{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T21:11:21Z","timestamp":1790457081211,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R01DA030150"],"award-info":[{"award-number":["R01DA030150"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K01DA037412"],"award-info":[{"award-number":["K01DA037412"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>An association between combat exposure and postdeployment behavioral health problems has been demonstrated among U.S. military service members returning from Afghanistan or Iraq in predominantly male samples, yet few studies have focused on the experiences of women. Using data from the longitudinal, observational Substance Use and Psychological Injury Combat (SUPIC) Study, we explored the self\u2010report of 4 combat exposure items and postdeployment behavioral health screening results for 42,397 Army enlisted women who had returned from Afghanistan or Iraq from fiscal years 2008 through 2011. We ran multivariate logistic regression models to examine how a constructed composite combat exposure score (0, 1, 2, 3+) was associated with screening positive postdeployment for posttraumatic stress disorder (PTSD), depression, and at\u2010risk drinking among active duty (AD) and National Guard\/Reserve (NG\/R) women. AD and NG\/R women commonly reported being wounded, injured, assaulted, or hurt (17.3% and 29.0%, respectively). In all 6 multivariate models, Army women with any report of combat exposure had increased odds of the behavioral health problem (i.e., PTSD, depression, or at\u2010risk drinking). The magnitude of the association between combat exposure and PTSD was most striking, indicating increased odds of PTSD as combat exposure score increased. AD and NG\/R women with a combat exposure score of 3+ had increased odds of PTSD, 20.7, 95% confidence interval (CI) [17.0, 25.1] and 27.8, 95% CI [21.0, 36.9], respectively. Women who report combat exposure may benefit from early prevention and confidential intervention to promote postdeployment health and reduce long\u2010term behavioral health problems.<\/jats:p>","DOI":"10.1002\/jts.22121","type":"journal-article","created":{"date-parts":[[2016,8,2]],"date-time":"2016-08-02T16:03:30Z","timestamp":1470153810000},"page":"356-364","source":"Crossref","is-referenced-by-count":24,"title":["The Association of Combat Exposure With Postdeployment Behavioral Health Problems Among U.S. Army Enlisted Women Returning From Afghanistan or Iraq"],"prefix":"10.1002","volume":"29","author":[{"given":"Rachel Sayko","family":"Adams","sequence":"first","affiliation":[{"name":"Institute for Behavioral Health, Heller School for Social Policy and Management Brandeis University  Waltham Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruslan V.","family":"Nikitin","sequence":"additional","affiliation":[{"name":"Institute for Behavioral Health, Heller School for Social Policy and Management Brandeis University  Waltham Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikki R.","family":"Wooten","sequence":"additional","affiliation":[{"name":"Military Social Work Research &amp; Practice University of South Carolina College of Social Work  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas V.","family":"Williams","sequence":"additional","affiliation":[{"name":"Decision Support, Defense Health Agency Department of Defense  Falls Church Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Jo","family":"Larson","sequence":"additional","affiliation":[{"name":"Institute for Behavioral Health, Heller School for Social Policy and Management Brandeis University  Waltham Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0b013e318268db94"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.06.012"},{"key":"e_1_2_5_4_1","first-page":"192","article-title":"Comprehensive care for women veterans: Indicators of dual use of VA and non\u2010VA providers","volume":"59","author":"Bean\u2010Mayberry B.","year":"2004","journal-title":"Journal of the American Medical Women's Association"},{"key":"e_1_2_5_5_1","unstructured":"Bean\u2010Mayberry B. 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