Research Topics
| Besa SmithSummaryAffiliation: Naval Medical Center Country: USA Publications
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Detail Information
Publications
The effects of exposure to documented open-air burn pits on respiratory health among deployers of the Millennium Cohort StudyBesa Smith
Department of Deployment Health Research, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106, USA
J Occup Environ Med 54:708-16. 2012..To investigate respiratory illnesses and potential open-air burn pit exposure among Millennium Cohort participants who deployed to Iraq or Afghanistan...
The long-term hospitalization experience following military service in the 1991 Gulf War among veterans remaining on active duty, 1994-2004Tomoko I Hooper
Department of Preventive Medicine and Biometrics, Uniformed Service University of the Health Sciences, Bethesda, Maryland, USA
BMC Public Health 8:60. 2008..The purpose of this study was to describe the long-term hospitalization experience of the subset of U.S. Gulf War veterans still on active duty between 1994 and 2004...
Assessing nonresponse bias at follow-up in a large prospective cohort of relatively young and mobile military service membersAlyson J Littman
Seattle Epidemiologic Research and Information Center, Department of Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA
BMC Med Res Methodol 10:99. 2010..We identified sociodemographic, behavioral, military, and health-related predictors of response to the first follow-up questionnaire in a large military cohort and assessed the extent to which nonresponse biased measures of association...
When epidemiology meets the Internet: Web-based surveys in the Millennium Cohort StudyBesa Smith
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA 92186 5122, USA
Am J Epidemiol 166:1345-54. 2007..Web responders provided more complete contact information, including their e-mail addresses. These results demonstrate the value of survey research conducted over the Internet in concert with traditional mail survey strategies...
Newly reported respiratory symptoms and conditions among military personnel deployed to Iraq and Afghanistan: a prospective population-based studyBesa Smith
Department of Defense Center for Deployment Health Research, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106 3521, USA
Am J Epidemiol 170:1433-42. 2009..Significant associations seen with land-based deployment also imply that exposures related to ground combat may be important...
Cigarette smoking and military deployment: a prospective evaluationBesa Smith
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, California 92106 3521, USA
Am J Prev Med 35:539-46. 2008..The current study describes new smoking among never-smokers, smoking recidivism among past smokers, and change in daily smoking among smokers in relation to military deployment...
Challenges of self-reported medical conditions and electronic medical records among members of a large military cohortBesa Smith
Department of Defense Center for Deployment Health Research at the Naval Health Research Center, USA
BMC Med Res Methodol 8:37. 2008..Self-reported diagnoses may differ from medical record diagnoses due to poor patient-clinician communication, self-diagnosis in the absence of a satisfactory explanation for symptoms, or the "health literacy" of the patient...
Prospective evaluation of mental health and deployment experience among women in the US militaryAmber D Seelig
Deployment Health Research Department, Naval Health Research Center, San Diego, California 92106 3521, USA
Am J Epidemiol 176:135-45. 2012..01). As the roles and responsibilities of women in the military expand and deployments continue, designing better prevention and recovery strategies specifically for women are critical for overall force health protection and readiness...
Newly reported hypertension after military combat deployment in a large population-based studyNisara S Granado
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA 92106 3521, USA
Hypertension 54:966-73. 2009..07 to 1.65). Although military deployers, in general, had a lower incidence of hypertension than nondeployers, deployment with multiple stressful combat exposures appeared to be a unique risk factor for newly reported hypertension...
Disordered eating and weight changes after deployment: longitudinal assessment of a large US military cohortIsabel G Jacobson
Department of Defense Center for Deployment Health Research, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106, USA
Am J Epidemiol 169:415-27. 2009..70). Despite no significant overall association between deployment and disordered eating and weight changes, deployed women reporting combat exposures represent a subgroup at higher risk for developing eating problems and weight loss...
