Data Trends 2024: Depression and PTSD

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Data Trends 2024: Depression and PTSD
References
  1. Inoue C, Shawler E, Jordan CH, Moore MJ, Jackson CA. Veteran and military mental health issues. StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing. Updated August 17, 2023. Accessed April 1, 2024. https://www.ncbi.nlm.nih.gov/books/NBK572092/
  2. Panaite V, Cohen NJ, Luter SL, et al. Mental health treatment utilization patterns among 108,457 Afghanistan and Iraq veterans with depression. Psychol Serv. 2024 Feb 1. doi:10.1037/ser0000819
  3. Holder N, Holliday R, Ranney RM, et al. Relationship of social determinants of health with symptom severity among veterans and non-veterans with probable posttraumatic stress disorder or depression. Soc Psychiatry Psychiatr Epidemiol. 2023;58(10):1523-1534. doi:10.1007/s00127-023-02478-0
  4. Merians AN, Gross G, Spoont MR, Bellamy CD, Harpaz-Rotem I, Pietrzak RH. Racial and ethnic mental health disparities in U.S. military veterans: results from the National Health and Resilience in Veterans Study. J Psychiatr Res. 2023;161:71-76. doi:10.1016/j.jpsychires.2023.03.005
  5. Fischer IC, Schnurr PP, Pietrzak RH. Employment status among US military veterans with a history of posttraumatic stress disorder: results from the National Health and Resilience in Veterans Study. J Trauma Stress. 2023;36(6):1167-1175. doi:10.1002/jts.22977
  6. Portnoy GA, Relyea MR, Presseau C, et al. Screening for intimate partner violence experience and use in the Veterans Health Administration. JAMA Netw Open. 2023;6(10):e2337685. doi:10.1001/jamanetworkopen.2023.37685
  7. Cowlishaw S, Freijah I, Kartal D, et al. Intimate Partner Violence (IPV) in Military and Veteran Populations: A Systematic Review of Population-Based Surveys and Population Screening Studies. Int J Environ Res Public Health. 2022;19(14):8853. Published 2022 Jul 21. doi:10.3390/ijerph19148853
  8. Ranney RM, Maguen S, Bernhard PA, et al. Treatment utilization for posttraumatic stress disorder in a national sample of veterans and nonveterans. Med Care. 2023;61(2):87-94. doi:10.1097/MLR.0000000000001793
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Jason C. DeViva, PhD, has disclosed no relevant financial relationships.

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Jason C. DeViva, PhD, has disclosed no relevant financial relationships.

