The Association of Predeployment and Deployment-Related Factors on Dimensions of Postdeployment Wellness in U.S. Military Service Members

Abstract

Objectives: We assessed the effects of predeployment and deployment factors (e.g., combat experience) on dimensions of wellness following deployment. Methods: We included 10 228 Millennium Cohort Study participants who deployed in support of the operations in Iraq and Afghanistan. Dimensions of wellness were measured using standardized instruments assessing physical health, mental health, and stress. Predictors of postdeployment wellness were assessed using ordinal logistic regression analysis. Results: Of the 10 228 study participants, 9.2% were categorized as most well postdeployment. In multivariable analysis, military factors significantly associated with being well included not experiencing combat, service branch (Air Force or Navy/Coast Guard vs Army), and occupation (combat specialist). Significant modifiable predeployment predictors of postdeployment wellness were detected, such as physical activity and body mass index. Conclusions: Experiencing combat was associated with being less well; however, those trained in combat appeared to be protected. Multiple modifiable factors associated with postdeployment wellness were identified, which can help inform medical and military leadership on potential strategies to ensure a well force.

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Document Details

Document Type
Technical Report
Publication Date
Dec 23, 2013
Accession Number
ADA620297

Entities

People

  • Besa Smith
  • Cynthia A LeardMann
  • Edward J. Boyko
  • Hope S. Mcmaster
  • Melissa E. Bagnell
  • Nisara S. Granado
  • Tyler Clain Smith

Organizations

  • Naval Health Research Center

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Air Force
  • Army Personnel
  • Coast Guard
  • Department Of Veterans Affairs
  • Deployment
  • Diseases And Disorders
  • Eating Disorders
  • Health
  • Health Care
  • Health Services
  • Medical Personnel
  • Mental Disorders
  • Mental Health
  • Military Personnel
  • Physical Activity
  • Statistics
  • Warfare

Readers

  • Maritime Combat Support and Expeditionary Logistics.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.