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
Risk factors for lower extremity tendinopathies in military personnel The Orthopaedic Journal of Sports Medicine 2013 Jan-Jun;1(1) 2325967113492707

Owens BD, Wolf JM, Seelig AD, Jacobson IG, Boyko EJ, Smith B, Ryan MAK, Gackstetter GD, Smith TC

This study found that deployment was associated with the development of plantar fasciitis. Modifiable risk factors including being overweight or obese were associated with both Achilles tendinopathy and plantar fasciitis, with a marginal relationship between moderate alcohol use and Achilles tendinopathy. Identification of potential risk factors for musculoskeletal injuries among service members could serve as the focus for future prevention and intervention efforts.

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Risk factors for relapse to problem drinking among current and former US military personnel: A prospective study of the Millennium Cohort. Drug and Alcohol Dependence 2015; 148:93-101.

Williams EC, Frasco MA, Jacobson IG, Maynard C, Littman AJ, Seelig AD, Crum-Cianflone NF, Nagel A, Boyko EJ.

This study investigated demographic, military, behavioral, and health characteristics associated with relapse among current and former military members with remittent problem drinking. The findings from this study suggest 16% of this population relapse. Several military and non-military characteristics were found to predict relapse, including being in the Reserve/National Guard compared to Active-duty and screening positive for mental health conditions. Targeted intervention to prevent relapse may be indicated for particular subgroups.

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Risk of diabetes in US military service members in relation to combat deployment and mental health Diabetes Care 2010 Aug;33(8):1771-7

Boyko EJ, Jacobson IJ, Smith B, Ryan MAK, Hooper TI, Amoroso PJ, Gackstetter GD, Barrett-Connor E, Smith TC, for the Millennium Cohort Study Team

Higher risk of new onset self-reported diabetes mellitus among cohort members was observed over three years of follow-up in persons with PTSD symptoms at baseline. This association was independent of age, gender, overall body adiposity, and the presence of other mental health conditions. There was no independent association of new onset diabetes with deployment in support of OEF/OIF.

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Self-reported adverse health events following smallpox vaccination in a large prospective study of US military service members Human Vaccines 2008 Mar/Apr;4(2):127-33

Wells TS, LeardMann CA, Smith TC, Smith B, Jacobson IG, Reed RJ, Ryan MAK, for the Millennium Cohort Study Team

Smallpox vaccination was not associated with any adverse self-reported health outcomes, including mental and physical functioning. These findings may be reassuring to health care providers and those who receive the smallpox vaccination.

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Self-reported health symptoms and conditions among complementary and alternative medicine users in a large military cohort Annals of Epidemiology 2009 Sep;19(9)613-22

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

Findings illustrate that a relatively young adult occupational cohort of military personnel using CAM therapies also report multiple comorbidities which may indicate chronic illness management and poorer overall health.

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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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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.

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Sleep and health resilience metrics in a large military cohort Sleep 2016 May;39(5):1111-1120

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 U.S. military service members in the Millennium Cohort Study Diabetes Care 2013 Oct;36(10):3154-61

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 patterns before, during, and after deployment to Iraq and Afghanistan Sleep 2010 Dec;33(12):1615-22

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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