{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T19:04:04Z","timestamp":1791486244229,"version":"4.3.4"},"reference-count":33,"publisher":"BMJ","issue":"10","funder":[{"name":"VA Health Administration","award":["#MVP000"],"award-info":[{"award-number":["#MVP000"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Occup Environ Med"],"accepted":{"date-parts":[[2024,8,16]]},"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aimed to characterise self-reported military and occupational exposures including Agent Orange, chemical\/biological warfare agents, solvents, fuels, pesticides, metals and burn pits among Veterans in the Department of Veterans Affairs Million Veteran Program (MVP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>MVP is an ongoing longitudinal cohort and mega-biobank of over one million US Veterans. Over 500\u2009000 MVP participants reported military exposures on the baseline survey, and over 300\u2009000 reported occupational exposures on the lifestyle survey. We determined frequencies of selected self-reported occupational exposures by service era, specific deployment operation (1990\u20131991 Gulf War, Operation Enduring Freedom\/Operation Iraqi Freedom (OEF\/OIF)), service in a combat zone and occupational categories. We also explored differences in self-reported exposures by sex and race.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Agent Orange exposure was mainly reported by Vietnam-era Veterans. Gulf War and OEF\/OIF Veterans deployed to a combat zone were more likely to report exposures to burn pits, chemical\/biological weapons, anthrax vaccination and pyridostigmine bromide pill intake as compared with non-combat deployers and those not deployed. Occupational categories related to combat (infantry, combat engineer and helicopter pilot) often had the highest percentages of self-reported exposures, whereas those in healthcare-related occupations (dentists, physicians and occupational therapists) tended to report exposures much less often. Self-reported exposures also varied by race and sex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our results demonstrate that the distribution of self-reported exposures varied by service era, demographics, deployment, combat experience and military occupation in MVP. Overall, the pattern of findings was consistent with previous population-based studies of US military Veterans.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/oemed-2024-109544","type":"journal-article","created":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T19:15:12Z","timestamp":1727378112000},"page":"522-528","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Military and occupational exposures among Veterans in the Million Veteran Program by survey self-report: a descriptive study"],"prefix":"10.1136","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-8702-4925","authenticated-orcid":false,"given":"Joanne E","family":"Sordillo","sequence":"first","affiliation":[{"name":"Million Veteran Program (MVP) Coordinating Center, Veterans Affairs Healthcare System, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Dey","sequence":"additional","affiliation":[{"name":"Million Veteran Program (MVP) Coordinating Center, Veterans Affairs Healthcare System, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuk-Lam","family":"Ho","sequence":"additional","affiliation":[{"name":"Million Veteran Program (MVP) Coordinating Center, Veterans Affairs Healthcare System, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Kosik","sequence":"additional","affiliation":[{"name":"Million Veteran Program (MVP) Coordinating Center, Veterans Affairs Healthcare System, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Harrington","sequence":"additional","affiliation":[{"name":"Million Veteran Program (MVP) Coordinating Center, Veterans Affairs Healthcare System, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Costa","sequence":"additional","affiliation":[{"name":"Million Veteran Program (MVP) Coordinating Center, Veterans Affairs Healthcare System, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumitra","family":"Muralidhar","sequence":"additional","affiliation":[{"name":"Office of Research and Development, Veterans Health Administration, Washington, District of Columbia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Hauser","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA"},{"name":"Cooperative Studies Program Epidemiology Center-Durham, Durham VA Health Care System, Durham, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Michael","family":"Gaziano","sequence":"additional","affiliation":[{"name":"Million Veteran Program (MVP) Coordinating Center, Veterans Affairs Healthcare System, Boston, Massachusetts, USA"},{"name":"Department of Medicine, Division of Aging, Brigham and Women's Hospital, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Cho","sequence":"additional","affiliation":[{"name":"Million Veteran Program (MVP) Coordinating Center, Veterans Affairs Healthcare System, Boston, Massachusetts, USA"},{"name":"Department of Medicine, Division of Aging, Brigham and Women's Hospital, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey","family":"Whitbourne","sequence":"additional","affiliation":[{"name":"Million Veteran Program (MVP) Coordinating Center, Veterans Affairs Healthcare System, Boston, Massachusetts, USA"},{"name":"Department of Medicine, Division of Aging, Brigham and Women's Hospital, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,9,26]]},"reference":[{"key":"2026051808500761000_81.10.522.1","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2020.577601","article-title":"Considering Exposure Assessment in Epidemiological Studies of Chronic Health in Military Populations","volume":"8","author":"Hall","year":"2020","journal-title":"Front Public Health"},{"key":"2026051808500761000_81.10.522.2","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph18105395","article-title":"Occupational Exposures and Environmental Health Hazards of Military Personnel","volume":"18","author":"Geretto","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2026051808500761000_81.10.522.3","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-022-01051-0"},{"key":"2026051808500761000_81.10.522.4","first-page":"671","article-title":"Exposure to Agent Orange and occurrence of soft-tissue sarcomas or non-Hodgkin lymphomas: an ongoing study in Vietnam","volume":"106 Suppl 2","author":"Kram\u00e1rov\u00e1","year":"1998","journal-title":"Environ Health Perspect"},{"key":"2026051808500761000_81.10.522.