| Motor Vehicle Fatalities among Men in the U.S. Army from 1980-1997 |
NOV 2004 |
7 pages |
| Authors:
Andrea R. Krull; Bruce H. Jones; Ann M. Dellinger; Michelle M. Yore; Paul J. Amoroso; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA MILITARY PERFORMANCEDIV
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 | This retrospective cohort study compared trends in motor vehicle occupant fatalities among men in the Army with men in the civilian U.S. population. Motor vehicle fatality rates from 1980 to 1997 indicated both groups showed declines in fatality rates. The overall age-adjusted motor vehicle fatality rate for 17- to 44-year-old males in the Army fell from 40.8 to 20.6 per 100,000, a 49.5% decline. In the U.S. population, the rate ... |
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| The Total Army Injury and Health Outcomes Database (TAIHOD): Uses and Limitations as a Research Tool for Force Health Protection Research |
SEP 2004 |
70 pages |
| Authors:
Nicole S. Bell; Paul J. Amoroso; Laura Senier; Jeffrey O. Williams; Michelle M. Yore; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA MILITARY PERFORMANCEDIV
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| The Total Army Injury and Health Outcomes Database (TAIHOD) is a research tool with great potential for identifying risk factors, documenting adverse health outcomes,, and evaluating intervention strategies, among deployed and non-deployed active duty servicemembers. The TAIHOD comprises data from multiple Department of Defense agencies, including records of hospitalizations, outpatient visits, deaths, disabilities, flying duty medical examinations, accident reports, clinical evaluations from Gulf War registrants with the Comprehensive Clinical Evaluation ... |
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| The U.S. Army's Health Risk Appraisal (HRA) Survey, Part I, History, Reliability, and Validity |
AUG 2003 |
110 pages |
| Authors:
Laura Senier; Nicole S. Bell; Shelley R. Strowman; Catherine Schempp; Paul J. Amoroso; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| The U.S. Army offered a health risk appraisal from 1988 to 1998 as part of a comprehensive health promotion program. Although health risk appraisals are typically designed and used solely for educational and diagnostic purposes, and not to gather information for research purposes, the Army's Health Risk Appraisal (HRA) has yielded an enormous database of self-reported information about health habits that is potentially useful for both surveillance and research efforts. ... |
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| Organic Chemical Exposure and the Risk of Breast Cancer Among Active Duty Women in the US Army, 1980-1996 |
MAR 2002 |
89 pages |
| Authors:
Christopher P. Rennix; Michelle M. Yore; Paul J. Amoroso; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| Young women whose Army occupations involve use of organic solvents may be at particular risk of developing breast cancer. Our objective is to: (1) determine if the observed increase in incidence of breast cancer is associated with occupations with high exposure potential for organic solvents, (2) develop job exposure matrices to quantitatively assess the airborne chemical exposure concentrations and cumulative exposure to these chemicals, and (3) investigate the timing of ... |
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| The Natural History and Risk Factors of Musculoskeletal Conditions Resulting in Disability Among US Army Personnel |
2002 |
16 pages |
| Authors:
Andrew E. Lincoln; Gordon S. Smith; Paul J. Amoroso; Nicole S. Bell; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA MILITARY PERFORMANCEDIV
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| We describe the natural history of 13 musculoskeletal conditions requiring hospitalization and identify demographic, behavioral, psychosocial, occupational, and clinical characteristics most strongly associated with disability discharge from the Army. Subjects included 15,268 active-duty personnel hospitalized for a common musculoskeletal condition between the years 1989-1996 who were retrospectively followed through 199?. Back conditions had the greatest 5-year cumulative risk of disability (21%, 19%, and 17% for intervertebral disc displacement, intervertebral disc ... |
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| Long-Term Outcomes of Veterans Discharged with Disabilities from the US Army |
OCT 2001 |
18 pages |
| Authors:
Steven Wright; Paul J. Amoroso; NEW ENGLAND MEDICAL RESEARCH INST WEST ROXBURY MA
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| Our goal is to describe the natural history of disability, from initial injury through discharge from military service to long-term outcomes. The specific objectives are: (1) develop and employ methodology for linking US Army and VA databases for Army service personnel discharged with physical disabilities; (2) identify and compare correlates of long-term outcomes among all US Army personnel discharged with disabilities, focusing first on severe or frequent disability types: (3) ... |