Newly reported lupus and rheumatoid arthritis in relation to deployment within proximity to a documented open-air burn pit in IraqKelly A Jones
Department of Deployment Health Research, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106, USA
J Occup Environ Med 54:698-707. 2012....
Linking exposures and health outcomes to a large population-based longitudinal study: the Millennium Cohort StudyTyler C Smith
Department of Deployment Health Research, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106 3521, USA
Mil Med 176:56-63. 2011..To describe current efforts and future potential for understanding long-term health of military service members by linking the Millennium Cohort Study data to exposures and health outcomes...
Prospective assessment of chronic multisymptom illness reporting possibly associated with open-air burn pit smoke exposure in IraqTeresa M Powell
Deployment Health Research Department, Naval Health Research Center, 140 Sylvester Road, San Diego CA 92106, USA
J Occup Environ Med 54:682-8. 2012..To investigate the relationship between chronic multisymptom illness (CMI) and possible exposure to an open-air burn pit at three selected bases among those deployed to operations in Iraq and Afghanistan...
The postwar hospitalization experience of Gulf War veterans participating in U.S. health registriesTyler C Smith
Department of Defense Center for Deployment Health Research at the Naval Health Research Center, San Diego, CA 92186 5122, USA
J Occup Environ Med 46:386-97. 2004..40-1.46). These findings support the hypothesis that registry participants were more likely to experience postwar morbidity than veterans who chose not to enroll in the health registries...
Preinjury psychiatric status, injury severity, and postdeployment posttraumatic stress disorderDonald A Sandweiss
Department of Deployment Health Research, Naval Health Research Center, San Diego, CA 92106, USA
Arch Gen Psychiatry 68:496-504. 2011..Previous studies have retrospectively examined the relationship of preinjury psychiatric status and postinjury PTSD with conflicting results, but no prospective studies regarding this subject have been conducted, to our knowledge...
Health impact of US military service in a large population-based military cohort: findings of the Millennium Cohort Study, 2001-2008Tyler C Smith
Center for Deployment Health Research, Naval Health Research Center, 140 Sylvester Rd, San Diego, CA 92106 3521, USA
BMC Public Health 11:69. 2011..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...
Health care utilization among complementary and alternative medicine users in a large military cohortMartin R White
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA, USA
BMC Complement Altern Med 11:27. 2011..The aim of this study was to determine if CAM users are requiring more physician-based medical services than users of conventional medicine...
The physical and mental health of a large military cohort: baseline functional health status of the Millennium CohortTyler C Smith
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA, USA
BMC Public Health 7:340. 2007..Effective military operations require optimal health of deployed service members, and both mental and physical health can be affected by military operations...
Baseline self reported functional health and vulnerability to post-traumatic stress disorder after combat deployment: prospective US military cohort studyCynthia A LeardMann
Department of Defense Center for Deployment Health Research, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106, USA
BMJ 338:b1273. 2009..To determine if baseline functional health status, as measured by SF-36 (veterans), predicts new onset symptoms or diagnosis of post-traumatic stress disorder among deployed US military personnel with combat exposure...
PTSD prevalence, associated exposures, and functional health outcomes in a large, population-based military cohortTyler C Smith
Department of Defense Center for Deployment Health Research, Naval Health Research Center, P O Box 85122, San Diego, CA 92186 5122, USA
Public Health Rep 124:90-102. 2009..The purpose of this study was to investigate the prevalence of PTSD symptoms and diagnosis, self-reported exposures, and functional health in a large cross-section of the U.S. military...
Prior assault and posttraumatic stress disorder after combat deploymentTyler C Smith
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA 92186 5122, USA
Epidemiology 19:505-12. 2008..The objective of this study was to prospectively examine the relation between prior assault and new-onset PTSD symptoms in a large US military cohort deployed in the wars in Iraq and Afghanistan...
US military service members vaccinated against smallpox in 2003 and 2004 experience a slightly higher risk of hospitalization postvaccinationIsabel G Jacobson
Department of Defense Center for Deployment Health Research at the Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106 3521, USA
Vaccine 26:4048-56. 2008....
