Iraq

Gender Differences in Rates of Depression, PTSD, Pain, Obesity, and Military Sexual Trauma among Connecticut War Veterans of Iraq and Afghanistan

Citation:

Haskell, Sally G., Kirsha S. Gordon, Dristen Mattocks, Mona Duggal, Joseph Erdos, Amy Justice, and Cynthia A. Brandt. 2010. "Gender Differences in Rates of Depression, PTSD, Pain, Obesity, and Military Sexual Trauma among Connecticut War Veterans of Iraq and Afghanistan." Journal of Women's Health 19 (2): 267-271.

Authors: Sally G. Haskell, Kirsha S. Gordon, Dristen Mattocks, Mona Duggal, Joseph Erdos, Amy Justice, Cynthia A. Brandt

Abstract:

Purpose: The current wars in Iraq and Afghanistan have led to an increasing number of female veterans seeking medical and mental healthcare in the Department of Veterans Affairs (VA) healthcare system. To better understand gender differences in healthcare needs among recently returned veterans, we examined the prevalence of positive screenings for depression, posttraumatic stress disorder (PTSD), military sexual trauma ( MST), obesity, and chronic pain among female and male veterans of Operation Enduring Freedom=Operation Iraqi Freedom (OEF=OIF) receiving care at the VA Connecticut Healthcare System.

Methods: We performed a retrospective, cross-sectional data analysis of OEF=OIF veterans at VA Connecticut who received services in either Primary Care or the Women’s Health Clinic between 2001 and 2006. 

Results: In this study, 1129 electronic medical records (1032 men, 197 women) were examined. Female veterans were more likely to screen positive for MST (14% vs. 1%, p < 0.001) and depression (48% vs. 39%, p ¼ 0.01) and less likely to screen positive for PTSD (21% vs. 33%, p ¼ 0.002). There was no significant gender difference in clinically significant pain scores. Men were more likely than women to have body mass index (BMI) >30 kg=m2 (21% vs. 13%, p ¼ 0.008).

Conclusions: These results suggest that important gender differences exist in the prevalence of positive screenings for MST, depression, obesity, and PTSD. As the VA continues to review and improve its services for women veterans, clinicians, researchers, and senior leaders should consider innovative ways to ensure that female veterans receive the health services they need within the VA system.

Keywords: depression, posttraumatic stress disorder, obesity, military sexual assault, female veterans, male veterans

Topics: Armed Conflict, Combatants, Female Combatants, Health, Mental Health, PTSD, Trauma, Military Forces & Armed Groups, Sexual Violence Regions: MENA, Americas, North America, Asia, Middle East, South Asia Countries: Afghanistan, Iraq, United States of America

Year: 2010

Military-Related Sexual Trauma among Veterans' Health Administration Patients Returning from Afghanistan and Iraq

Citation:

Kimerling, Rachel, Amy E. Street, Joanne Pavao, Mark W. Smith, Ruth C. Cronkite, Tyson H. Holmes, and Susan M. Frayne. 2010. "Military-Related Sexual Trauma Among Veterans’ Health Administration Patients Returning from Afghanistan and Iraq." American Journal of Public Health 100 (8): 1409-1412.

Authors: Rachel Kimerling, Amy E. Street, Joanne Pavao, Mark W. Smith, Ruth C. Cronkite, Tyson H. Holmes, Susan M. Frayne

Abstract:

We examined military-related sexual trauma among deployed Operation Enduring Freedom and Operation Iraqi Freedom veterans. Of 125729 veterans who received Veterans Health Administration primary care or mental health services, 15.1% of the women and 0.7% of the men reported military sexual trauma when screened. Military sexual trauma was associated with increased odds of a mental disorder diagnosis, including posttraumatic stress disorder, other anxiety disorders, depression, and substance use disorders. Sexual trauma is an important postdeployment mental health issue in this population.
 