References
  1. Inoue C, Shawler E, Jordan CH, Moore MJ, Jackson CA. Veteran and military mental health issues. StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing. Updated August 17, 2023. Accessed April 1, 2024. https://www.ncbi.nlm.nih.gov/books/NBK572092/
  2. Panaite V, Cohen NJ, Luter SL, et al. Mental health treatment utilization patterns among 108,457 Afghanistan and Iraq veterans with depression. Psychol Serv. 2024 Feb 1. doi:10.1037/ser0000819
  3. Holder N, Holliday R, Ranney RM, et al. Relationship of social determinants of health with symptom severity among veterans and non-veterans with probable posttraumatic stress disorder or depression. Soc Psychiatry Psychiatr Epidemiol. 2023;58(10):1523-1534. doi:10.1007/s00127-023-02478-0
  4. Merians AN, Gross G, Spoont MR, Bellamy CD, Harpaz-Rotem I, Pietrzak RH. Racial and ethnic mental health disparities in U.S. military veterans: results from the National Health and Resilience in Veterans Study. J Psychiatr Res. 2023;161:71-76. doi:10.1016/j.jpsychires.2023.03.005
  5. Fischer IC, Schnurr PP, Pietrzak RH. Employment status among US military veterans with a history of posttraumatic stress disorder: results from the National Health and Resilience in Veterans Study. J Trauma Stress. 2023;36(6):1167-1175. doi:10.1002/jts.22977
  6. Portnoy GA, Relyea MR, Presseau C, et al. Screening for intimate partner violence experience and use in the Veterans Health Administration. JAMA Netw Open. 2023;6(10):e2337685. doi:10.1001/jamanetworkopen.2023.37685
  7. Cowlishaw S, Freijah I, Kartal D, et al. Intimate Partner Violence (IPV) in Military and Veteran Populations: A Systematic Review of Population-Based Surveys and Population Screening Studies. Int J Environ Res Public Health. 2022;19(14):8853. Published 2022 Jul 21. doi:10.3390/ijerph19148853
  8. Ranney RM, Maguen S, Bernhard PA, et al. Treatment utilization for posttraumatic stress disorder in a national sample of veterans and nonveterans. Med Care. 2023;61(2):87-94. doi:10.1097/MLR.0000000000001793
References
  1. Inoue C, Shawler E, Jordan CH, Moore MJ, Jackson CA. Veteran and military mental health issues. StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing. Updated August 17, 2023. Accessed April 1, 2024. https://www.ncbi.nlm.nih.gov/books/NBK572092/
  2. Panaite V, Cohen NJ, Luter SL, et al. Mental health treatment utilization patterns among 108,457 Afghanistan and Iraq veterans with depression. Psychol Serv. 2024 Feb 1. doi:10.1037/ser0000819
  3. Holder N, Holliday R, Ranney RM, et al. Relationship of social determinants of health with symptom severity among veterans and non-veterans with probable posttraumatic stress disorder or depression. Soc Psychiatry Psychiatr Epidemiol. 2023;58(10):1523-1534. doi:10.1007/s00127-023-02478-0
  4. Merians AN, Gross G, Spoont MR, Bellamy CD, Harpaz-Rotem I, Pietrzak RH. Racial and ethnic mental health disparities in U.S. military veterans: results from the National Health and Resilience in Veterans Study. J Psychiatr Res. 2023;161:71-76. doi:10.1016/j.jpsychires.2023.03.005
  5. Fischer IC, Schnurr PP, Pietrzak RH. Employment status among US military veterans with a history of posttraumatic stress disorder: results from the National Health and Resilience in Veterans Study. J Trauma Stress. 2023;36(6):1167-1175. doi:10.1002/jts.22977
  6. Portnoy GA, Relyea MR, Presseau C, et al. Screening for intimate partner violence experience and use in the Veterans Health Administration. JAMA Netw Open. 2023;6(10):e2337685. doi:10.1001/jamanetworkopen.2023.37685
  7. Cowlishaw S, Freijah I, Kartal D, et al. Intimate Partner Violence (IPV) in Military and Veteran Populations: A Systematic Review of Population-Based Surveys and Population Screening Studies. Int J Environ Res Public Health. 2022;19(14):8853. Published 2022 Jul 21. doi:10.3390/ijerph19148853
  8. Ranney RM, Maguen S, Bernhard PA, et al. Treatment utilization for posttraumatic stress disorder in a national sample of veterans and nonveterans. Med Care. 2023;61(2):87-94. doi:10.1097/MLR.0000000000001793
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Data Trends 2024: Age-Related Macular Degeneration (AMD)

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Data Trends 2024: Age-Related Macular Degeneration (AMD)
References
  1. Rein DB, Wittenborn JS, Burke-Conte Z, et al. Prevalence of age-related macular degeneration in the US in 2019. JAMA Ophthalmol. 2022;140(12):1202-1208. doi:10.1001/jamaophthalmol.2022.4401
  2. Fleckenstein M, Schmitz-Valckenberg S, Chakravarthy U. Age-related macular degeneration: a review. JAMA. 2024;331(2):147-157. doi:10.1001/jama.2023.26074
  3. Meer EA, Targ S, Zhang N, Hoggatt KJ, Mehta KM, Brodie F. Age-related macular degeneration injection frequency: effects of distance traveled and travel support. Retina. 2024;44(2):230-236. doi:10.1097/IAE.0000000000003947
  4. Bhisitkul RB, Mendes TS, Rofagha S, et al. Macular atrophy progression and 7-year vision outcomes in subjects from the ANCHOR, MARINA, and HORIZON studies: the SEVEN-UP study. Am J Ophthalmol. 2015;159(5):915-24.e2. doi:10.1016/j.ajo.2015.01.032
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Have a 5% or greater equity interest in: Genentech; Bausch & Lomb; Alimera; Abbvie