Bodybuilding, energy, and weight-loss supplements are associated with deployment and physical activity in U.S. military personnelIsabel G Jacobson
Deployment Health Research Department, Naval Health Research Center, San Diego, CA 92106 3521, USA
Ann Epidemiol 22:318-30. 2012..This study aimed to determine whether deployment experience and physical activity were associated with the use of bodybuilding, energy, or weight-loss supplement among U.S. military personnel...
Exploratory factor analysis of self-reported symptoms in a large, population-based military cohortMolly L Kelton
Department of Defense Center for Deployment Health Research at the Naval Health Research Center, San Diego, CA, USA
BMC Med Res Methodol 10:94. 2010..The objective of this study was to use exploratory factor analysis to describe the correlations among numerous physical and psychological symptoms in terms of a smaller number of unobserved variables or factors...
Millennium Cohort: enrollment begins a 21-year contribution to understanding the impact of military serviceMargaret A K Ryan
Department of Defense Center for Deployment Health Research, Naval Health Research Center, P O Box 85122, San Diego, CA 92186 5122, USA
J Clin Epidemiol 60:181-91. 2007..In response to health concerns of military members about deployment and other service-related exposures, the Department of Defense (DoD) initiated the largest prospective study ever undertaken in the U.S. military...
Smallpox vaccination: comparison of self-reported and electronic vaccine records in the millennium cohort studyCynthia A LeardMann
Department of Defense, Center for Deployment Health Research, Naval Health Research Center, San Diego, California, USA
Hum Vaccin 3:245-51. 2007....
Mefloquine use and hospitalizations among US service members, 2002-2004Timothy S Wells
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, California 92186 5122, USA
Am J Trop Med Hyg 74:744-9. 2006..These results suggest there is no association between mefloquine prescriptions and severe health effects, as measured by hospitalizations, across a wide range of outcomes...
The US Department of Defense Millennium Cohort Study: career span and beyond longitudinal follow-upTyler C Smith
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA 92106 3521, USA
J Occup Environ Med 51:1193-201. 2009..To describe current and future career-span health research in the US Department of Defense Millennium Cohort Study...
Self-reported health symptoms and conditions among complementary and alternative medicine users in a large military cohortIsabel G Jacobson
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA 92106 3521, USA
Ann Epidemiol 19:613-22. 2009..To describe medical symptom and condition reporting in relation to complementary and alternative medicine (CAM) use among members of the US military...
Risk factors for posttraumatic stress disorder among deployed US male marinesChristopher J Phillips
Department of Defense Center for Deployment Health Research, Naval Health Research Center, Department 164, 140 Sylvester Road, San Diego, CA 92106, USA
BMC Psychiatry 10:52. 2010..Our study objective was to explore the relationship between specific combat exposures and other life experiences with postdeployment PTSD...
Sleep patterns before, during, and after deployment to Iraq and AfghanistanAmber D Seelig
Department of Deployment Health Research, Naval Health Research Center, San Diego, CA 92106 3521, USA
Sleep 33:1615-22. 2010..To determine the associations between deployment in support of the wars in Iraq and Afghanistan and sleep quantity and quality...
The occupational role of women in military service: validation of occupation and prevalence of exposures in the Millennium Cohort StudyTyler C Smith
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, California 92186, USA
Int J Environ Health Res 17:271-84. 2007..Occupational groups with higher odds of reporting military exposures of concern will be followed longitudinally through 2022 and prospectively compared using baseline and follow-up evaluations...
Prospectively assessed posttraumatic stress disorder and associated physical activityCynthia A LeardMann
Naval Health Research Center, Department of Defense Center for Deployment Health Research, 140 Sylvester Rd, San Diego, CA 92106 3521, USA
Public Health Rep 126:371-83. 2011..We examined the association of physical activity with prospectively assessed posttraumatic stress disorder (PTSD) symptoms in a military cohort...