Keywords: sexual violence, military, veterans, Operation Enduring Freedom, Operation Iraqi Freedom

Annotation:

Quotes:
 
"For our study, we completed, to our knowledge, the first national, population-based assessment of the mental health profile associated with a history of military sexual trauma among deployed Operation Enduring Freedom and Operation Iraqi Freedom veterans who used Veterans Health Administration services." (1410) 
 
"Women and men who reported a history of military sexual trauma were significantly more likely than those who did not to receive a mental health diagnosis, including  posttraumatic stress disorder (PTSD), other anxiety disorders, depression, and substance use disorders." (1411)
 
"Effect sizes for the relation of military sexual trauma to PTSD were substantially stronger among women compared with men, suggesting that military sexual trauma may be a particularly relevant gender-specific clinical issue in PTSD treatment settings." (1411)
 
"However, survivors of sexual trauma often delay disclosure and treatment of their experiences, and Operation Enduring Freedom and Operation Iraqi Freedom Veterans report stigma associated with help-seeking." (1411)

Topics: Armed Conflict, Combatants, Gender, Women, Men, Health, Mental Health, PTSD, Trauma, Security, Sexual Violence Regions: MENA, Americas, North America, Asia, Middle East, South Asia Countries: Afghanistan, Iraq, United States of America

Year: 2010

Between the Hammer and the Anvil: Post-Conflict Reconstruction, Islam and Women's Rights

Citation:

Kandiyoti, Deniz. 2007. "Between the Hammer and the Anvil: Post-Conflict Reconstruction, Islam and Women's Rights." Third World Quarterly 28 (3): 503-17.

Author: Deniz Kandiyoti

Abstract:

This paper argues that gender issues are becoming politicized in novel and counterproductive ways in contexts where armed interventions usher in new blueprints for governance and 'democratization'. Using illustrations from constitutional and electoral processes in Afghanistan and Iraq, it analyses how the nature of emerging political settlements in environments of high risk and insecurity may jeopardize stated international commitments to a women's rights agenda. The disjuncture between stated aims and observed outcomes becomes particularly acute in contexts where security and the rule of law are severely compromised, where Islam becomes a stake in power struggles among contending factions and where ethnic/sectarian constituencies struggles of representation in defense of their collective rights.

Keywords: post-conflict reconstruction, women's political participation, governance, Islam, women's rights

Annotation:

  • Since the September 11 attacks and the US’ subsequent invasion of Iraq and Afghanistan, there have been various political efforts to incorporate women’s rights into the reconstruction agendas of Iraq and Afghanistan; however, in the absence of stable government systems, the realization of these rights has been difficult. In Afghanistan, a new Constitution was drafted in 2004 that advocated the political representation of women. These efforts at gender equality have been undermined, however, by documents such as Article 3 of the Constitution entitled “Islam and Constitutionality,” which demands that all governmental laws abide by the laws of Islam.
  • In Iraq, the situation of women deteriorated in the years following the 1980-88 Iran-Iran War and the subsequent invasion of Kuwait. Following the overthrow of Saddam Hussein in 2003, the country underwent a process of Islamization, which delegitimized the efforts of various Iraqi women’s rights groups. Sectarian strife also poses a barrier to the inclusion of women in the political processes in both Afghanistan and Iraq. In Afghanistan, women generally affiliate themselves with ethnic and political constituencies, which divides them from one another, preventing them from uniting for a common women’s rights cause. In Iraq, despite the quota promoting women’s participation in politics, most women identify as Shiites, the more conservative of Islam’s factions. Kandiyoti also argues that compounded with the conservative Muslim religion, the war economies of Iraq and Afghanistan have exacerbated gender-based violence.
  • Kandiyoti proceeds to address the reasons for violations of women’s rights in Afghanistan, attributing the poor situation of women to a combination of poverty, displacement, and the drug economy. During the civil war following the emergence of the Taliban in 1994, human rights violations, including crimes against women, were rampant. The Taliban imposed laws the limited the freedoms of women, including a conservative dress code and a curfew. Because of the poverty that defined the post-conflict period in Afghanistan, many men resorted to female trafficking as a source of income and sexual violence as an outlet for economic-related stress.
  • Kandiyoti concludes by stressing that the women’s rights agenda that accompanies post-conflict reconstruction efforts faces major hurdles. Prolonged conflict has also brought about social changes in Afghanistan and Iraq that force women to combat the threat from conservative social forces while also fighting for their rights.
     