References
  1. Rein DB, Wittenborn JS, Burke-Conte Z, et al. Prevalence of age-related macular degeneration in the US in 2019. JAMA Ophthalmol. 2022;140(12):1202-1208. doi:10.1001/jamaophthalmol.2022.4401
  2. Fleckenstein M, Schmitz-Valckenberg S, Chakravarthy U. Age-related macular degeneration: a review. JAMA. 2024;331(2):147-157. doi:10.1001/jama.2023.26074
  3. Meer EA, Targ S, Zhang N, Hoggatt KJ, Mehta KM, Brodie F. Age-related macular degeneration injection frequency: effects of distance traveled and travel support. Retina. 2024;44(2):230-236. doi:10.1097/IAE.0000000000003947
  4. Bhisitkul RB, Mendes TS, Rofagha S, et al. Macular atrophy progression and 7-year vision outcomes in subjects from the ANCHOR, MARINA, and HORIZON studies: the SEVEN-UP study. Am J Ophthalmol. 2015;159(5):915-24.e2. doi:10.1016/j.ajo.2015.01.032
References
  1. Rein DB, Wittenborn JS, Burke-Conte Z, et al. Prevalence of age-related macular degeneration in the US in 2019. JAMA Ophthalmol. 2022;140(12):1202-1208. doi:10.1001/jamaophthalmol.2022.4401
  2. Fleckenstein M, Schmitz-Valckenberg S, Chakravarthy U. Age-related macular degeneration: a review. JAMA. 2024;331(2):147-157. doi:10.1001/jama.2023.26074
  3. Meer EA, Targ S, Zhang N, Hoggatt KJ, Mehta KM, Brodie F. Age-related macular degeneration injection frequency: effects of distance traveled and travel support. Retina. 2024;44(2):230-236. doi:10.1097/IAE.0000000000003947
  4. Bhisitkul RB, Mendes TS, Rofagha S, et al. Macular atrophy progression and 7-year vision outcomes in subjects from the ANCHOR, MARINA, and HORIZON studies: the SEVEN-UP study. Am J Ophthalmol. 2015;159(5):915-24.e2. doi:10.1016/j.ajo.2015.01.032
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Data Trends 2024: Diabetes

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Wed, 08/14/2024 - 13:22
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Data Trends 2024: Diabetes
References
  1. Martin SS, Aday AW, Almarzooq ZI, et al; for the American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. 2024 Heart disease and stroke statistics: a report of US and global data from the American Heart Association. Circulation. 2024;149(8):e347-e913. doi:10.1161/CIR.0000000000001209
  2. Utech A. VA supports veterans who have type 2 diabetes. VA News. August 18, 2022. Accessed March 15, 2024. https://news.va.gov/107579/va-supportsveterans-who-have-type-2-diabetes/
  3. Betancourt JA, Granados PS, Pacheco GJ, Shanmugam R, Kruse CS, Fulton LV. Obesity and morbidity risk in the U.S. veteran. Healthcare (Basel). 2020;8(3):191. doi:10.3390/healthcare8030191
  4. Briskin A. Obesity and diabetes: causes, treatments, and stigma. diaTribe. October 4, 2021. Accessed March 15, 2024. https://diatribe.org/obesity-and-diabetescauses-
    treatments-and-stigma
     
  5. Leonard C, Sayre G, Williams S, et al. Understanding the experience of veterans who require lower limb amputation in the Veterans Health Administration. PLOS One. 2022;17(3):e0265620. doi:10.1371/journal.pone.0265620
  6. Armstrong DG. Diabetic foot ulcers: a silent killer of veterans. Stat News. November 11, 2019. Accessed March 15, 2024. https://www.statnews.com/2019/11/11/diabetic-foot-ulcers-veterans-silent-killer/
  7. Koleda EW. The veteran diabetic foot ulcer (DFU) epidemic: a U.S. Department of Veterans Health Administration (VHA) hyperbaric oxygen therapy (HBOT) services review. TreatNOW. October 2022. Accessed March 15, 2024. https://treatnow.org/wp-content/uploads/2022/10/The-VA-Diabetic-Foot-Ulcer-Epidemic-10-14-22.pdf
  8. CDC identifies diabetes belt. Accessed March 15, 2024. https://stacks.cdc.gov/view/cdc/46013
  9. US Department of Veterans Affairs. National Center for Veterans Analysis and Statistics. Updated June 7, 2024. Accessed June 19, 2024. https://www.va.gov/vetdata/veteran_population.asp
  10. Avramovic S, Alemi F, Kanchi R, et al. US Veterans Administration diabetes risk (VADR) national cohort: cohort profile. BMJ Open. 2020;10(12):e039489. doi:10.1136/bmjopen-2020-039489
  11. Breland JY, Tseng CH, Toyama J, Washington DL. Influence of depression on racial and ethnic disparities in diabetes control. BMJ Open Diabetes Res Care. 2023;11(6):e003612. doi:10.1136/bmjdrc-2023-003612
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Lerner College of Medicine CWRU;
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Cleveland Clinic
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Dr. Correa has disclosed no relevant financial relationships.

