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
Health care utilization among complementary and alternative medicine users in a large military cohort BMC Complementary and Alternative Medicine 2011 Apr;11:27

White MR, Jacobson IG, Smith B, Wells TS, Gackstetter GD, Boyko EJ, Smith TC, for the Millennium Cohort Study Team

Our findings provide evidence that CAM users are utilizing more physician-based medical services than users of conventional care. Those using CAM account for 45.1% of outpatient care and 44.8% of inpatient care, but make up only 39% of the study population. Whether CAM use is supplementing current conventional medical practice to meet the health care needs of these individuals is not fully understood.

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Health impact of US military service in a large population-based military cohort: findings of the Millennium Cohort Study, 2001-2008 BMC Public Health 2011 Jan;11(1):69

Smith TC, Jacobson IG, Hooper TI, LeardMann CA, Boyko EJ, Smith B, Gackstetter GD, Wells TS, Amoroso PJ, Gray GC, Riddle JR, Ryan MAK, for the Millennium Cohort Study Team

This report summarizes findings from the Millennium Cohort Study through 2008 that have addressed health concerns related to military service. Conducting strategic studies aimed to identify, reduce, and prevent adverse health outcomes in military members have guided public health policy and will continue to affect policy for years to come.

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Hearing loss associated with US military combat deployment Noise and Health 2015 Jan-Feb; 74(17): 34-42

Wells TS, Seelig AD, Ryan MAK, Jones JM, Hooper TI, Jacobson IG, Boyko EJ

This study investigated hearing loss among Service members and Veterans. New-onset hearing loss was associated with combat deployment. Among those who had deployed, new-onset hearing loss was also associated with proximity to improvised explosive devices and experiencing a combat-related head injury. These findings have implications for health care and disability planning, as well as for prevention programs.

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Impact of combat deployment and Posttraumatic Stress Disorder on newly reported coronary heart disease among US Active Duty and Reserve forces Circulation 2014;129:1813-1820

Crum-Cianflone NF, Bagnell ME, Schaller E, Boyko EJ, Smith B, Maynard C, Ulmer CS, Vernalis M and Smith TC

This study evaluated the association of combat deployments and posttraumatic stress disorder (PTSD) on coronary heart disease among a young cohort of US service members. Experiencing combat deployment was associated with an increased odds of coronary heart disease by both self-report and medical record diagnosis after adjustment for demographic, military, and mental health characteristics. Screening positive for PTSD was not associated with CHD after adjustment. This study demonstrates that intense and acute stressful life experiences may increase the risk for coronary heart disease over a relatively short period among young adults.

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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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Individual augmentee deployment and newly reported mental health morbidity Journal of Occupational and Environmental Medicine 2012 May;54(5):615-620

Granado NS, Zimmermann L, Smith B, Jones KA, Wells TS, Ryan MAK, Slymen DL, Koffman RL, Smith TC, for the Millennium Cohort Study Team

Individual augmentees (IAs), who presumably have lower social support or unit cohesion, were not at increased risk for PTSD or mental health symptoms following deployment compared with non-IA deployers. It is likely that social isolation was not highly influential among Navy IAs in this study.

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Is Military Deployment a Risk Factor for Maternal Depression? Journal of Women's Health 2013 Jan; 22(1):9-18

Nguyen S, LeardMann CA, Smith B, Conlin AMS, Slymen DJ, Hooper TI, Ryan MAK, Smith TC, for the Millennium Cohort Study Team

This study found that military women who recently gave birth and then deployed with combat experience had an increased risk for depression. Combat experience primarily increased the risk for depression, rather than childbirth itself. In addition, deployment without combat experience was not significantly associated with maternal depression among women who recently gave birth.

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Linking exposures and health outcomes to a large population-based longitudinal study: the Millennium Cohort Study Military Medicine 2011 Jul;176(7 Suppl):56-63

Smith TC, for the Millennium Cohort Study Team

Linking Millennium Cohort prospective data to individual-level exposure data is critical for understanding and quantifying any long-term health outcomes potentially associated with unique military occupational exposures.

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Longitudinal assessment of gender differences in the development of PTSD among US military personnel deployed in support of the operations in Iraq and Afghanistan Journal of Psychiatric Research 2015;68:30-36

Jacobson IG, Donoho CJ, Crum-Cianflone NF, Maguen S

Using prospective data from Millennium Cohort Study participants, a propensity score matching technique was used to match 1 male with each female using demographic, military, and behavioral factors including baseline sexual assault. After stratifying by combat experience and adjusting for sexual assault at follow-up, findings revealed no significant gender differences for new-onset postdeployment PTSD among men and women including among those who experienced combat.

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Longitudinal assessment of mental disorders, smoking, and hazardous drinking among a population-based cohort of U.S. service members Journal of Addiction Medicine 2014 Jul-Aug;8(4):271-281

Smith TC, LeardMann CA, Smith B, Jacobson IG, Miller SC, Wells TS, Boyko EJ, Ryan MAK

This study investigated mental disorders in association with hazardous drinking and cigarette smoking. These prospective data highlight the inter-related nature of these symptoms and behaviors and the potentially complex bi-directional causal pathway. Military health professionals should consider the constellation of potential behaviors and symptoms during the treatment of specific mental health illnesses and negative health behaviors.

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