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.clml.2019.11.014"},{"key":"2026051808500761000_81.10.522.6","unstructured":"Committee to Review the Health Effects in Vietnam Veterans of Exposure toHerbicides (Tenth Biennial Update), Board on the Health of Select Populations, Institute of Medicine, National Academies of Sciences, Engineering, and Medicine . Veterans and Agent Orange. Washington (DC): National Academies Press (US), 2016."},{"key":"2026051808500761000_81.10.522.7","doi-asserted-by":"publisher","DOI":"10.1515\/reveh-2015-0032"},{"key":"2026051808500761000_81.10.522.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2022.04.016"},{"key":"2026051808500761000_81.10.522.9","doi-asserted-by":"publisher","DOI":"10.1002\/acr2.11273"},{"key":"2026051808500761000_81.10.522.10","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2023.1154595","article-title":"International perspective on military exposure data sources, applications, and opportunities for collaboration","volume":"11","author":"Hall","year":"2023","journal-title":"Front Public Health"},{"key":"2026051808500761000_81.10.522.11","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/JOM.0000000000001752","article-title":"Use of Biomarkers to Assess Environmental Exposures and Health Outcomes in Deployed Troops","volume":"61 Suppl 12","author":"Mallon","year":"2019","journal-title":"J Occup Environ Med"},{"key":"2026051808500761000_81.10.522.12","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1097\/JOM.0000000000001677","article-title":"Advances in Comprehensive Exposure Assessment: Opportunities for the US Military","volume":"61 Suppl 12","author":"Krahl","year":"2019","journal-title":"J Occup Environ Med"},{"key":"2026051808500761000_81.10.522.13","doi-asserted-by":"crossref","first-page":"S45","DOI":"10.1097\/JOM.0000000000001715","article-title":"Analysis of Postdeployment Serum Samples Identifies Potential Biomarkers of Exposure to Burn Pits and Other Environmental Hazards","volume":"61 Suppl 12","author":"Thatcher","year":"2019","journal-title":"J Occup Environ Med"},{"key":"2026051808500761000_81.10.522.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2015.09.016"},{"key":"2026051808500761000_81.10.522.15","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyac133"},{"key":"2026051808500761000_81.10.522.16","doi-asserted-by":"publisher","DOI":"10.1093\/annweh\/wxy080"},{"key":"2026051808500761000_81.10.522.17","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000000876"},{"key":"2026051808500761000_81.10.522.18","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22900"},{"key":"2026051808500761000_81.10.522.19","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20385"},{"key":"2026051808500761000_81.10.522.20","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2020.5011"},{"key":"2026051808500761000_81.10.522.21","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000001731"},{"key":"2026051808500761000_81.10.522.22","doi-asserted-by":"crossref","unstructured":"Checkoway H , Kriebel D , Pearce N . Occupational Epidemiology. Oxford, England: Oxford University Press, 2004.","DOI":"10.1093\/acprof:oso\/9780195092424.001.0001"},{"key":"2026051808500761000_81.10.522.23","unstructured":"Department of Defense . Study on the incidence of cancer diagnosis and mortality among military aviators and aviation support personnel. 2023."},{"key":"2026051808500761000_81.10.522.24","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2022-108628"},{"key":"2026051808500761000_81.10.522.25","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202112-2724OC"},{"key":"2026051808500761000_81.10.522.26","doi-asserted-by":"crossref","DOI":"10.1177\/2050312117746567","article-title":"Exposure reporting disparity in Gulf War Registry-related clinical assessments","volume":"5","author":"Metzger-Smith","year":"2017","journal-title":"SAGE Open Med"},{"key":"2026051808500761000_81.10.522.27","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci12030321"},{"key":"2026051808500761000_81.10.522.28","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwm212"},{"key":"2026051808500761000_81.10.522.29","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2023-109146"},{"key":"2026051808500761000_81.10.522.30","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usad474"},{"key":"2026051808500761000_81.10.522.31","doi-asserted-by":"publisher","DOI":"10.1080\/09603120701372243"},{"key":"2026051808500761000_81.10.522.32","doi-asserted-by":"crossref","DOI":"10.1186\/s12940-024-01068-0","article-title":"Organochlorine pesticides and risk of papillary thyroid cancer in U.S. military personnel: a nested case-control study","volume":"23","author":"Rusiecki","year":"2024","journal-title":"Environ Health"},{"key":"2026051808500761000_81.10.522.33","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20201"}],"container-title":["Occupational and Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/oemed-2024-109544","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T15:50:43Z","timestamp":1779119443000},"score":1,"resource":{"primary":{"URL":"https:\/\/oem.bmj.com\/lookup\/doi\/10.1136\/oemed-2024-109544"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,26]]},"references-count":33,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10,23]]},"published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1136\/oemed-2024-109544"],"URL":"https:\/\/doi.org\/10.1136\/oemed-2024-109544","relation":{},"ISSN":["1351-0711","1470-7926"],"issn-type":[{"value":"1351-0711","type":"print"},{"value":"1470-7926","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,26]]}}}