Individual augmentee deployment and newly reported mental health morbidityNisara S Granado
Deployment Health Research Department, Naval Health Research Center, San Diego, CA, USA
J Occup Environ Med 54:615-20. 2012..To investigate the association between US Navy individual augmentee (IA) deployers, who may lack the protective effects of unit cohesion and social support, and newly reported mental health...
Prospective investigation of complementary and alternative medicine use and subsequent hospitalizationsTyler C Smith
Department of Defense Center for Deployment Health Research, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106, USA
BMC Complement Altern Med 8:19. 2008..However, there has been little objective research into the possible risks or benefits of unmanaged CAM therapies...
Postdeployment hospitalizations among service members deployed in support of the operations in Iraq and AfghanistanTyler C Smith
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA 92106 3521, USA
Ann Epidemiol 19:603-12. 2009..This study investigates morbidity among deployers by uniquely comparing after-deployment hospitalizations to before-deployment hospitalizations and hospitalizations among nondeployers...
U.S. military deployment during 2001-2006: comparison of subjective and objective data sources in a large prospective health studyBesa Smith
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA 92186 5122, USA
Ann Epidemiol 17:976-82. 2007..This study compared self-reported and electronic deployment data and explored differences in functional health...
Ten years and 100,000 participants later: occupational and other factors influencing participation in US Gulf War health registriesTyler C Smith
Department of Defense Center for Deployment Health Research, Naval Health Research Center, PO Box 85122, San Diego, CA 92186 5122, USA
J Occup Environ Med 44:758-68. 2002..These findings support the hypothesis that certain occupational factors and wartime exposures may influence subsequent health care-seeking behavior...
Reliability of standard health assessment instruments in a large, population-based cohort studyTyler C Smith
Department of Defense Center for Deployment Health Research at the Naval Health Research Center, San Diego, CA 92186 5122, USA
Ann Epidemiol 17:525-32. 2007..The purpose of this study was to investigate internal consistency of standardized instruments and concordance of responses in a test-retest setting...
Complementary and alternative medicine use among US Navy and Marine Corps personnelTyler C Smith
Department of Defense Center for Deployment Health Research at the Naval Health Research Center, San Diego, CA, USA
BMC Complement Altern Med 7:16. 2007..In contrast, few studies have examined CAM use within military populations, which have ready access to conventional medicine. Currently, the prevalence and impact of CAM use in US military populations remains unknown...
A comparison of the postdeployment hospitalization experience of U.S. military personnel following service in the 1991 Gulf War, Southwest Asia after the Gulf War, and BosniaBesa Smith
Department of Defense Center for Deployment Health Research at the Naval Health Research Center, San Diego, California 92186 5122, USA
J Occup Environ Hyg 3:660-70. 2006..Although the risk for hospitalization may be associated with regional deployment, it is unlikely that Gulf War veterans are at greater risk of hospitalization due to a specific exposure-related disease...
The impact of prior deployment experience on civilian employment after military serviceJaime L Horton
Deployment Health Research Department, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106 5122, USA
Occup Environ Med 70:408-17. 2013..To determine if deployment to recent military operations or other health, demographic, or military-related characteristics were associated with employment after military service...
Posttraumatic stress disorder and depression among U.S. military health care professionals deployed in support of operations in Iraq and AfghanistanIsabel G Jacobson
Deployment Health Research Department, Naval Health Research Center, San Diego, California 92106 3521, USA
J Trauma Stress 25:616-23. 2012..06, 3.83] for new-onset PTSD or depression. These results suggest that combat experience, not features specific to being a health care professional, was the key exposure explaining the development of these outcomes...
Application of latent semantic analysis for open-ended responses in a large, epidemiologic studyTravis D Leleu
Deployment Health Research Department at Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106, USA
BMC Med Res Methodol 11:136. 2011..The purpose of this investigation was to examine characteristics of Millennium Cohort Study participants who responded to the open-ended question, and to identify and investigate the most commonly reported areas of concern...