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| The Application of Information Mining Technology to the Army Injury and Health Outcomes Database |
OCT 2001 |
39 pages |
| Authors:
Paul J. Amoroso; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| In the first half of the grant period we faced many challenges, principally administrative in nature, and mostly related primarily to delays in the procurement of equipment, software, and the awarding of contracts. A significant amount of training was accomplished, and while the learning curve was steep, several individuals received sufficient basic instruction to at least initiate the various processes needed to successfully accomplish the objectives of the proposal. In ... |
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| American Journal of Preventive Medicine: Injuries in the U.S. Armed Forces Surveillance, Research, and Prevention |
APR 2000 |
205 pages |
| Authors:
Bruce H. Jones; Paul J. Amoroso; ARMY CENTER FOR HEALTH PROMOTION AND PREVENTIVE MEDICINE (PROVISIONAL) ABERDEEN PROVING GROUND MD
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| This document contains a series of articles and commentaries as published in the American of Preventive Medicine, April 2000 (Volume 18, Issue 35). The series begins with articles providing a general overview of deaths, disabilities, hospitalizations, and outpatient visits due to injury in the military. The series continues with original research on specific injury topics. Specific topics include motor vehicle injury/hospitalization risk factors, smoking and ... |
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| Injury Control Part 1: Understanding Injuries in the Military Environment |
JAN 2000 |
29 pages |
| Authors:
Nicole S. Bell; Paul J. Amoroso; Susan P. Baker; Laura Senier; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| The impact of injuries on the mission of the armed forces is dramatic. The purpose of this report is to define injuries and describe their significance in a military context; review several injury classification schemes; and provide an overview of the magnitude of the injury problem for the military. This report defines injury, reviews mechanisms of injury, and describes the major systems commonly used in ... |
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| Injury Control Part 2: Strategies for Prevention |
JAN 2000 |
43 pages |
| Authors:
Nicole S. Bell; Paul J. Amoroso; Susan P. Baker; Laura Senier; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| Epidemiology has made significant contributions to the improvement of human health by reducing the burden of acute infectious and chronic diseases. This report applies epidemiologic methods to injury prevention. We review two methodological approaches that can be used to prevent injury. Passive methods modify the environment so that individuals are protected from injury without having to take any additional precautions. In contrast, active strategies require ... |
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| Deaths Due to Injuries: Casualty Office Data |
JAN 1999 |
73 pages |
| Authors:
James Helmkamp; John W. Gardner; Paul J. Amoroso; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| This paper reports on all deaths (i.e., accidents, illnesses, suicides, homicides, hostile actions, and deaths or undetermined cause) among active duty service members between 1980 and 1995. Data from the Directorate for Information Operations and Reports (DIOR) and casualty offices for each service are used to describe trends in injury deaths and compare injury deaths to other causes of death. The overall casualty rate declined 41% ... |
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| Analysis of Military Occupational Specialties and Hospitalization. Part 1: 25 Largest Army Enlisted Occupations |
18 NOV 1997 |
70 pages |
| Authors:
Paul J. Amoroso; Michelle M. Yore; Gordon S. Smith; Mary Lopez; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| The TAIHOD database was created to study injuries among Army women by combining personnel and medical outcomes data into a single relational database. This report compares hospitalization outcomes and demographics for enlisted personnel from 1990-1994 for the 25 largest Military Occupational Specialty (MOS) groups of Army enlisted personnel. The top causes of hospitalizations and reported causes of injuries are identified by gender, and specific hospitalization categories are compared by MOS ... |
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| The Demographic Profile of U.S. Army Active Duty Women 1980-1994 Using the Total Army Injury and Health Outcomes Database |
25 AUG 97 |
91 pages |
| Authors:
