The following manuscripts have been published or are currently in press. Listings are in chronological order, unless otherwise noted.
| Title | Publication | Date/Location |
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| 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 |
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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. |
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| Patterns of Smoking and Unhealthy Alcohol Use Following Sexual Trauma Among US Service Members | Journal of Traumatic Stress | 2017 Oct;30(5):502-511 |
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Seelig AD, Rivera AC, Powell TM, Williams EC, Peterson AV, Littman AJ, Maynard C, Street AE, Bricker JB, Boyko EJ Following sexual assault while serving in the military, women had double the risk for unhealthy alcohol use relapse while men had 6 times the risk for smoking relapse compared with women and men who did not experience sexual assault, respectively. No other associations between sexual trauma (assault or harassment) and subsequent smoking or unhealthy alcohol use were observed. Substance use prevention measures are recommended for those who experience sexual assault and have a history of smoking and unhealthy alcohol use. |
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| Measuring Aggregated and Specific Combat Exposures: Associations Between Combat Exposure Measures and Posttraumatic Stress Disorder, Depression, and Alcohol-Related Problems | Journal of Traumatic Stress | 2018 Apr;31:296-306 |
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Porter B, Hoge CW, Tobin LE, Donoho CJ, Castro CA, Luxton DD, Faix D This study compared two measures of combat exposure and showed that both measures were similarly predictive of poor mental health. The unique contributions of specific exposures to poor mental health were also examined. While all combat exposure items were related to poor mental health, relatively stronger independent associations were observed for certain exposures (e.g., witnessing instances of physical abuse). |
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| Posttraumatic Stress Disorder Symptom Clusters in Service Members Predict New-Onset Depression Among Military Spouses | Journal of Traumatic Stress | 2020 Sep 3. doi: 10.1002/jts.22575 |
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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. |
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| A Comparison of Mental Health Outcomes in Persons Entering US Military Service Before and After September 11, 2001 | Journal of Traumatic Stress | 2012 Feb;25: 17-24 |
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Wells TS, Ryan MAK, Jones KA, Hooper TI, Boyko EJ, Jacobson IG, Smith TC, Gackstetter GD, for the Millennium Cohort Study Team It is hypothesized that those who entered military service prior to September 11, 2001 might have had expectations of experiencing a regular operational tempo and less combat compared with those entering service after this date, therefore an increased risk for mental disorders. Although measuring the direct reason for entering the military was not possible for this study, the findings showed that those entering pre-September 11 did not have a higher odds of mental disorders, suggesting that mental disorders resulting from the experience of war are common across the pre- and post-September 11 accession eras. |
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| Posttraumatic Stress Disorder and Depression Among US Military Health Care Professionals Deployed in Support of the Operations in Iraq and Afghanistan | Journal of Traumatic Stress | 2012 Dec;25(6):616-23 |
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Jacobson IG, Horton JL, LeardMann CA, Ryan MAK, Boyko EJ, Wells TS, Smith B, Smith TC, for the Millennium Cohort Study Team Among military personnel deployed with combat experience, health care professionals did not have increased odds for new-onset PTSD or depression over time compared to individuals in other occupations. Combat experience significantly increased the odds for new-onset PTSD or depression among deployed health care professionals, suggesting that combat experience, not features specific to being a health care professional, was the key exposure explaining development of these outcomes. |
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| Posttraumatic Stress Disorder, Veterans Health Administration Use, and Care-Seeking Among Recent-Era U.S. Veterans | Journal of Traumatic Stress | 2024 June | doi: 10.1002/jts.23019 |
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Porter B, Dozier ME, Seelig A, Zhu Y, Patoilo M, Boyko EJ, Rull RP Veterans with probable PTSD were more likely to use Veterans Health Administration (VHA) services than veterans without probable PTSD. Among these veterans with probable PTSD, those with recent VHA use were more likely to have reported seeking care for PTSD compared to those who did not use VHA services in the past year. |
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| Is Military Deployment a Risk Factor for Maternal Depression? | Journal of Women's Health | 2013 Jan; 22(1):9-18 |
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Nguyen S, LeardMann CA, Smith B, Conlin AMS, Slymen DJ, Hooper TI, Ryan MAK, Smith TC, for the Millennium Cohort Study Team This study found that military women who recently gave birth and then deployed with combat experience had an increased risk for depression. Combat experience primarily increased the risk for depression, rather than childbirth itself. In addition, deployment without combat experience was not significantly associated with maternal depression among women who recently gave birth. |
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| US Naval and Marine Corps Occupations, PTSD and Depression Risk and Absenteeism | Journal of Workplace Behavioral Health | 2014;29(2):91–112 |
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Wells TS, Bagnell ME, Miller SC, Smith TC, Gackstetter GD and Boyko EJ for the Millennium Cohort Study Team This study investigated whether military occupation was associated with PTSD or depression, and if PTSD or depression was associated with lost workdays among US Navy and US Marine personnel. Navy personnel in service and supply occupations were 85% more likely to screen positive for new-onset PTSD, while those serving in health care were 58% more likely to screen positive for new-onset depression compared to other occupations. In addition, those with new-onset and persistent PTSD were twice as likely to miss one or more days of work. This suggests that early identification and management of these conditions may improve force readiness. |
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| Surveillance Snapshot: Cervical Screening among U.S. Military Servicewomen in the Millennium Cohort Study, 2003 to 2015 | Medical Surveillance Monthly Report | 2020 Jul;27(7):15 |
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Matsuno RK, Porter B, Warner SG, Wells N for the Millennium Cohort Study Team Across a 13 year period (2003-2015), the percentage of U.S. service women who were up-to-date with cervical cancer screening peaked in 2010, then declined. Screening was generally highest among Air Force personnel and lowest among Navy personnel. Being up-to-date was higher for servicewomen who had initiated the HPV vaccine than for women who had not. |
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