Topics: Democracy / Democratization, Gender, Women, Governance, Constitutions, Elections, Post-Conflict Governance, Peacebuilding, Peacekeeping, Post-Conflict, Post-Conflict Reconstruction, Religion, Rights, Women's Rights Regions: Africa, MENA, Asia, South Asia Countries: Afghanistan, Iraq

Year: 2007

Reconstructing Gender: Iraqi Women Between Dictatorship, War, Sanctions and Occupation

Citation:

Al-Ali, Nadje. 2005. "Reconstructing Gender: Iraqi Women Between Dictatorship, War, Sanctions and Occupation." Third World Quarterly 26 (4-5): 739-58.

Author: Nadje Al-Ali

Abstract:

This article explores the role of Iraqi women in reconstruction processes by contextualizing the current situation with respect to changing gender ideologies and relations over the past three decades. Before discussing the Iraqi case specifically, I provide a brief theoretical background about the significance of gender in reconstruction as well as nation-building processes. A historical background aims to shed light on the changing gender ideologies and relations during the regime of Saddam Hussein. The article focuses particularly on the impacts of the early developmental-modernist discourses of the state and the impacts of war (Iran-Iraq war 1980-88, Gulf wars 1991, 2003) as well as on the comprehensive economic sanctions regime (1990-2003). The latter involved wider social changes affecting women and gender relations but also society at large because of the impoverishment of the well educated middle- class, wide-scale unemployment, an economic crisis and a shift towards more conservative values and morals. It is against this historical background that contemporary developments related to ongoing conflict, occupation and political transition affect women and gender relations.

Keywords: post-conflict reconstruction, S1325, women's political participation, governance, nation-building, reconstruction, economics, political transition

Annotation:

Al-Ali begins by calling attention to the struggles that Iraqi women have faced in spite of the country’s recent process of democratization. While UN Resolution 1325 calls for the incorporation of gender concerns into the reconstruction process, foreign occupation and the unstable interim government (as of 2005, when this article was written) have prevented the internalization of gender-conscious values among the Iraqi populace. In her article, Al-Ali first explores the significant of gender in the reconstruction process and then turns to post-war Iraq as a case study.

In her section on gender and post-conflict periods, Al-Ali explains that post-war situations often elicit violence against women. In post-war Iraq, for example, the levels of violence (particularly against women) were actually greater following the period of militarized conflict. When violence is no longer institutionalized, women lack the political space to challenge gender relations that they had during wartime; thus, the safety and well-being of women is often ignored in the post-conflict period. Al-Ali proceeds to explain how women have been excluded from post-conflict reconstruction processes. While women strive to make their voices heard through engagement with NGOs, these organizations are often discounted by male-dominated society. SCR 1325 is also ignored in many Muslim societies, as it is viewed as an imposition of Western culture and values, especially in US-occupied Iraq.

Al-Ali provides a historical context through which to analyze the situation of Iraqi women before the 1990s. She explains that early Baathist policies in the 1970s fostered women’s rights as part of the regime’s effort for national indoctrination, and as men went off to fight during the 1980-88 Iran-Iraq War, women took over their positions in the workforce. The economic sanctions imposed on Iraqi society in the 1990s, however, adversely affected women, as it led to a breakdown of the welfare state and pushed women back into their traditional roles as mothers and housewives.

The war has had a drastic impact on gender roles within the household in ways that are detrimental to women. The economic and political issues that have resulted from the war have strained relationships between husbands and wives, leading to increased divorce rates and levels of domestic abuse against women. Due to the high fatality levels among male soldiers, women left without husbands have been forced to run female-headed households, which has presented women with degrees of responsibility with which they often cannot cope.

The increased levels of religiosity in post-war Iraq have also contributed to a culture that puts social limitations on women. Girls have become increasingly worried about their reputation, and the number of honor killings has increased since the start of the war. Additionally, economic hardships have forced women into prostitution, which has led to greater incentives to impose conservative regulations on women’s behavior.

In regard to women’s political participation in the post-war period, Al-Ali explains that the number of women’s organizations has been increasing since 2003, and women have become mobilized around the issues of replacing the personal status law with a more conservative law, as well as the issue of drafting a quota for women’s representation in political office. Recently, however, women’s organizations have been hindered by the country’s severe security situation, which has prevented women from leaving their houses and running for elections in 2005. Gender-specific threats and violence have posed a particular barrier to gender equality in Iraq, according to Human Rights Watch.

