title: Accession medical waivers and deployment duration in the U.S. Army.
abstract: To examine the performance of active duty U.S. Army personnel with accession medical waivers during combat deployments, the deployment duration and likelihood of early return from theater for medically waived (n = 18,093) and medically qualified (n = 250,209) personnel deploying between September 2001 and March 2011 were determined. The mean and median deployment duration for waived men (309.4 ± 107.5 and 346) and for waived women (291.8 ± 115.3 and 341) was not shorter than for medically qualified men (304.6 ± 112.1 and 346) and women (289.5 ± 116.3 and 337). When adjusted for other accession factors in a multivariate linear regression model, neither waived men (p = 1.00) nor women (p = 0.7713) had significantly shorter deployments. In a case-control analysis, 24,369 men and 3,094 women were defined as having a short deployment. Multivariate logistic regression found that medically waived men (odds ratio [OR] = 0.87, 95% confidence interval [CI] = 0.82-0.92) and women (OR = 1.02, 95% CI = 0.87-1.19) were not more likely to have shorter deployments compared to medically qualified individuals. These findings show that those with an accession medical waiver were not more likely to have shorter deployments or more likely to return early from deployment than those without waivers.
authors.affiliation: Department of Epidemiology, Preventive Medicine Branch, Walter Reed Army Institute of Research, 503 Robert Grant Road, Silver Spring, MD 20910, USA.
authors.forename: Marlene E
authors.initials: ME
authors.lastname: Gubata
authors.forename: Alexis A
authors.initials: AA
authors.lastname: Oetting
authors.forename: David W
authors.initials: DW
authors.lastname: Niebuhr
authors.forename: David N
authors.initials: DN
authors.lastname: Cowan
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D005260:Female; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D008297:Male; D008889:Military Personnel / Q000706:statistics & numerical data*; D010560:Personnel Selection; D014481:United States; D014938:Work Capacity Evaluation; D055815:Young Adult