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
Report to the Committees on Armed Services of the Senate and House of Representatives. (July 2020). Section 748 of the National Defense Authorization Actfor Fiscal Year 2020 (Public Law 116-92)Initial Report on Millennium Cohort Study Relating to Women of the Armed Forces

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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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

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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Hypertension in Military Veterans Is Associated With Combat Exposure and Combat Injury Journal of Hypertension 2020 Jul;38(7):1293-1301

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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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

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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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

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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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.

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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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

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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The Millennium Cohort Study: A 21-Year Prospective Cohort Study of 140,000 Military Personnel Military Medicine 2002 Jun;167(6):483-8.

Gray GC, Chesbrough KB, Ryan MAK, Amoroso P, Boyko EJ, Gackstetter GD, Hooper TI, Riddle JR, for the Millennium Cohort Study Group

The origins and development of the Millennium Cohort Study are described. The largest prospective study in military history was established to answer the most difficult questions about long-term health after military service.

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Self-Reported Mental Health Among US Military Personnel, Prior and Subsequent to the Terrorist Attacks of September 11, 2001 Journal of Occupational and Environmental Medicine 2004 Aug;46(8):775-82

Smith TC, Smith B, Corbeil TE, Riddle JR, and Ryan MAK, for the Millennium Cohort Study Team

Accepted without revision and featured by journal editors, this early analysis leveraged Millennium Cohort data to conclude that military members displayed stronger mental health characteristics soon after the terrorist attacks of September 11, 2001. The authors suggest this may be attributed to resilience and/or an outpouring of support for the US military mission.

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Impact of Terrorism on Caffeine and Tobacco Use Journal of Occupational and Environmental Medicine 2004 Dec;46(12):1194-5

Smith TC, Smith B, Corbeil TE, Ryan MAK, Riddle JR, for the Millennium Cohort Study Team

[letter in response to "Self-reported mental health among US military personnel, prior and subsequent to the terrorist attacks of September 11, 2001"]

Authors of a previously highlighted article respond to important suggestions on future analyses.

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