Ultimately, Al-Ali presents a bleak picture of the ways in which war, sanctions, and occupation have negatively impacted Iraqi women. Her vision of the future is no less pessimistic; she doubts whether the women’s political representation quota of 25% will be fulfilled, and she points to the worsening humanitarian situation for women in particular. In order to improve the situation for Iraqi women, she advocates  the mainstreaming of gender into all aspects of post-conflict reconstruction, which would involve the incorporation of women into government as well as economic and judiciary processes. Because she attributes the failure of gender equality largely to its association with Western values, she writes that rather than encourage a feminist approach to reconstruction, emphases should be placed on education and other areas that would necessarily improve the status of women.

Topics: Armed Conflict, Economies, Poverty, Education, Gender, Women, Gender Roles, Gendered Power Relations, Gender Equity, Governance, Post-Conflict Governance, Households, Justice, Transitional Justice, Military Forces & Armed Groups, Political Participation, Post-Conflict, Post-Conflict Reconstruction, Religion, Rights, Women's Rights Regions: MENA, Asia, Middle East Countries: Iraq

Year: 2005

The Absence of Justice: Private Military Contractors, Sexual Assault, and the U.S. Government's Policy of Indifference

Citation:

Snell, Angela. 2011. "The Absence of Justice: Private Military Contractors, Sexual Assault, and the U.S. Government's Policy of Indifference." University of Illinois Law Review, no. 3, 1125-64.

Author: Angela Snell

Abstract:

As the United States remains in Iraq and Afghanistan, stories of abuse by private military contractors (PMCs) have flooded the news. This Note focuses on an area of PMC crime that has garnered less public attention and censure: sexual crimes against civilians in non-war zones. Emphasizing the lack of legal recourse for victims of sexual crime by PMCs and the systematic failure of the United States to punish sexual crime perpetrated by its own PMCs, the author argues that the United States should be held liable for the sexual crimes that its contractors commit, including those that occur outside of war zones.

This note first explains the exponential growth in the United States' use of PMCs and highlights that governmental supervision of PMCs has not kept pace with the number of contractors that the United States employs. Noting that PMCs generally employ former members of the military, the author traces a culture of violence against women back to attitudes learned in the U.S. military, and then shows that PMCs are even more likely to be involved in crimes of sexual violence than U.S. soldiers.

The Note details and analyzes the possibility of responding to PMC sexual violence against civilians outside of war zones under U.S. military law, U.S. criminal law, criminal law where the crime occurs, International Human Rights Law, International Criminal Law, and the U.S. Alien Tort Statute (ATS). The author determines that these methods, as they stand now, are inadequate because of problems of limited jurisdiction, U.S. reluctance to prosecute contractors and willingness to protect U.S. nationals from prosecution abroad, requirements that violence be widespread or systematic before triggering international prosecution, and the absence of state liability for the actions of private individuals, unless the state condones the activities. The author calls for a three-fold solution: first, victims should file complaints against the United States in international courts, under the theory that the United States is liable for its contractors' acts, because it has condoned them by failing to punish them and even actively discouraging their prosecution; second, victims should sue individual perpetrators in the United States under the ATS, both to compensate victims and to deter contractors from future violence; third, and finally, the United States must act to close the jurisdictional gap that allows PMCs to escape prosecution by signing and supporting international treaties, developing its own stricter system of criminal liability for PMCs, and using contract mechanisms to enforce standards of conduct for PMCs.

Keywords: private security, sexual assault, accountability

Topics: International Law, International Criminal Law, International Human Rights, Justice, Military Forces & Armed Groups, Private Military & Security, Sexual Violence Regions: Africa, MENA, Americas, North America, Asia, Middle East, South Asia Countries: Afghanistan, Iraq, United States of America

Year: 2011

Private Military Security Companies and the Problem of Men and Masculinities

Citation:

Higate, Paul. 2009. "Private Military Security Companies and the Problem of Men and Masculinities." Paper presented at the 50th Annual Conference of the International Studies Association, New York, February 15-18.