Michelle M. Yore; Paul J. Amoroso; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| This report details demographic trends for active duty Army soldiers from 1980-1994 with a particular focus on the changing demographics of women in the Army. Specific breakouts for gender, race, age, pay grade, marital status, number of dependents, geographic origin, occupation, education, hazardous duty pay, and time in service are provided. The Total Army Injury and Health Outcomes Database (TAIHOD), created in 1995 under a grant from the Defense Women's ... |
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| Total Army Injury and Health Outcomes Database: Description and Capabilities |
21 FEB 97 |
105 pages |
| Authors:
Paul J. Amoroso; William G. Swartz; Francis A. Hoin; Michell M. Yore; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| The impact of injuries on the mission of the Armed Forces is unacceptably high. To determine the complete spectrum of injury and disease outcomes among Army service members, USARIEM developed the Total Army Injury and Health Outcomes Database (TAIHOD). The TAIHOD is a relational database encompassing multiple components of six master databases linked by scrambled SSN. The TAIHOD links three types of data: demographics (the parameters for the denominator); outcomes ... |
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| Tobacco and Injury: An Annotated Bibliography |
FEB 96 |
129 pages |
| Authors:
Paul J. Amoroso; Katy L. Reynolds; Julie A. Barnes; D. J. White; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| Tne role of tobacco use in cardiovascular diseases, cancers, and other disorders has been well documented, and now injuries can be added to the long list of tobacco's health consequences. Unlike cardiovascular disease and cancer, for which the latency of disease may be decades, the risk of injury associated with tobacco use may be measured in months, days, or even hours. Smokers are generally believed to be greater risk-takers, are ... |
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| Tobacco Use and Injury Risk Among Military Parachutists |
06 MAR 95 |
5 pages |
| Authors:
Paul J. Amoroso; J. R. Dettori; K. L. Reynolds; G. A. Schneider; P. T. Lavin; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| PURPOSE: Studies of U.S. Army soldiers have found higher rates of injury among smokers. We tested this relationship for individuals performing military parachuting an activity associated with high-energy collisions and relatively high injury rates. METHODS: Three groups of U.S. Army soldiers (N=1706) participated in one of three prospective studies. The first two groups were students participating in basic airborne training in either 1991 (n=449) or 1992 (n=848). Each student made ... |
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| Smoking and Injury Risk Among Female U.S. Army Basic Combat Trainees |
03 MAR 95 |
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| Authors:
Joseph R. Dettori; Kathy L. Reynolds; Paul J. Amoroso; Julie A. Barnes; Kathleen A. Westphal; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
|
 | PURPOSE: It has been reported that U.S. Army male soldiers who smoke are at higher risk for training injuries. The Purpose of this study is to determine the effect of smoking on the risk of musculoskeletal injuries among women undergoing initial basic combat training in the United States Army. METHOD: We conducted a prospective cohort study of 165 female Army basic trainees over an eight week training period. Physician assistants ... |
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| Association of Tobacco Use with Injuries among Infantry Soldiers Carrying Loads on a 100-Mile Road March |
03 MAR 95 |
4 pages |
| Authors:
Katy L. Reynolds; Paul J. Amoroso; J. R. Dettori; C. E. Witt; J. J. Knapik; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| PURPOSE: To examine the effect of tobacco use on injuries sustained during a physically demanding 100-mile road march. METhODS: A study was conducted with 212 infantry soldiers who marched with an Army backpack (mean weight 28.3+4 kg) 20 miles per day for five days. Prior to the march, all soldiers completed a demographic (i.e. age, race) and tobacco use questionnaire. All march-related injuries were recorded by physician assistants when a ... |
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| High Injury Rates Among Female Army Trainees: A Function of Gender? |
MAY 94 |
23 pages |
| Authors:
Nicole S. Bell; Thomas W. Mangione; David Hemenway; Paul J. Amoroso; Bruce H. Jones; ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA
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| Injuries are common among those who engage in vigorous physical activity, particularly among military Basic Trainees. This is a unique population for the study of injuries as many potential confounders are controlled by the highly standardized environment. Previous studies of injury have identified body composition, physical fitness and gender as risk factors. Studies also indicate that women enter the Army less physically fit than their male counterparts. Hence, it is ... |
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