title: Prevalence of environmental and other military exposure concerns in Operation Enduring Freedom and Operation Iraqi Freedom veterans.
abstract: OBJECTIVE
  This study examined the prevalence of self-reported exposures in returning Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) veterans and the relationship of exposure reports to current physical symptoms.
  
  
  METHODS
  Using self-reports obtained immediately after return from deployment in a cohort of 760 enlisted Army reserve component military personnel, we assessed prevalence rates of environmental and other exposures and the association of these exposures to severity of physical symptoms.
  
  
  RESULTS
  Reporting of environmental exposures was relatively low in veterans of OEF/OIF, but reporting more environmental and other exposures, in particular screening positive for a traumatic brain injury, was related to greater physical symptom severity immediately after deployment.
  
  
  CONCLUSIONS
  Non-treatment-seeking, enlisted Army reserve component personnel reported relatively few exposures immediately after return from deployment; however, more exposures was modestly associated with greater severity of physical symptoms when controlling for predeployment symptoms, gender, and other deployment-related exposures.
authors.affiliation: Edith Nourse Rogers VA Memorial Hospital, Bedford, MA, USA. k.quigley@neu.edu
authors.forename: Karen S
authors.initials: KS
authors.lastname: Quigley
authors.forename: Lisa M
authors.initials: LM
authors.lastname: McAndrew
authors.forename: Liliana
authors.initials: L
authors.lastname: Almeida
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: D'Andrea
authors.forename: Charles C
authors.initials: CC
authors.lastname: Engel
authors.forename: Heather
authors.initials: H
authors.lastname: Hamtil
authors.forename: Adam J
authors.initials: AJ
authors.lastname: Ackerman
mesh_terms: D000328:Adult; D055826:Afghan Campaign 2001-; D001930:Brain Injuries / Q000453:epidemiology / Q000523:psychology; D015331:Cohort Studies; D004781:Environmental Exposure / Q000706:statistics & numerical data*; D005260:Female; D006304:Health Status; D006801:Humans; D054542:Iraq War, 2003-2011; D008297:Male; D008889:Military Personnel; D009784:Occupational Diseases / Q000453:epidemiology / Q000523:psychology; D016273:Occupational Exposure / Q000706:statistics & numerical data*; D015995:Prevalence; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000523:psychology; D014728:Veterans / Q000523:psychology / Q000706:statistics & numerical data*