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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| The Millennium Cohort Study: Answering Long-Term Health Concerns of US Military Service Members by Integrating Longitudinal Survey Data with Military Health System Records | Military Health Care From predeployment to post-separation | 1st ed. New York, NY: Routledge;2013: 55-77 |
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Crum-Cianflone N In: Amara J, Hendricks A, eds This textbook chapter provides a detailed summary of the first decade of the Millennium Cohort Study. The chapter includes an overview of the study methodology and key publications including a review of foundational papers and epidemiologic studies examining the associations of military service experiences with mental, behavioral, and physical health outcomes. |
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| A Decade of War: Prospective Trajectories of Posttraumatic Stress Disorder Symptoms Among Deployed US Military Personnel and the Influence of Combat Exposure | American Journal of Epidemiology | 15 December 2017;186(12):1310–1318. |
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Donoho CJ, Bonanno GA, Porter B, Kearney L, Powell TM Using survey data collected at four different time points over a 10-year study period, four distinct patterns of PTSD symptoms were observed among deployed personnel. More than 85% of participants were found to be resilient with almost no PTSD symptoms. Despite similarity in pre-deployment symptoms, those experiencing combat-related trauma had higher PTSD symptom levels following deployment across every trajectory compared with those not exposed to combat-related trauma. These findings suggest the clinical course of PTSD symptoms has a heterogeneous pattern of development, but that combat exposure is uniformly associated with poorer mental health. |
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| Risk of Traumatic Brain Injury in Deployment and Nondeployment Settings Among Members of the Millennium Cohort Study | Journal of Head Trauma Rehabilitation | 2024 Jun 27 | doi: 10.1097/HTR.0000000000000970 | Online ahead of print |
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Jannace KC, Pompeii L, de Porras DGR, Perkison WB, Yamal JM, Trone DW, Rull RP The risk of traumatic brain injury (TBI) was higher among service members in deployment settings compared to those in nondeployment settings. Risk reduction strategies and education are needed to reduce the occurrence of TBI based on deployment status and history. |
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| Prevalence and predictors of insomnia and sleep medication use in a large tri-service U.S. military sample | Sleep Health | 2021 Dec;7(6):675-682 |
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Markwald RR, Carey FR, Kolaja CA, Jacobson IG, Cooper AD, Chinoy ED Several deployment-related characteristics were significantly associated with the development of insomnia and/or newly-reported sleep medication use, and more than half of the sample with insomnia reported using sleep medication, indicating a high rate of medicating for insomnia. These findings may indicate an underlying systematic issue related to the inability to obtain adequate sleep in military personnel |
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| Hypertension in Military Veterans Is Associated With Combat Exposure and Combat Injury | Journal of Hypertension | 2020 Jul;38(7):1293-1301 |
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Howard JT, Stewart IJ, Kolaja C, Sosnov JA, Rull R, Torres I, Janak JC, Walker LE, Trone DW, Armenta RF This study examined the association between combat injury and incident hypertension. We found that those who were injured during combat were more likely to develop hypertension. Further, inadequate sleep, having PTSD, and being overweight or obese were associated with developing hypertension. Results highlight the importance of hypertension prevention among those who are injured during their time in service. |
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| Longitudinal Investigation of Military-Specific Factors Associated with Continued Unhealthy Alcohol Use Among a Large US Military Cohort | Journal of Addiction Medicine | 2020 Jul-Aug; 14(4): e53–e63 |
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Jacobson IG, Williams EC, Seelig AD, Littman AJ, Maynard CC, Bricker JB, Rull RR, Boyko EJ, for the Millennium Cohort Study Team This study examined military-specific risk factors for continued unhealthy alcohol use (e.g. heavy weekly, heavy episodic, and problem drinking) among service members screening positive on two consecutive surveys. Service members in the Reserve/Guard (compared with Active Duty) and those who separated from military service during follow-up (compared with those remaining on active service) had an elevated risk for continuing unhealthy drinking across all three dimensions of unhealthy alcohol use. |
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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 Act for 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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