Missing the obvious: psychosocial obstacles in Veterans with XXXX .

@entity1 @entity157 @entity734 @entity146
BACKGROUND: Socioeconomic disparities in @entity1 with @entity157 ( @entity157 ) influence medical treatment. In addition to socioeconomic barriers, the Veteran population suffers from significant psychosocial obstacles. This study identifies the social challenges that Veterans face while undergoing treatment for @entity157 . METHODS: One hundred Veterans at the Palo Alto VA treated for @entity157 from 2009 to 2014 (50 consecutive @entity1 who underwent a surgical procedure; 50 treated with intra-arterial therapy) were retrospectively reviewed. RESULTS: Substance abuse history was identified in 96%, and half were unemployed. Most @entity1 survived on a limited income [median  1340, interquartile range (IQR) 900-2125]; 36% on  <=   1000/month, 37% between  1001-2000/month and 27% with > 2000/month. A history of homelessness was found in 30%, more common in those of the lowest income (57% of  <= 1K/month group, 23% of  1-2K/month group and 9% of > 2K/month group, P  <  0.01). @entity146 was present in 64/100 @entity1 ; among these the majority received ongoing psychiatric treatment. Transportation was provided to 23% of @entity1 who would otherwise have been unable to attend medical appointments. CONCLUSIONS: @entity146 and @entity734 are highly prevalent among Veterans with @entity157 . Most @entity1 survive on a very meager income. These profound socioeconomic and psychosocial problems must be recognized when providing care for @entity157 to this population to provide adequate treatment and surveillance.
