The Occupational Role of Women in Military Service: Validation of Occupation and Prevalence of Exposures in the Millennium Cohort Study
NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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To better understand the US militarys global peacekeeping and combat operations, which may expose a growing population of American service women to challenging occupations and environments. Concordance between self-reported and electronic occupation codes for female participants in the Millennium Cohort was measured using kappa statistics. Multivariable logistic regression modeling was used to assess the odds of five self-reported potentially toxic environmental exposures or disturbing experiences among different occupational categories, while adjusting for demographic and military characteristics, including deployment. Self-reported occupations were moderately to highly reliable when compared with electronic occupation data. Active-duty and ReserveGuard females differentially reported witnessing death or trauma and exposure to chemical or biological warfare, depleted uranium, or pesticides. Findings suggest that self-reported occupation can be used with a high degree of confidence. Occupational groups with higher odds of reporting military exposures of concern will be followed longitudinally through 2022 and prospectively compared using baseline and follow-up evaluations.
- Medicine and Medical Research
- Military Forces and Organizations
- Radioactivity, Radioactive Wastes and Fission Products