Publications

The following manuscripts have been published or are currently in press. Listings are in chronological order, unless otherwise noted.

Research Publication 2
Title Publication Date/Location
Prospective Evaluation of Mental Health and Deployment Experience Among Women in the US Military American Journal of Epidemiology 2012;176(2):135-45

Seelig AD, Jacobson IG, Smith B, Hooper TI, Gackstetter GG, Ryan MAK, Wells TS, MacDermid Wadsworth S, Smith TC, for the Millennium Cohort Study Team

Women with reported combat exposures were more likely to have mental health symptoms than women who deployed without combat associated exposures and women who never deployed.

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The Epidemiology of Irritable Bowel Syndrome in the US Military: Findings from the Millennium Cohort Study American Journal of Gastroenterology 2016;111:93-104

Riddle MS, Welsh M, Porter CK, Nieh C, Boyko EJ, Gackstetter GD, Hooper TI

This study describes the incidence of irritable bowel syndrome (IBS) and its association with antecedent infectious gastroenteritis among Millennium Cohort Study participants using survey data and post-deployment health assessments and medical encounter data in the military health system. Consistent with other studies, the risk of IBS increased after acute enteric infection. Novel findings included increased risk of incident IBS among those with post-traumatic stress disorder (PTSD) and preceding life stressors, as well as stronger associations between infectious gastroenteritis and IBS among those with antecedent depression or anxiety. These results reinforce the need to prevent acute gastrointestinal infections and their chronic consequences among our Service members. Additional studies on the underlying biopsychosocial mechanisms of IBS may help to explain these findings.

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Deployment-Related Depression Screening Results, 2001-2008: Comparing Clinical vs. Research Surveys American Journal of Preventative Medicine 2014 Nov;47(5):531-540

Welsh MM, PhD, Federinko SP, Burnett DG, Gackstetter GD, Boyko EJ, Seelig AD, Wells TS, and Hooper TI

This study compared depression symptoms reported on military-linked surveys, post-deployment health assessments, with responses from confidential surveys of the Millennium Cohort Study and then evaluated whether any factors were associated with discrepant responses. Moderate agreement was observed between paired survey responses. A higher proportion of active duty members, unmarried participants, and new accessions into military service endorsed depression symptoms on the confidential survey but not the military-linked survey. This study identifies potential subgroups to target for improving follow-up care for optimal mental health.

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Deployment Experiences and Motor Vehicle Crashes Among US Service Members American Journal of Preventive Medicine 2014;46(4):350-358.

Woodall KA, Jacobson IG, Crum-Cianflone NF

Findings indicate experiencing combat during deployment and multiple deployments are strong predictors for a motor vehicle crash (MVC) within the first six months of returning home from deployments in support of Iraq and Afghanistan among U.S. military members. These data provide critical information for targeting prevention strategies to decrease MVCs among personnel postdeployment.

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Anthrax Vaccination in the Millennium Cohort: Validation and Measures of Health American Journal of Preventive Medicine 2007 Apr;32(4):347-53

Smith B, Leard CA, Smith TC, Reed RJ, Ryan MAK, for the Millennium Cohort Study Team

The largest ever evaluation of this topic revealed strong validity of self-reported vaccination, as well as unique health features of the small subset who may misreport vaccination. This work won awards at two research conferences in 2006.

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Cigarette Smoking and Military Deployment: A Prospective Evaluation American Journal of Preventive Medicine 2008 Dec;35(6):539-46

Smith B, Ryan MAK, Wingard DL, Patterson TL, Slymen DJ, Macera CA, for the Millennium Cohort Study Team

Findings suggest an increase in smoking initiation and recidivism among deployers and highlight the importance of prevention strategies pre, during, and post deployment.

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A Longitudinal Investigation of Smoking Initiation and Relapse Among Younger and Older US Military Personnel American Journal of Public Health 2015 Jun;105(6):1220-1229

Boyko EJ, Trone DW, Peterson AV, Jacobson IG, Littman AJ, Maynard C, Seelig AD, Crum-Cianflone NF, Bricker JB

Smoking initiation and relapse were examined among current and former military Service members. Deployment with combat experience predicted higher initiation and relapse rates. Additionally, depending on the panel, prior mental health disorders, life stressors, and other military and nonmilitary characteristics independently predicted initiation and relapse.

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A Prospective Study of Depression Following Combat Deployment in Support of the Wars in Iraq and Afghanistan American Journal of Public Health 2010 Jan;100(1):90-9

Wells TS, LeardMann CA, Fortuna SO, Smith B, Smith TC, Ryan MAK, Boyko EJ, Blazer D, for the Millennium Cohort Study Team

Findings emphasize that exposure to combat, rather than deployment itself, among men and women significantly increase the risk of new-onset depression.

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Deployment, Combat, and Risk of Multiple Physical Symptoms in the US Military: A Prospective Cohort Study Annals of Epidemiology 2016 Feb;26(2):122-8

McCutchan PK, Liu X, LeardMann CA, Smith TC, Boyko EJ, Gore KL, Freed MC, Engel CC

This study examined longitudinal trends in multiple physical symptoms and its relationship to deployment among US military service members and veterans. Those who had deployed and experienced combat were significantly more likely to report multiple physical symptoms at each time point compared with those not deployed and those who deployed without combat, after adjustment for demographic, military, and health characteristics. Longitudinal trends indicate that the probability of reporting multiple physical symptoms has increased consistently over time only for those deployed, regardless of combat experience.

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Reliability of Standard Health Assessment Instruments in a Large, Population-Based Cohort Study Annals of Epidemiology 2007 Jul;17(7):525-32

Smith TC, Smith B, Jacobson IG, Corbeil TE, Ryan MAK, for the Millennium Cohort Study Team

Reliability metrics, by test-retest concordance and internal consistency, are extremely strong in Millennium Cohort Study data.

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