The following manuscripts have been published or are currently in press. Listings are in chronological order, unless otherwise noted.
| Title | Publication | Date/Location |
|---|---|---|
| Prospective Post-Traumatic Stress Disorder Symptom Trajectories in Active Duty and Separated Military Personnel | Journal of Psychiatric Research | 2017 Jun;89:55-64 |
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Porter B, Bonanno GA, Frasco MA, Dursa EK, Boyko EJ This study compared trajectories of PTSD symptoms between separated and continuously serving Active Duty participants. Trajectories among both groups were highly similar and separated into four classes: resilient, delayed-onset, improving, and elevated-recovering. Resilient trajectories (i.e., having low PTSD symptoms throughout the study period) were the most common trajectory in both groups, although they were less common among separated (82%) compared with continuously serving (87%) personnel. Interventions targeted toward individuals with delayed-onset trajectories may prevent sub-clinical PTSD from worsening. |
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| Prospectively Assessed Posttraumatic Stress Disorder and Associated Physical Activity | Public Health Reports | 2011 May/Jun;126(3):371-83 |
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LeardMann CA, Kelton ML, Smith B, Littman AJ, Boyko EJ, Wells TS, Smith TC, for the Millennium Cohort Study Team Nearly 90% of the Cohort participate in some level of physical activity. Engagement in physical activity, specifically vigorous activity, was associated with decreased odds of PTSD symptoms. While further research is needed, a physical activity component may be valuable to treat and/or prevent PTSD among service members. |
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| PTSD Prevalence, Associated Exposures, and Functional Health Outcomes in a Large, Population-Based Military Cohort | Public Health Report | 2009 Jan;124:90-102 |
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Smith TC, Wingard DL, Ryan MAK, Kritz-Silverstein D, Slymen DJ, Sallis JF, for the Millennium Cohort Study Team Findings suggest a 2% prevalence of current PTSD symptoms in the US Military that are associated with increased reporting of exposures and decrements in functional health. |
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| Recent Sexual Trauma and Adverse Health and Occupational Outcomes Among US Service Women | Journal of Traumatic Stress | 2015 Aug;28(4):298-306 |
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Millegan J, Schaller EK, LeardMann CA, Street AE, Williams D, Trone DW, Crum-Cianflone NF Findings from this study indicate that recent sexual trauma is associated with potential adverse physical health, mental health, and occupational outcomes among women serving in the US armed forces, after adjustment for demographics, prior sexual trauma, mental health, and military factors. Given these findings and the increasing role of women in the military, prevention and mitigation of sexual trauma should remain a high priority and more effective strategies should be developed to prevent sexual trauma. |
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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 |
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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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| Report to the Committees on Armed Services of the Senate and House of Representatives. (July 2020). Section 748 of the National Defense Authorization Actfor Fiscal Year 2020 (Public Law 116-92)Initial Report on Millennium Cohort Study Relating to Women of the Armed Forces | ||
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This report is in response to the section 748 of the National Defense Authorization Act (NOAA) for Fiscal Year (FY) 2020 (Public Law 116-92) requirement for the Secretary of Defense to submit a report on "Millennium Cohort Study Relating to Women Members of the Armed Forces" to the Committees on Armed Services of the Senate and the House of Representatives, within 180 days of enactment and annual reports thereafter through January 31, 2022. This initial report describes findings of the Millennium Cohort Study relating to the gynecological and perinatal health of women members of the Armed Forces |
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| Respiratory Health after Military Service in Southwest Asia and Afghanistan. An Official American Thoracic Society Workshop Report | Annals of the American Thoracic Society | 2019 Aug;16(8):e1-e16 |
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Garshick E, Abraham JH, Baird CP, Ciminera P, Downey GP, Falvo MJ, Hart JE, Jackson DA, Jerrett M, Kuschner W, Helmer DA, Jones KD, Krefft SD, Mallon T, Miller RF, Morris MJ, Proctor SP, Redlich CA, Rose CS, Rull RP, Saers J, Schneiderman AI, Smith NL, Yiallouros P, Blanc PD This workshop report identified key studies, including the Millennium Cohort Study, for assessing post-deployment and long-term respiratory health as well as emerging research and current knowledge gaps. |
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| Risk Factors Associated with Miscarriage and Impaired Fecundity Among United States Servicewomen During the Recent Conflicts in Iraq and Afghanistan | Women's Health Issues | 2017 Feb;27(3):356-365 |
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Ippolito AC, Seelig AD, Powell TM, Conlin AMS, Crum-Cianflone NF, Lemus H, Sevick CS, LeardMann CA Among Servicewomen aged 18-45 years, 31% reported a miscarriage and 11% reported impaired fecundity (infertility) during a 3-year study period. Findings suggest that deployments in support of the operations in Iraq and Afghanistan do not increase the risk for miscarriage and infertility among U.S. Servicewomen. More research is needed to better understand whether specific combat experiences or environmental exposures encountered during deployments increase the risk for adverse reproductive health outcomes. |
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| Risk Factors Associated with Suicide in Current and Former US Military Personnel | Journal of the American Medical Association | 2013;310(5):496-506 |
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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. |
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| Risk Factors for Lower Extremity Tendinopathies in Military Personnel | The Orthopaedic Journal of Sports Medicine | 2013 Jan-Jun;1(1) 2325967113492707 |
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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. |
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