Faculty, Staff and Student Publications

Language

English

Publication Date

3-1-2025

Journal

The Journal of Head Trauma Rehabilitation

DOI

10.1097/HTR.0000000000000970

PMID

39019486

PMCID

PMC11671607

PubMedCentral® Posted Date

6-27-2024

PubMedCentral® Full Text Version

Post-print

Abstract

Objective: To describe and quantify the prevalence and risk of deployment and nondeployment service-related traumatic brain injury (TBI) among participants of the Millennium Cohort Study.

Setting: Survey data.

Participants: 28 759 Millennium Cohort Study participants who were active duty, Reserves, or National Guard at the time of the survey.

Design: Cross-sectional secondary data analysis.

Main measures: Estimates of prevalence and rates of TBI were calculated. Multivariable Poisson regression estimated rate ratios of TBI overall and stratified by deployment and nondeployment settings.

Results: The rate of TBI over the 362 535 person-years (PY) was 2.95 p/100 PY. the nondeployment rate was 2.15 p/100 PY, with a significantly higher rate (11.38 p/100 PY) in deployment settings. Bullets/blasts were the most common TBI mechanisms in deployed settings, while sports/physical training and military training were common in nondeployed settings.

Conclusions: The risk of TBI as well as its mechanism varies by deployment and nondeployment, suggesting that targeted prevention strategies are needed to reduce the risk for TBI among military personnel based on their deployment status.

Keywords

Humans, Brain Injuries, Traumatic, Male, Female, Cross-Sectional Studies, Adult, Military Personnel, Prevalence, Cohort Studies, United States, Military Deployment, Young Adult, Risk Factors, Risk Assessment

Published Open-Access

yes

Included in

Public Health Commons

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