very high suicide rate in the year after psychiatric hospital discharge. Intensive postdischarge case management programs can address this problem but are not cost-effective for all patients. This issue can be addressed by developing a risk model to predict which inpatients might need such a program. We developed such a model for the 391,018 short-term psychiatric hospital admissions of US veterans in Veterans Health Administration (VH…
Medicine (29 works) · Psychiatry (18 works) · Internal Medicine (15 works) · Family medicine (12 works) · HIV/AIDS Research and Interventions (11 works) · Demography (9 works) · Gerontology (9 works) · Psychology (9 works) · Internal Medicine (7 works) · Veterans Affairs (7 works)