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References
  1. Martin SS, Aday AW, Almarzooq ZI, et al; for the American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. 2024 Heart disease and stroke statistics: a report of US and global data from the American Heart Association. Circulation. 2024;149(8):e347-e913. doi:10.1161/CIR.0000000000001209
  2. Utech A. VA supports veterans who have type 2 diabetes. VA News. August 18, 2022. Accessed March 15, 2024. https://news.va.gov/107579/va-supportsveterans-who-have-type-2-diabetes/
  3. Betancourt JA, Granados PS, Pacheco GJ, Shanmugam R, Kruse CS, Fulton LV. Obesity and morbidity risk in the U.S. veteran. Healthcare (Basel). 2020;8(3):191. doi:10.3390/healthcare8030191
  4. Briskin A. Obesity and diabetes: causes, treatments, and stigma. diaTribe. October 4, 2021. Accessed March 15, 2024. https://diatribe.org/obesity-and-diabetescauses-
    treatments-and-stigma
     
  5. Leonard C, Sayre G, Williams S, et al. Understanding the experience of veterans who require lower limb amputation in the Veterans Health Administration. PLOS One. 2022;17(3):e0265620. doi:10.1371/journal.pone.0265620
  6. Armstrong DG. Diabetic foot ulcers: a silent killer of veterans. Stat News. November 11, 2019. Accessed March 15, 2024. https://www.statnews.com/2019/11/11/diabetic-foot-ulcers-veterans-silent-killer/
  7. Koleda EW. The veteran diabetic foot ulcer (DFU) epidemic: a U.S. Department of Veterans Health Administration (VHA) hyperbaric oxygen therapy (HBOT) services review. TreatNOW. October 2022. Accessed March 15, 2024. https://treatnow.org/wp-content/uploads/2022/10/The-VA-Diabetic-Foot-Ulcer-Epidemic-10-14-22.pdf
  8. CDC identifies diabetes belt. Accessed March 15, 2024. https://stacks.cdc.gov/view/cdc/46013
  9. US Department of Veterans Affairs. National Center for Veterans Analysis and Statistics. Updated June 7, 2024. Accessed June 19, 2024. https://www.va.gov/vetdata/veteran_population.asp
  10. Avramovic S, Alemi F, Kanchi R, et al. US Veterans Administration diabetes risk (VADR) national cohort: cohort profile. BMJ Open. 2020;10(12):e039489. doi:10.1136/bmjopen-2020-039489
  11. Breland JY, Tseng CH, Toyama J, Washington DL. Influence of depression on racial and ethnic disparities in diabetes control. BMJ Open Diabetes Res Care. 2023;11(6):e003612. doi:10.1136/bmjdrc-2023-003612
References
  1. Martin SS, Aday AW, Almarzooq ZI, et al; for the American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. 2024 Heart disease and stroke statistics: a report of US and global data from the American Heart Association. Circulation. 2024;149(8):e347-e913. doi:10.1161/CIR.0000000000001209
  2. Utech A. VA supports veterans who have type 2 diabetes. VA News. August 18, 2022. Accessed March 15, 2024. https://news.va.gov/107579/va-supportsveterans-who-have-type-2-diabetes/
  3. Betancourt JA, Granados PS, Pacheco GJ, Shanmugam R, Kruse CS, Fulton LV. Obesity and morbidity risk in the U.S. veteran. Healthcare (Basel). 2020;8(3):191. doi:10.3390/healthcare8030191
  4. Briskin A. Obesity and diabetes: causes, treatments, and stigma. diaTribe. October 4, 2021. Accessed March 15, 2024. https://diatribe.org/obesity-and-diabetescauses-
    treatments-and-stigma
     
