@article{707c9f936d0a4e0eabc4c2cf27c4db27,
title = "Health impact of US military service in a large population-based military cohort: Findings of the Millennium Cohort Study, 2001-2008",
abstract = "Background: Combat-intense, lengthy, and multiple deployments in Iraq and Afghanistan have characterized the new millennium. The US military's all-volunteer force has never been better trained and technologically equipped to engage enemy combatants in multiple theaters of operations. Nonetheless, concerns over potential lasting effects of deployment on long-term health continue to mount and are yet to be elucidated. This report outlines how findings from the first 7 years of the Millennium Cohort Study have helped to address health concerns related to military service including deployments. Methods. The Millennium Cohort Study was designed in the late 1990s to address veteran and public concerns for the first time using prospectively collected health and behavioral data. Results: Over 150 000 active-duty, reserve, and National Guard personnel from all service branches have enrolled, and more than 70% of the first 2 enrollment panels submitted at least 1 follow-up survey. Approximately half of the Cohort has deployed in support of operations in Iraq and Afghanistan. Conclusion: The Millennium Cohort Study is providing prospective data that will guide public health policymakers for years to come by exploring associations between military exposures and important health outcomes. Strategic studies aim to identify, reduce, and prevent adverse health outcomes that may be associated with military service, including those related to deployment.",
author = "Smith, {Tyler C.} and Jacobson, {Isabel G.} and Hooper, {Tomoko I.} and Leardmann, {Cynthia A.} and Boyko, {Edward J.} and Besa Smith and Gackstetter, {Gary D.} and Wells, {Timothy S.} and Amoroso, {Paul J.} and Gray, {Gregory C.} and Riddle, {James R.} and Ryan, {Margaret A.K.}",
note = "Funding Information: This work represents report 09-14, supported by the Department of Defense, under work unit no. 60002. The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of the Army, Department of the Air Force, Department of Defense, Department of Veterans Affairs, nor the US Government. All authors certify that they have contributed substantially to: (1) the conception and design or analysis and interpretation of data, (2) the drafting or revision of the manuscript, and (3) the approval of the final version. All authors certify that the manuscript represents valid work and that neither the submitted manuscript nor one with substantially similar content under their authorship has been published or is being considered for publication elsewhere. We are indebted to all Millennium Cohort Study participants. We thank Scott L. Seggermanfrom the Management Information Division, Defense Manpower Data Center, Monterey, California. Additionally, we thank Millennium Cohort Team Members Melissa Bagnell, MPH; Gina Creaven, MBA; James Davies; Lacy Farnell; Nisara Granado, MPH, PhD; Gia Gumbs, MPH; Jaime Horton; Sydney Lee, MS; Travis Leleu; Gordon Lynch; Jamie McGrew; Hope McMaster, MA, PhD; Amanda Pietrucha, MPH; Teresa Powell, MS; Amber Seelig, MPH; Katherine Snell; Steven Speigle; Kari Sausedo, MA; Martin White, MPH; James Whitmer; and Charlene Wong, MPH; from the Department of Deployment Health Research and Michelle LeWark, from the Naval Health Research Center, San Diego, California. We also thank the professionals from the US Army Medical Research and Materiel Command, especially those from the Military Operational Medicine Research Program, Fort Detrick, Maryland. We appreciate the support of the Henry M. Jackson Foundation for the Advancement of Military Medicine, Rockville, Maryland. VA Puget Sound provided support for Dr. Boyko{\textquoteright}s participation in this research. Human Participation Protection This study was approved by the Institutional Review Board of the Naval Health Research Center. This research has been conducted in compliance with all applicable federal regulations governing the protection of human subjects in research (NHRC Protocol 2000.0007).",
year = "2011",
doi = "10.1186/1471-2458-11-69",
language = "English",
volume = "11",
journal = "BMC Public Health",
issn = "1471-2458",
}