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
A Prospective Study of Lupus and Rheumatoid Arthritis in Relation to Deployment in Support of Iraq and Afghanistan: the Millennium Cohort Study Autoimmune Diseases 2011 Nov;741267

Jones KA, Granado NS, Smith B, Slymen DJ, Ryan MAK, Boyko EJ, Gackstetter GD, Phillips CJ, Smith TC, for the Millennium Cohort Study Team

Newly reported lupus was not associated with military deployment in support of the current operations in Iraq and Afghanistan when compared with nondeployers. Our study did note a significantly decreased risk of newly reported rheumatoid arthritis among deployers with and without combat exposures when compared with nondeployers; the reason for this finding is unknown, but may be due to a selection effect for deployment.

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Risk Factors for Homelessness Among Post-9/11 Era Veterans Armed Forces & Society 2024 July 25 | doi.org/10.1177/0095327X24125 | Online ahead of print

Metraux S, Kolaja CA, Crone B, Byrne T, Rull RP, Porter B

Between 2001 and 2016, approximately 2% of 49,323 post-9/11 era Veterans experienced homelessness after military separation. Notable risk factors for homelessness in this population included identifying as non-Hispanic Black, identifying as gay, lesbian, or bisexual, not having a college degree, enlisted pay grade, or receiving a general or other than honorable discharge status.

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Preinjury Psychiatric Status, Injury Severity, and Postdeployment Posttraumatic Stress Disorder Archives of General Psychiatry 2011 May;68(5):496-504

Sandweiss DA, Slymen DJ, LeardMann CA, Smith B, White MR, Boyko EJ, Hooper TI, Gackstetter GD, Amoroso PJ, Smith TC, for the Millennium Cohort Study Team

Physical injuries were significantly associated with postdeployment PTSD. Baseline psychiatric status was also significantly associated with postdeployment PTSD, irrespective of injury severity. Deployed service members who suffer from a predeployment psychiatric condition or injury while deployed may benefit from interventions targeted to prevent postdeployment PTSD or ensure early identification and treatment.

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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

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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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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US Military Deployment During 2001-2006: Comparison of Subjective and Objective Data Sources in a Large Prospective Health Study Annals of Epidemiology 2007 Dec;17(12):976-82

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

Defining military deployments using multiple data sources is examined. Deployment timing and duration metrics, critical for epidemiological studies, are valid in the Millennium Cohort Study.

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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.

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Healthy Behaviors and Incidence of Overweight and Obesity in Military Veterans Annals of Epidemiology 2019;39:26–32.e1

Bookwalter DB, Porter B, Jacobson IG, Kong SY, Littman AJ, Rull RP, Boyko EJ

This study looked at how several healthy behaviors of veterans (including moderate-to-high physical activity, low sedentary time, eating little fast-food, appropriate nightly sleep duration, non-smoking, and moderate alcohol use) were associated with weight changes. Veterans who reported more healthy behaviors were less likely to become overweight and/or obese. For example, if all veterans of a healthy weight followed all six healthy behaviors, the number of veterans becoming overweight is estimated to go down by 23% and the number of veterans becoming obese is estimated to go down by 68%.

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The Millennium Cohort Study: The First 20 Years of Research Dedicated to Understanding the Long-Term Health of US Service Members and Veterans Annals of Epidemiology 2022 Mar;67:61-72

Belding JN, Castañeda SF, Jacobson IG, LeardMann CA, Porter B, Powell TM, Kolaja CA, Seelig AD, Matsuno RK, Carey FR, Rivera AC, Trone DW, Sheppard B, Walstrom J, Boyko EJ, Rull RP, For The Millennium Cohort Study Team

In commemoration of the 20th anniversary of the Millennium Cohort Study, this paper provides a summary of the study design, key findings, and future directions. Published findings are summarized and categorized into 3 core areas (psychological health, physical health, and health-related behaviors) and several crosscutting areas culminating in more than 120 publications to date. The Study will continue to foster stakeholder relationships such that research findings inform and guide policy initiatives and health promotion efforts.

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