  5. Leonard C, Sayre G, Williams S, et al. Understanding the experience of veterans who require lower limb amputation in the Veterans Health Administration. PLOS One. 2022;17(3):e0265620. doi:10.1371/journal.pone.0265620
  6. Armstrong DG. Diabetic foot ulcers: a silent killer of veterans. Stat News. November 11, 2019. Accessed March 15, 2024. https://www.statnews.com/2019/11/11/diabetic-foot-ulcers-veterans-silent-killer/
  7. Koleda EW. The veteran diabetic foot ulcer (DFU) epidemic: a U.S. Department of Veterans Health Administration (VHA) hyperbaric oxygen therapy (HBOT) services review. TreatNOW. October 2022. Accessed March 15, 2024. https://treatnow.org/wp-content/uploads/2022/10/The-VA-Diabetic-Foot-Ulcer-Epidemic-10-14-22.pdf
  8. CDC identifies diabetes belt. Accessed March 15, 2024. https://stacks.cdc.gov/view/cdc/46013
  9. US Department of Veterans Affairs. National Center for Veterans Analysis and Statistics. Updated June 7, 2024. Accessed June 19, 2024. https://www.va.gov/vetdata/veteran_population.asp
  10. Avramovic S, Alemi F, Kanchi R, et al. US Veterans Administration diabetes risk (VADR) national cohort: cohort profile. BMJ Open. 2020;10(12):e039489. doi:10.1136/bmjopen-2020-039489
  11. Breland JY, Tseng CH, Toyama J, Washington DL. Influence of depression on racial and ethnic disparities in diabetes control. BMJ Open Diabetes Res Care. 2023;11(6):e003612. doi:10.1136/bmjdrc-2023-003612
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Data Trends 2024: Respiratory Health

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Data Trends 2024: Respiratory Health
References
  1. McVeigh C, Reid J, Carvalho P. Healthcare professionals’ views of palliative care for American war veterans with non-malignant respiratory disease living in a rural area: a qualitative study. BMC Palliat Care. 2019;18(1):22. doi:10.1186/s12904-019-0408-7
  2. US Department of Veterans Affairs. Study finds uptick in lung disease in recent veterans. May 23, 2016. Accessed April 15, 2024. https://www.research.va.gov/currents/0516-3.cfm
  3. Sanders JW, Putnam SD, Frankart C, et al. Impact of illness and non-combat injury during Operations Iraqi Freedom and Enduring Freedom (Afghanistan). Am J Trop Med Hyg.  2005;73(4):713-719.
  4. Trupin L, Schmajuk G, Ying D, Yelin E, Blanc PD. Military service and COPD risk. Chest. 2022;162(4):792-795. doi:10.1016/j.chest.2022.04.016
  5. Bastian LA. Pain-related anxiety intervention for smokers with chronic pain: a comparative effectiveness trial of smoking cessation counseling for veterans. Veteran’s Health Systems Research, IIR 15-092-HSR Study. Published January 2022. Accessed April 2024. https://www.hsrd.research.va.gov/research/abstracts.cfm?Project_ID=2141704797
  6. Rivera AC, Powell TM, Boyko EJ, et al; for the Millennium Cohort Study Team. New-onset asthma and combat deployment: findings from the Millennium Cohort Study. Am J Epidemiol. 2018;187(10):2136-2144. doi:10.1093/aje/kwy112
  7. Savitz DA, Woskie SR, Bello A, et al. Deployment to Military Bases With Open Burn Pits and Respiratory and Cardiovascular Disease. JAMA Netw Open. 2024;7(4):e247629. doi:10.1001/jamanetworkopen.2024.7629
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Dr. Knudson has disclosed no relevant financial relationships.

