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Effects of Iraq/Afghanistan Deployments on Major Depression and Substance Use Disorder

Analysis of Active Duty Personnel in the US Military

Bibliographic Data

ID11037194
AuthorsYu-Chu Shen (Yu-Chu Shen is with the Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, CA, and the National Bureau of Economic Research, Cambridge, MA. Jeremy Arkes is with the Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, and the Rand Corporation, Santa Monica, CA. Thomas V. Williams is with Health Program Analysis and Evaluation, TRICARE Management Activity, Falls Church, VA.), Yu‐Chu Shen (0000-0003-1097-0345, Naval Postgraduate School), Jeremy Arkes (0000-0001-5278-4968, Yu-Chu Shen is with the Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, CA, and the National Bureau of Economic Research, Cambridge, MA. Jeremy Arkes is with the Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, and the Rand Corporation, Santa Monica, CA. Thomas V. Williams is with Health Program Analysis and Evaluation, TRICARE Management Activity, Falls Church, VA.), Thomas V Williams (0000-0002-9372-6518, Yu-Chu Shen is with the Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, CA, and the National Bureau of Economic Research, Cambridge, MA. Jeremy Arkes is with the Graduate School of Business and Public Policy, Naval Postgraduate School, Monterey, and the Rand Corporation, Santa Monica, CA. Thomas V. Williams is with Health Program Analysis and Evaluation, TRICARE Management Activity, Falls Church, VA.)
Year2012
Volume102
IssueS1
PagesS80-S87
Publication date2012-03-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2011.300425
PMID22390609
PMCIDPMC3496458
OpenAlexW2094922959
LanguageEN
Citations received7
References cited17

Objectives. Our objective was to analyze the association between deployment characteristics and diagnostic rates for major depression and substance use disorder among active duty personnel. Methods. Using active duty personnel serving between 2001 and 2006 (n = 678 382) and deployment information from the Contingent Tracking System, we identified individuals diagnosed with substance use disorders and major depression from TRICARE health records. We performed logistic regression analysis to assess the effect of deployment location and length on these diagnostic rates. Results. Increased odds of diagnosis with both conditions were associated with deployment to Iraq or Afghanistan compared with nondeployed personnel and with Army and Marine Corps personnel compared with Navy and Air Force personnel. Increases in the likelihood of either diagnosis with deployment length were only observed among Army personnel. Conclusions. There were increased substance use disorders and major depression across services associated with combat conditions. It would be important to assess whether the public health system has adequate resources to handle the increasing need of mental health services in this population

Active duty · Depression (economics) · Environmental health · Logistic regression · Mental health · Military deployment · Military medicine · Military personnel · Military psychiatry · Navy · Odds ratio · Population · Psychiatry · Public health · Software deployment · Engineering · Fibromyalgia and Chronic Fatigue Syndrome Research · Medicine · Nursing · Occupational Health and Performance · Posttraumatic Stress Disorder Research

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Citations per year0.64
Citation span2015 - 2025 (11)
Highly citedNo

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