A prospective study of lupus and rheumatoid arthritis in relation to deployment in support of iraq and afghanistan: the millennium cohort studyKelly A Jones
Deployment Health Research Department, Naval Health Research Center, 140 Sylvester Road, San Diego, CA 92106 3521, USA
Autoimmune Dis 2011:741267. 2011..Women, non-Hispanic black, and Hispanic participants had a significantly elevated risk for both diseases. Overall, deployment was not associated with an increased risk of newly reported lupus or rheumatoid arthritis...
The mental health of U.S. military women in combat support occupationsKrista E Lindstrom
Department of Defense Center for Deployment Health Research at the Naval Health Research Center, San Diego, California, USA
J Womens Health (Larchmt) 15:162-72. 2006..CONCLUSIONS: These results are reassuring but may be confounded by a healthy worker selection effect. Further studies are needed to assess how service in combat support occupations affects the long-term health of U.S. military women...
Is military deployment a risk factor for maternal depression?Stacie Nguyen
Department of Deployment Health Research at the Naval Health Research Center, San Diego, California, USA
J Womens Health (Larchmt) 22:9-18. 2013..Using data from a large military cohort, this study prospectively examined the relationship between deployment experience before and after childbirth and maternal depression among U.S. service women...
Self-reported mental health among US military personnel prior and subsequent to the terrorist attacks of September 11, 2001Tyler C Smith
Department of Defense Center for Deployment Health Research at the Naval Health Research Center, San Diego, California 92186 5122, USA
J Occup Environ Med 46:775-82. 2004..In contrast to studies of other populations, military respondents reported fewer mental health problems in the months immediately after September 11, 2001...
Anthrax vaccination in the Millennium Cohort: validation and measures of healthBesa Smith
Department of Defense, Center for Deployment Health Research, Naval Health Research Center, San Diego, California 92486 5122, USA
Am J Prev Med 32:347-53. 2007..The purpose of this study was to compare self-reported anthrax vaccination to electronic vaccine records among a large military cohort and to evaluate the relationship between vaccine history and health outcome data...
Tuberculosis infection among young adults enlisting in the United States NavyBesa Smith
Department of Defense Center for Deployment Health Research at the Naval Health Research Center, San Diego, CA 92186 5122, USA
Int J Epidemiol 31:934-9. 2002..Tuberculosis (TB) is a re-emerging infectious disease threat worldwide. To protect the health and readiness of US military personnel, policies exist to screen for and treat latent TB infection at the time of service entrance...
Risk factors for community-associated methicillin-resistant Staphylococcus aureus infections in an outbreak of disease among military trainees in San Diego, California, in 2002Katherine M Campbell
Department of Defense Center for Deployment Health Research, Naval Medical Center, San Diego, CA 92186-5122, USA
J Clin Microbiol 42:4050-3. 2004..This outbreak of MRSA skin infections in an otherwise-healthy, well-defined, military population provided an opportunity to describe risk factors for CA-MRSA which may help focus prevention efforts in this and other communities...
Do adverse childhood experiences increase the risk of postdeployment posttraumatic stress disorder in US Marines?Cynthia A LeardMann
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA, USA
BMC Public Health 10:437. 2010..It has not been well established if adverse childhood experiences reported predeployment are independently associated with postdeployment PTSD...
Large epidemic of respiratory illness due to adenovirus types 7 and 3 in healthy young adultsMargaret A K Ryan
Naval Health Research Center, Department of Defense Center for Deployment Health Research, San Diego, CA, 92186, USA
Clin Infect Dis 34:577-82. 2002..This was the largest outbreak of respiratory illness due to adenovirus types 7 and 3 documented in recent history, and it portends even greater challenges for young adults in the military in the postvaccine era...
