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
Examination of Post-Service Health-Related Quality of Life Among Rural and Urban Military Members of the Millennium Cohort Study Journal of Rural Social Sciences 2011;26(3):32-56

Proctor SP, Wells TS, Jones KA, Boyko EJ, Smith TC, for the Millennium Cohort Study Team

In this large population-based sample of young US veterans recently separated from military service, health-related quality of life (HRQL) was not significantly different among rural and urban residents in the adjusted analyses and deployment experience did not alter the association between the outcome and rural or urban residence. These results suggest that rural status is not independently associated with HRQL among recent U.S. veterans.

View full text

Comparing Self-Reported Physical Activity and Sedentary Time to Objective Fitness Measures in a Military Cohort Journal of Science and Medicine in Sport 2019 Jan;22(1):59-64

de la Motte SJ, Welsh MM, Castle V, Burnett D, Gackstetter GD, Littman AJ, Boyko EJ, and Hooper TI

This was a cross-sectional study of 10,105 Air Force Millennium Cohort participants who completed a physical fitness assessment (PFA) in 2007-2008. Linear regression was used to relate objective PFA measures to self-reported physical activity (PA) and sedentary behavior, and logistic regression was used to examine the risk of PFA failure associated with these self-reported measures. After controlling for demographic characteristics, BMI, and smoking status, we found self-reported PA and screen time were associated with some objective PFA measures, including VO2Max and abdominal circumference. However, screen time alone was associated with odds of PFA failure.

View abstract

Risk Factors Associated with Suicide in Current and Former US Military Personnel Journal of the American Medical Association 2013;310(5):496-506

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.

View abstract

Suicides Among Military Personnel Reply Journal of the American Medical Association 2013 Dec;310(23):2565-2566

Hoge CW, LeardMann CA, Boyko EJ

Discusses the complexity of suicidal behaviors and some challenges related to this type of research, while highlighting the strengths of using data from the Millennium Cohort to study suicide.

View full text

Alcohol Use and Alcohol-Related Problems Before and After Military Combat Deployment Journal of the American Medical Association 2008 Aug;300(6):663-75

Jacobson IG, Ryan MAK, Hooper TI, Smith TC, Amoroso PJ, Boyko EJ, Gackstetter GD, Wells TS, Bell NS, for the Millennium Cohort Study Team

Findings suggest that Reserve and National Guard personnel and younger service members who deploy with reported combat exposures are at increased risk of new-onset heavy weekly drinking, binge drinking, and other alcohol-related problems.

View full text

Military Combat Deployment and Alcohol Use Reply Journal of the American Medical Association 2008 Dec;300(22):2607

Jacobson IG, Smith TC, Bell NS

Highlights the utility of CAGE screening questions for use as controlling factors for those with potential problems using alcohol at baseline.

View abstract

Health of Army Veterinarians and Veterinary Technicians in the Millennium Cohort Study Journal of the American Veterinary Medical Association In press

Rivera AC, Geronimo-Hara TR, LeardMann CA, Penix EA, Phillips CJ, Faix DJ, Rull RP, Whitmer DL, Adler AB, for the Millennium Cohort Study Team

This analysis assessed the risk of mental health problems, suicidal ideation, psychotropic medication use, problem drinking, sleep quality, and lack of social support among 101 Army veterinarians and 334 veterinary technicians compared with other Army medical professionals (856 physicians and dentists and 6,453 medics, respectively) enrolled in the Millennium Cohort Study. Compared with physicians and dentists, veterinarians had elevated risks for mental health problems, trouble sleeping, and lack of social support after adjusting for important factors such as age, sex, race/ethnicity, financial problems, and deployment status. Veterinary technicians had no significantly elevated risks for any of the adverse outcomes of interest compared with medics.
Recent Sexual Trauma and Adverse Health and Occupational Outcomes Among US Service Women Journal of Traumatic Stress 2015 Aug;28(4):298-306

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.

View abstract

Prescription Stimulants and Post-Traumatic Stress Disorder Among US Military Service Members Journal of Traumatic Stress 2015 Dec;28(6):585-589

Crum-Cianflone NF, Frasco M, Armenta RF, Phillips CJ, Horton J, Ryan MAK, Russell DW, LeardMann CA

Millennium Cohort data from U.S. military members who completed the baseline survey, and two follow-up surveys were evaluated to determine associations between receipt of prescription stimulants and PTSD. Prescription stimulants were significantly associated with incident PTSD after adjustment for attention-deficit/hyperactivity disorder, baseline mental and physical health status, deployment experiences, and other known confounders. Findings from this study may inform the underlying pathogenesis of and preventive strategies for PTSD.

View abstract

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

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.

View abstract

The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. Although the Department of Defense may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Such links are provided consistent with the stated purpose of this website.

Publication badge scores are provided by Altmetric.