{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T03:00:14Z","timestamp":1772593214690,"version":"3.50.1"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"Supplement_6","funder":[{"DOI":"10.13039\/100000090","name":"Congressionally Directed Medical Research Programs","doi-asserted-by":"publisher","award":["PR121146"],"award-info":[{"award-number":["PR121146"]}],"id":[{"id":"10.13039\/100000090","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000090","name":"Congressionally Directed Medical Research Programs","doi-asserted-by":"publisher","award":["JW160036"],"award-info":[{"award-number":["JW160036"]}],"id":[{"id":"10.13039\/100000090","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["C9247S"],"award-info":[{"award-number":["C9247S"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000090","name":"Congressionally Directed Medical Research Programs","doi-asserted-by":"publisher","award":["PR121146"],"award-info":[{"award-number":["PR121146"]}],"id":[{"id":"10.13039\/100000090","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000090","name":"Congressionally Directed Medical Research Programs","doi-asserted-by":"publisher","award":["JW160036"],"award-info":[{"award-number":["JW160036"]}],"id":[{"id":"10.13039\/100000090","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["C9247S"],"award-info":[{"award-number":["C9247S"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Dizziness is prevalent in the general population, but little is known about its prevalence in the U.S. military population. Dizziness is commonly associated with blast exposure and traumatic brain injury (TBI), but the potential independent contributions of blast and TBI have yet to be evaluated. This study\u2019s goal was to estimate the prevalence of dizziness among post-9\/11 service members and Veterans and to examine independent and joint associations between military TBI history, blast exposure, and self-reported dizziness.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>The study sample consisted of service members (n\u2009=\u2009424) and recently separated (&amp;lt; \u223c2.5\u2009years) Veterans (n\u2009=\u2009492) enrolled in the Noise Outcomes in Service members Epidemiology (NOISE) Study. We examined associations between self-reported history of probable TBI and blast exposure and recent dizziness using logistic regression. Models were stratified by service member versus Veteran status and adjusted to account for potentially confounding demographic and military characteristics.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Overall, 22% of service members and 31% of Veterans self-reported dizziness. Compared to those with neither TBI nor blast exposure history, both service members and Veterans with TBI (with or without blast) were three to four times more likely to self-report dizziness. Those with blast exposure but no TBI history were not more likely to self-report dizziness. There was no evidence of an interaction effect between blast exposure and a history of TBI on the occurrence of dizziness.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Self-reported dizziness was prevalent in this sample of service members and Veterans. Probable TBI history, with or without blast exposure, was associated with dizziness, but blast exposure without TBI history was not. This suggests that treatment guidelines for TBI-related dizziness may not need to be tailored to the injury mechanism. However, future efforts should be directed toward the understanding of the pathophysiology of TBI on self-reported dizziness, which is fundamental to the design of treatment strategies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usad220","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T15:09:23Z","timestamp":1699628963000},"page":"511-519","source":"Crossref","is-referenced-by-count":5,"title":["Prevalence and\u00a0Risk Factors of\u00a0Self-reported Dizziness in\u00a0Post-9\/11 Service Members and\u00a0Veterans"],"prefix":"10.1093","volume":"188","author":[{"given":"Anneka","family":"Sonstroem","sequence":"first","affiliation":[{"name":"VA RR&D, National Center for Rehabilitative Auditory Research, VA Portland Health Care System , Portland, OR 97239, USA"},{"name":"OHSU-PSU School of Public Health, Oregon Health & Science University , Portland, OR 97239, 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97239, USA"},{"name":"Department of Otolaryngology, Oregon Health & Science University , Portland, OR 97239, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Schultz","sequence":"additional","affiliation":[{"name":"DoD Hearing Center of Excellence, Defense Health Agency, 59MDW\/SG02O , Lackland AFB, TX 78236, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Esquivel","sequence":"additional","affiliation":[{"name":"DoD Hearing Center of Excellence, Defense Health Agency, 59MDW\/SG02O , Lackland AFB, TX 78236, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen F","family":"Carlson","sequence":"additional","affiliation":[{"name":"VA RR&D, National Center for Rehabilitative Auditory Research, VA Portland Health Care System , Portland, OR 97239, USA"},{"name":"OHSU-PSU School of Public Health, Oregon Health & Science University , Portland, OR 97239, USA"},{"name":"VA HSR&D Center of Innovation, Center to Improve Veteran Involvement in Care, VA Portland Health Care System , Portland, OR 97239, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy E","family":"Hullar","sequence":"additional","affiliation":[{"name":"VA RR&D, National Center for Rehabilitative Auditory Research, VA Portland Health Care System , Portland, OR 97239, USA"},{"name":"Department of Otolaryngology, Oregon Health & Science University , Portland, OR 97239, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4906-1010","authenticated-orcid":false,"given":"Kelly M","family":"Reavis","sequence":"additional","affiliation":[{"name":"VA RR&D, National Center for Rehabilitative Auditory Research, VA Portland Health Care System , Portland, OR 97239, USA"},{"name":"OHSU-PSU School of Public Health, Oregon Health & Science University , Portland, OR 97239, 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