References
  1. McVeigh C, Reid J, Carvalho P. Healthcare professionals’ views of palliative care for American war veterans with non-malignant respiratory disease living in a rural area: a qualitative study. BMC Palliat Care. 2019;18(1):22. doi:10.1186/s12904-019-0408-7
  2. US Department of Veterans Affairs. Study finds uptick in lung disease in recent veterans. May 23, 2016. Accessed April 15, 2024. https://www.research.va.gov/currents/0516-3.cfm
  3. Sanders JW, Putnam SD, Frankart C, et al. Impact of illness and non-combat injury during Operations Iraqi Freedom and Enduring Freedom (Afghanistan). Am J Trop Med Hyg.  2005;73(4):713-719.
  4. Trupin L, Schmajuk G, Ying D, Yelin E, Blanc PD. Military service and COPD risk. Chest. 2022;162(4):792-795. doi:10.1016/j.chest.2022.04.016
  5. Bastian LA. Pain-related anxiety intervention for smokers with chronic pain: a comparative effectiveness trial of smoking cessation counseling for veterans. Veteran’s Health Systems Research, IIR 15-092-HSR Study. Published January 2022. Accessed April 2024. https://www.hsrd.research.va.gov/research/abstracts.cfm?Project_ID=2141704797
  6. Rivera AC, Powell TM, Boyko EJ, et al; for the Millennium Cohort Study Team. New-onset asthma and combat deployment: findings from the Millennium Cohort Study. Am J Epidemiol. 2018;187(10):2136-2144. doi:10.1093/aje/kwy112
  7. Savitz DA, Woskie SR, Bello A, et al. Deployment to Military Bases With Open Burn Pits and Respiratory and Cardiovascular Disease. JAMA Netw Open. 2024;7(4):e247629. doi:10.1001/jamanetworkopen.2024.7629
References
  1. McVeigh C, Reid J, Carvalho P. Healthcare professionals’ views of palliative care for American war veterans with non-malignant respiratory disease living in a rural area: a qualitative study. BMC Palliat Care. 2019;18(1):22. doi:10.1186/s12904-019-0408-7
  2. US Department of Veterans Affairs. Study finds uptick in lung disease in recent veterans. May 23, 2016. Accessed April 15, 2024. https://www.research.va.gov/currents/0516-3.cfm
  3. Sanders JW, Putnam SD, Frankart C, et al. Impact of illness and non-combat injury during Operations Iraqi Freedom and Enduring Freedom (Afghanistan). Am J Trop Med Hyg.  2005;73(4):713-719.
  4. Trupin L, Schmajuk G, Ying D, Yelin E, Blanc PD. Military service and COPD risk. Chest. 2022;162(4):792-795. doi:10.1016/j.chest.2022.04.016
  5. Bastian LA. Pain-related anxiety intervention for smokers with chronic pain: a comparative effectiveness trial of smoking cessation counseling for veterans. Veteran’s Health Systems Research, IIR 15-092-HSR Study. Published January 2022. Accessed April 2024. https://www.hsrd.research.va.gov/research/abstracts.cfm?Project_ID=2141704797
  6. Rivera AC, Powell TM, Boyko EJ, et al; for the Millennium Cohort Study Team. New-onset asthma and combat deployment: findings from the Millennium Cohort Study. Am J Epidemiol. 2018;187(10):2136-2144. doi:10.1093/aje/kwy112
  7. Savitz DA, Woskie SR, Bello A, et al. Deployment to Military Bases With Open Burn Pits and Respiratory and Cardiovascular Disease. JAMA Netw Open. 2024;7(4):e247629. doi:10.1001/jamanetworkopen.2024.7629
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Federal Health Care Data Trends 2024

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Federal Health Care Data Trends is a special supplement to Federal Practitioner, showcasing the latest research in health care for veterans and active-duty military members via compelling infographics. Click below to view highlights from the issue: 

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Federal Health Care Data Trends is a special supplement to Federal Practitioner, showcasing the latest research in health care for veterans and active-duty military members via compelling infographics. Click below to view highlights from the issue: 

Federal Health Care Data Trends is a special supplement to Federal Practitioner, showcasing the latest research in health care for veterans and active-duty military members via compelling infographics. Click below to view highlights from the issue: 

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Data Trends 2024: Amyotrophic Lateral Sclerosis (ALS)

