TY  - JOUR
PY  - 2016//
TI  - Assessment of deployment-related exposures on risk of incident mental health diagnoses among Air Force critical care providers: nested case-control study
JO  - Military medicine
A1  - Tvaryanas, Anthony P.
A1  - Maupin, Genny M.
A1  - Fouts, Brittany L.
SP  - 143
EP  - 151
VL  - 181
IS  - 2
N2  - OBJECTIVES: The purpose of this study was to determine the association between deployment-related occupational/environmental exposures and incident postdeployment mental health (PDMH) conditions in a defined population of military health care professionals working in the deployed critical care environment. <br><br>METHODS: A nested case-control study compared cohort members with a PDMH condition (cases, N = 146) with those without a PDMH condition (controls, N = 800) in terms of deployment-related exposures as ascertained using Postdeployment Health Assessment DD 2796 questionnaire data. Multivariable logistic regression models were used to compute odds ratios. <br><br>RESULTS: Nonphysician career fields (i.e., nurses and medical technicians), exposure to dead bodies or people killed/wounded, history of a vehicular accident/crash, exposure to sand/dust, exposure to lasers, and use of mission-oriented protective posture (MOPP) overgarments were associated with increased likelihood for a PDMH condition. The infrequent exposures (i.e., vehicular accident/crash, lasers, and MOPP overgarments) were the exposures most strongly associated with subsequent PDHM conditions. <br><br>CONCLUSIONS: For military health care providers returning from the deployed environment, several exposures are useful for predicting those at increased risk for a PDMH condition. However, there are likely many other important risk factors beyond those captured on the DD 2796 questionnaire.<p />  <p>Language: en</p>
LA  - en
SN  - 0026-4075
UR  - http://dx.doi.org/10.7205/MILMED-D-14-00585
ID  - ref1
ER  -