Millennium Cohort Study: Publications

Publications

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

Title	Publication	Date/Location
Risk Factors Associated with Suicide in Current and Former US Military Personnel	Journal of the American Medical Association	2013;310(5):496-506
LeardMann CA, Powell TM, Smith TC, Bell MR, Smith B, Boyko EJ, Hooper TI, Gackstetter GD, Ghamsary M, Hoge CW Based on data from over 150,000 current and former service members from all service branches, 83 suicide deaths occurred in 707,493 person-years from 2001 through 2008 (11.73/100,000 person-years). Suicide risk was independently associated with depression, manic-depressive disorder, alcohol-related problems, and male gender. None of the deployment or military-related factors were associated with an increased risk for suicide. Assessing service members' prior psychiatric history as well as screening for and treating mental and substance abuse disorders may provide the best potential for mitigating suicide risk. View abstract
Risk Factors for Lower Extremity Tendinopathies in Military Personnel	The Orthopaedic Journal of Sports Medicine	2013 Jan-Jun;1(1) 2325967113492707
Owens BD, Wolf JM, Seelig AD, Jacobson IG, Boyko EJ, Smith B, Ryan MAK, Gackstetter GD, Smith TC This study found that deployment was associated with the development of plantar fasciitis. Modifiable risk factors including being overweight or obese were associated with both Achilles tendinopathy and plantar fasciitis, with a marginal relationship between moderate alcohol use and Achilles tendinopathy. Identification of potential risk factors for musculoskeletal injuries among service members could serve as the focus for future prevention and intervention efforts. View abstract
Risk Factors for Relapse to Problem Drinking Among Current and Former US Military Personnel: A Prospective Study of the Millennium Cohort.	Drug and Alcohol Dependence	2015; 148:93-101.
Williams EC, Frasco MA, Jacobson IG, Maynard C, Littman AJ, Seelig AD, Crum-Cianflone NF, Nagel A, Boyko EJ. This study investigated demographic, military, behavioral, and health characteristics associated with relapse among current and former military members with remittent problem drinking. The findings from this study suggest 16% of this population relapse. Several military and non-military characteristics were found to predict relapse, including being in the Reserve/National Guard compared to Active-duty and screening positive for mental health conditions. Targeted intervention to prevent relapse may be indicated for particular subgroups. View abstract
Risk of Diabetes in US Military Service Members in Relation to Combat Deployment and Mental Health	Diabetes Care	2010 Aug;33(8):1771-7
Boyko EJ, Jacobson IJ, Smith B, Ryan MAK, Hooper TI, Amoroso PJ, Gackstetter GD, Barrett-Connor E, Smith TC, for the Millennium Cohort Study Team Higher risk of new onset self-reported diabetes mellitus among cohort members was observed over three years of follow-up in persons with PTSD symptoms at baseline. This association was independent of age, gender, overall body adiposity, and the presence of other mental health conditions. There was no independent association of new onset diabetes with deployment in support of OEF/OIF. View full text
Self-Reported Adverse Health Events Following Smallpox Vaccination in a Large Prospective Study of US Military Service Members	Human Vaccines	2008 Mar/Apr;4(2):127-33
Wells TS, LeardMann CA, Smith TC, Smith B, Jacobson IG, Reed RJ, Ryan MAK, for the Millennium Cohort Study Team Smallpox vaccination was not associated with any adverse self-reported health outcomes, including mental and physical functioning. These findings may be reassuring to health care providers and those who receive the smallpox vaccination. View abstract
Self-Reported Health Symptoms and Conditions Among Complementary and Alternative Medicine Users in a Large Military Cohort	Annals of Epidemiology	2009 Sep;19(9)613-22
Jacobson IG, White MR, Smith TC, Smith B, Wells TS, Gackstetter GD, Boyko EJ, for the Millennium Cohort Study Team Findings illustrate that a relatively young adult occupational cohort of military personnel using CAM therapies also report multiple comorbidities which may indicate chronic illness management and poorer overall health. View abstract
Self-Reported Mental Health Among US Military Personnel, Prior and Subsequent to the Terrorist Attacks of September 11, 2001	Journal of Occupational and Environmental Medicine	2004 Aug;46(8):775-82
Smith TC, Smith B, Corbeil TE, Riddle JR, and Ryan MAK, for the Millennium Cohort Study Team Accepted without revision and featured by journal editors, this early analysis leveraged Millennium Cohort data to conclude that military members displayed stronger mental health characteristics soon after the terrorist attacks of September 11, 2001. The authors suggest this may be attributed to resilience and/or an outpouring of support for the US military mission. View abstract
Service Members’ Posttraumatic Stress Disorder Symptom Clusters Predict New-onset Depression among Military Spouses	Journal of Traumatic Stress	In press
Walter KH, LeardMann CA, Carballo CE, McMaster HM, Donoho CJ, & Stander VA Among spouses of service members with probable posttraumatic stress disorder (PTSD), 14% met criteria for new-onset depression over a 3-year period. The service member’s PTSD symptom cluster of effortful avoidance was associated with an increased risk of new-onset depression in spouses, underscoring the impact of service member psychological symptoms on the spouse.
Sexual Harassment, Sexual Assault, and Physical Activity Among U.S. Military Service Members in the Millennium Cohort Study	Journal of Interpersonal Violence	In press
Thomas CL, Nieh C, Hooper TI, Gackstetter GD, LeardMann CA, Porter B, Blazer DG; for the Millennium Cohort Study Team This study examined the association of recent sexual trauma with subsequent physical activity levels among service members. The findings indicate that personnel who experienced sexual assault were more likely to report high levels of physical activity (300+ mins/week), while those who reported sexual harassment were less likely to engage in medium-high levels of physical activity (300-449 mins/week), compared with those without sexual harassment or sexual assault. This study highlights how coping responses to sexual trauma among current military members may be intertwined with physical activity. View
Sexual Trauma and Adverse Health and Occupational Outcomes Among Men Serving in the US Military	Journal of Traumatic Stress	2016 Apr;29(1):132-40
Millegan J, Wang L, LeardMann CA, Miletich D, Street AE This study examined the association of recent sexual trauma with health and occupational outcomes among US Service men using longitudinal Millennium Cohort data (2004-2013). Findings from this study indicated that recent sexual trauma, sexual harassment or sexual assault, is associated with adverse physical health and mental health among Service men, after adjustment for relevant covariates. Men who reported sexual trauma were more likely to have left military service and experience post-service disability or unemployment. Results demonstrate that, among Service men, sexual trauma is significantly associated with adverse health and functionality extending to post-military life. Findings support the need for developing more effective prevention strategies and services to reduce the burden of sexual trauma of Service men. View abstract

The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Although the Department of Defense may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.

Publication badge scores are provided by Altmetric.