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References
  1. Mehta P, Raymond J, Zhang Y, et al. Prevalence of amyotrophic lateral sclerosis in the United States, 2018. Amyotroph Lateral Scler Frontotemporal Degener. Published online August 21, 2023. doi:10.1080/21678421.2023.2245858
  2. What is amyotrophic lateral sclerosis (ALS)? Centers for Disease Control and Prevention. Updated May 13, 2022. Accessed April 15, 2024. https://www.cdc.gov/als/WhatisAmyotrophiclateralsclerosis.html
  3. Reimer RJ, Goncalves A, Soper B, et al. An electronic health record cohort of veterans with amyotrophic lateral sclerosis. Amyotroph Lateral Scler Frontotemporal Degener. Published online August 9, 2023. doi:10.1080/21678421.2023.2239300
  4. Kudritzki V, Howard IM. Telehealth-based exercise in amyotrophic lateral sclerosis. Front  Neurol. 2023;14:1238916. doi:10.3389/fneur.2023.1238916
  5. Colvin LE, Foster ZW, Stein TD, et al. Utility of the ALSFRS-R for predicting ALS and comorbid disease neuropathology: the Veterans Affairs Biorepository Brain Bank. Muscle Nerve. 2022;66(2):167-174. doi:10.1002/mus.27635
  6. Rabadi MH, Russell KC, Xu C. Predictors of mortality in veterans with amyotrophic lateral sclerosis: respiratory status and speech disorder at presentation. Med Sci Monit. 2024;30:e943288. doi:10.12659/MSM.943288
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References
  1. Mehta P, Raymond J, Zhang Y, et al. Prevalence of amyotrophic lateral sclerosis in the United States, 2018. Amyotroph Lateral Scler Frontotemporal Degener. Published online August 21, 2023. doi:10.1080/21678421.2023.2245858
  2. What is amyotrophic lateral sclerosis (ALS)? Centers for Disease Control and Prevention. Updated May 13, 2022. Accessed April 15, 2024. https://www.cdc.gov/als/WhatisAmyotrophiclateralsclerosis.html
  3. Reimer RJ, Goncalves A, Soper B, et al. An electronic health record cohort of veterans with amyotrophic lateral sclerosis. Amyotroph Lateral Scler Frontotemporal Degener. Published online August 9, 2023. doi:10.1080/21678421.2023.2239300
  4. Kudritzki V, Howard IM. Telehealth-based exercise in amyotrophic lateral sclerosis. Front  Neurol. 2023;14:1238916. doi:10.3389/fneur.2023.1238916
  5. Colvin LE, Foster ZW, Stein TD, et al. Utility of the ALSFRS-R for predicting ALS and comorbid disease neuropathology: the Veterans Affairs Biorepository Brain Bank. Muscle Nerve. 2022;66(2):167-174. doi:10.1002/mus.27635
  6. Rabadi MH, Russell KC, Xu C. Predictors of mortality in veterans with amyotrophic lateral sclerosis: respiratory status and speech disorder at presentation. Med Sci Monit. 2024;30:e943288. doi:10.12659/MSM.943288
References
  1. Mehta P, Raymond J, Zhang Y, et al. Prevalence of amyotrophic lateral sclerosis in the United States, 2018. Amyotroph Lateral Scler Frontotemporal Degener. Published online August 21, 2023. doi:10.1080/21678421.2023.2245858
  2. What is amyotrophic lateral sclerosis (ALS)? Centers for Disease Control and Prevention. Updated May 13, 2022. Accessed April 15, 2024. https://www.cdc.gov/als/WhatisAmyotrophiclateralsclerosis.html
  3. Reimer RJ, Goncalves A, Soper B, et al. An electronic health record cohort of veterans with amyotrophic lateral sclerosis. Amyotroph Lateral Scler Frontotemporal Degener. Published online August 9, 2023. doi:10.1080/21678421.2023.2239300
  4. Kudritzki V, Howard IM. Telehealth-based exercise in amyotrophic lateral sclerosis. Front  Neurol. 2023;14:1238916. doi:10.3389/fneur.2023.1238916
  5. Colvin LE, Foster ZW, Stein TD, et al. Utility of the ALSFRS-R for predicting ALS and comorbid disease neuropathology: the Veterans Affairs Biorepository Brain Bank. Muscle Nerve. 2022;66(2):167-174. doi:10.1002/mus.27635
  6. Rabadi MH, Russell KC, Xu C. Predictors of mortality in veterans with amyotrophic lateral sclerosis: respiratory status and speech disorder at presentation. Med Sci Monit. 2024;30:e943288. doi:10.12659/MSM.943288
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Data Trends 2024: Arthritis

