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 Health Difficulties Among Service Women: The Influence of Posttraumatic Stress Disorder | Journal of Affective Disorders | 2021 Sep 1;292:678-686 |
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Kolaja CA, Schuyler AC, Armenta RF, Orman JA, Stander VA, LeardMann CA Sexual health of service women was found to be negatively impacted by recent combat deployment and sexual assault. Post-traumatic stress disorder(PTSD) mediated the associations of recent combat deployment and sexual assault with sexual health difficulties. Some military factors (i.e., service branch, component, paygrade) were associated with sexual health difficulties among service women. Findings indicate that effective treatment of PTSD may mitigate sexual health issues. |
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| Sexual Health Problems among Service Men: The Influence of Posttraumatic Stress Disorder | Journal of Sex Research | 2021 Jan 11:1-13 |
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Kolaja CA, Roenfeldt K, Armenta RF, Schuyler AC, Orman JA, Stander VA, LeardMann CA Among service men, numerous factors (e.g. older age, lower education, enlisted paygrade, disabling injury, BMI) were associated with sexual health problems. PTSD mediated the associations between stressors (combat deployment and sexual assault) and sexual health outcomes. These findings indicate that sexual health is negatively affected by military-related stressors and comprehensive treatment options are warranted. |
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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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| Single and repeated high-level blast, low-level blast, and new-onset self-reported health conditions in the U.S. Millennium Cohort Study: An exploratory investigation | Frontiers in Neurology | 2023 Mar 21 | doi: 10.3389/fneur.20 |
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Belding JN, Kolaja CA, Rull RP, Trone DW for the Millennium Cohort Study Team This study examined whether single and repeated high-level blast exposure (e.g., from incoming munitions) and low-level blast exposure (e.g., from outgoing munitions) were associated with 45 different self-reported diagnoses of illness and injury. Outcomes examined included PTSD, depression, hearing loss, tinnitus, chronic fatigue syndrome, and migraines. Findings suggest that blast exposure elevated risks for more than 20 different diagnoses and that repeated exposure was associated with worse outcomes. |
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| Sleep and Health Resilience Metrics in a Large Military Cohort | Sleep | 2016 May;39(5):1111-1120 |
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Seelig AD, Jacobson IG, Donoho CJ, Trone DW, Crum-Cianflone NF, Balkin TJ The presence of insomnia symptoms was significantly associated with worse self-rated health, more lost work days, lower odds of deployment, higher odds of leaving military service early, and more health care utilization, after adjustment for demographic, military, behavioral and other health covariates. Findings were similar for those reporting less than 6 hours of sleep per night. Future research should focus on the efficacy of interventions to promote healthy sleep in military populations. |
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| Sleep Characteristics, Mental Health, and Diabetes Risk: A Prospective Study of US Military Service Members in the Millennium Cohort Study | Diabetes Care | 2013 Oct;36(10):3154-61 |
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Boyko EJ, Seelig AD, Jacobson IG, Hooper TI, Smith B, Smith TC, Crum-Cianflone NF We investigated whether poor sleep and mental health symptoms were independently related to diabetes risk. During 6 years of follow-up, the annual incidence rate for type 2 diabetes was 3.6/1,000 person years. After adjusting for covariates including mental health disorders like posttraumatic stress disorder and depression, both trouble sleeping and sleep apnea significantly predicted diabetes risk independent of these mental health conditions and other diabetes risk factors. |
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| Sleep Health Among US Navy Afloat Versus Ashore Personnel in the Millennium Cohort Study | Journal of Sleep Research | 2024 May 19 | doi:10.1111/jsr.14207 | Online ahead of print |
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Jacobson IG, Harbertson J, Sharifian N, Rull RP, Steele CT, Russell DW Among 4,953 active-duty naval personnel who completed the 2014-2016 Millennium Cohort survey, sleep metrics (e.g., fatigue, short sleep duration) and sleep-related health outcomes (e.g., PTSD, depression) were similar between sailors with recent sea and shore duty, while sailors with recent shore duty had poorer physical health (e.g., type 2 diabetes, bodily pain) compared with those with recent sea duty. |
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| Sleep Patterns Before, During, and After Deployment to Iraq and Afghanistan | Sleep | 2010 Dec;33(12):1615-22 |
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Seelig AD, Jacobson IG, Smith B, Hooper TI, Boyko EJ, Gackstetter GD, Gehrman PR, Macera CA, Smith TC, for the Millennium Cohort Study Team Participants reported having trouble sleeping and getting less sleep either during deployment or after returning home from deployment more than nondeployed participants. Self-reported combat exposures and mental health symptoms were independently associated with increased reporting of trouble sleeping. |
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| Smallpox Vaccination: Comparison of Self-Reported and Electronic Vaccine Records in the Millennium Cohort Study | Human Vaccines | 2007 Nov/Dec;3(6):245-51 |
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LeardMann CA, Smith B, Smith TC, Wells TS, Ryan MAK, for the Millennium Cohort Study Team Self-report of smallpox vaccination is very reliable. Results may be valuable in supporting global response to bioterrorism threats. |
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| Smokeless Tobacco Use Related to Military Deployment, Cigarettes, and Mental Health Symptoms in a Large, Prospective Cohort Study Among US Service Members | Addiction | 2012 May;107(5):983-994 |
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Hermes ED, Wells TS, Smith B, Boyko EJ, Gackstetter GD, Miller SC, Smith TC, for the Millennium Cohort Study Team Chronic use of smokeless tobacco has been linked to poor military training performance, early discharge, and a host of medical problems from cancer to heart disease. Smokeless tobacco initiation occurred in 1.9% and persistent use in 8.9% of Millennium Cohort participants. The study showed that deployment, combat exposure, smoking, and symptoms of posttraumatic stress disorder increased the risk for smokeless tobacco initiation, while deployment and combat exposure increased the risk for persistent use. |
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