Author: Paul Higate

Abstract:

Though there is little new in the existence of guns for hire or mercenaries for more critically inclined commentators, few predicted the extent to which private military contractors would come to both supplant and complement the activities of regular military personnel in the contemporary period. The occupation of Iraq puts this into sharpest focus with the number of private military contractors estimated to be close to 200,000 in comparison to the 160,000 uniformed personnel of national militaries occupying the country (Scahill, 2007). The dramatic burgeoning of the private security sector has led commentators to describe it as the new business face of warfare in the contemporary period (Mandel, 2002; Avant, 2005; Kinsey, 2007; Singer, 2005) underscoring its significance both now and almost certainly into the future. Drawing on the labour of men (and rather less women) from a range of countries (Maclellan, 2006), this multi billion dollar industry has become a key component in the management of conflict and its aftermath (Holmqvist, 2005).

Private Military Security Companies (PMSCs) should be seen as a critical subject of political enquiry as they engage international relations, domestic politics and national/international legislative systems within the context of both ethical and moral questions concerning the use of violence. Companies are involved in: the security of convoys, close protection of dignitaries, security sector reform, provision of logistical and support functions to military peacekeeping operations and combat operations.
Curiously, however, scholars working within the fields of Political Science, Critical Security Studies, Law and Gender Studies have almost entirely overlooked the importance of masculinity in their analyses of this sector (for a focus on women see Schultz and Yeung, 2005). What do we miss when masculinity is ignored in analyses of PMSCs? It is not simply that PMSCs have become increasingly important to how conflict is managed, but crucially - in contrast to regular military - their activities remain largely unregulated and their personnel almost entirely unaccountable. When seen alongside the perpetration of human rights abuses by a not insignificant number of private military contractors - including most notoriously the shooting of 17 unarmed Iraqi civilians in Najaf in September 2007 (Tavernise, 2007), it is possible to suggest that PMSCs represent a key moment of (re)masculinisation in the contemporary period. It is for this reason that the curiosity of gender scholars should be sparked since the mobilisation thousands of men trained in violence who go on to work in spaces of legal exception is a unique phenomena that can, at times, exacerbate the insecurity of those vulnerable populations forced to host them.

There are few if any arenas that demonstrate the potent connections between violence, power and sex in the “post 9/11 manly moment” (Eisenstein, 2007: 161) as explicitly as those that concern the largely unregulated privatisation of force. Through suggesting future lines of inquiry around a unique and vibrant site of (militarised) masculinities that constitute the employee component of the PMSC sector, this article hopes to lay the foundations for a research agenda that recognises the centrality of masculinities to both the personal and professional social practices of its male employees. Depending on one’s normative intentions, findings from these kinds of inquiry can be used to argue for tighter regulation of the industry, or in a more radical sense, to its incremental dissolution. My own position though somewhat unlikely in the current period of neo-liberal and U.S.-driven geo-political dominance - is to argue that PMSC involvement in direct combat and combat support should be outlawed. Reasons for this are numerous but include primarily the ways that mercenary assistance means that the use of force continues to be prioritised as a decisive means of bringing war to an end as opposed to developing less bloody forms of conflict resolution (Richards, undated: 1). Not only does co-opting the profit motive into security work of this kind shape the conditions of possibility by which conflict is negotiated, but in a related sense, assumes an immanent logic that is difficult to break from. The quest for a peaceful world is harmed by increasing the number of private military contractors who remain outside the regulatory mechanisms of state military who in relative terms have constrained the actions of men of violence over many decades. How might we begin to challenge this creeping militarization?

Keywords: private security, masculinity

Topics: Gender, Men, Masculinity/ies, Military Forces & Armed Groups, Private Military & Security, Militarization, Peacekeeping, Security, Security Sector Reform Regions: MENA, Asia, Middle East Countries: Iraq

Year: 2009

My Home - Your War

"My Home - Your War offers an extraordinary look at the effect of the Iraq war through the eyes of an ordinary Iraqi woman. Shot in Baghdad over three years that span the time before, during and after the invasion of Iraq, this profoundly moving film brings a perspective that – until now – has rarely been available to U.S. audiences.

Lioness

"Lioness tells the story of a group of female Army support soldiers who were part of the first program in American history to send women into direct ground combat. Without the same training as their male counterparts but with a commitment to serve as needed, these young women fought in some of the bloodiest counterinsurgency battles of the Iraq War and returned home as part of this countries generation of female combat veterans. Lioness makes public, for the first time, their hidden history.

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