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References
  1. US Department of Veterans Affairs. Overview of VA research on arthritis. Accessed March 25, 2024. https://www.research.va.gov/topics/arthritis.cfm
  2. Fallon EA, Boring MA, Foster AL, Stowe EW, Lites TD, Allen KD. Arthritis prevalence among veterans — United States, 2017–2021. MMWR Recomm Reports. 2023;72(45):1209-1216. doi:10.15585/mmwr.mm7245a1
  3. Huffman KF, Ambrose KR, Nelson AE, Allen KD, Golightly YM, Callahan LF. The critical role of physical activity and weight management in knee and hip osteoarthritis: a narrative review. J Rheumatol. 2023;51(3):224-233. doi:10.3899/ jrheum.2023-0819
  4. Lo GH. Successfully treating patients with osteoarthritis: how encouragement of physical activity can generate the best outcomes. A physician’s perspective. J Rheumatol. 2023:jrheum.2023-0899. doi:10.3899/jrheum.2023-0899
  5. Overton C, Nelson AE, Neogi T. Osteoarthritis treatment guidelines from six professional societies: similarities and differences. Rheum Dis Clin North Am. 2022;48(3):637-657. doi:10.1016/j.rdc.2022.03.009
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References
  1. US Department of Veterans Affairs. Overview of VA research on arthritis. Accessed March 25, 2024. https://www.research.va.gov/topics/arthritis.cfm
  2. Fallon EA, Boring MA, Foster AL, Stowe EW, Lites TD, Allen KD. Arthritis prevalence among veterans — United States, 2017–2021. MMWR Recomm Reports. 2023;72(45):1209-1216. doi:10.15585/mmwr.mm7245a1
  3. Huffman KF, Ambrose KR, Nelson AE, Allen KD, Golightly YM, Callahan LF. The critical role of physical activity and weight management in knee and hip osteoarthritis: a narrative review. J Rheumatol. 2023;51(3):224-233. doi:10.3899/ jrheum.2023-0819
  4. Lo GH. Successfully treating patients with osteoarthritis: how encouragement of physical activity can generate the best outcomes. A physician’s perspective. J Rheumatol. 2023:jrheum.2023-0899. doi:10.3899/jrheum.2023-0899
  5. Overton C, Nelson AE, Neogi T. Osteoarthritis treatment guidelines from six professional societies: similarities and differences. Rheum Dis Clin North Am. 2022;48(3):637-657. doi:10.1016/j.rdc.2022.03.009
References
  1. US Department of Veterans Affairs. Overview of VA research on arthritis. Accessed March 25, 2024. https://www.research.va.gov/topics/arthritis.cfm
  2. Fallon EA, Boring MA, Foster AL, Stowe EW, Lites TD, Allen KD. Arthritis prevalence among veterans — United States, 2017–2021. MMWR Recomm Reports. 2023;72(45):1209-1216. doi:10.15585/mmwr.mm7245a1
  3. Huffman KF, Ambrose KR, Nelson AE, Allen KD, Golightly YM, Callahan LF. The critical role of physical activity and weight management in knee and hip osteoarthritis: a narrative review. J Rheumatol. 2023;51(3):224-233. doi:10.3899/ jrheum.2023-0819
  4. Lo GH. Successfully treating patients with osteoarthritis: how encouragement of physical activity can generate the best outcomes. A physician’s perspective. J Rheumatol. 2023:jrheum.2023-0899. doi:10.3899/jrheum.2023-0899
  5. Overton C, Nelson AE, Neogi T. Osteoarthritis treatment guidelines from six professional societies: similarities and differences. Rheum Dis Clin North Am. 2022;48(3):637-657. doi:10.1016/j.rdc.2022.03.009
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Data Trends 2024: Substance Use Disorder

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References
  1. Teeters JB, Lancaster CL, Brown DG, Back SE. Substance use disorders in military veterans: prevalence and treatment challenges. Subst Abuse Rehabil. 2017;8:69-77. doi:10.2147/sar.s116720
  2. Substance Abuse and Mental Health Services Administration. Results from the 2022 National Survey on Drug Use and Health: a companion infographic. SAMHSA publication no. PEP23-07-01-007. November 13, 2023. Accessed March 25, 2024. https://www.samhsa.gov/data/sites/default/files/reports/rpt42730/2022-nsduh-infographic-report.pdf
  3. Substance Abuse and Mental Health Services Administration. 2022 National Survey on Drug Use and Health: Among the Veteran Population Aged 18 or Older. Accessed March 25, 2024. https://www.samhsa.gov/data/sites/default/files/reports/rpt44472/2022-nsduh-pop-slides-veterans.pdf
  4. Cypel YS, DePhilippis D, Davey VJ. Substance use in U.S. Vietnam War era veterans and nonveterans: results from the Vietnam Era Health Retrospective Observational Study. Subst Use Misuse. 2023;58(7):858-870. doi:10.1080/10826084.2023.2188427
  5. Otufowora A, Liu Y, Okusanya A, Ogidan A, Okusanya A, Cottler LB. The effect of veteran status and chronic pain on past 30-day sedative use among community-dwelling adult males. J Am Board Fam Med. 2024;37(1):118-128. doi:10.3122/jabfm.2023.230226R2
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References
  1. Teeters JB, Lancaster CL, Brown DG, Back SE. Substance use disorders in military veterans: prevalence and treatment challenges. Subst Abuse Rehabil. 2017;8:69-77. doi:10.2147/sar.s116720
  2. Substance Abuse and Mental Health Services Administration. Results from the 2022 National Survey on Drug Use and Health: a companion infographic. SAMHSA publication no. PEP23-07-01-007. November 13, 2023. Accessed March 25, 2024. https://www.samhsa.gov/data/sites/default/files/reports/rpt42730/2022-nsduh-infographic-report.pdf
  3. Substance Abuse and Mental Health Services Administration. 2022 National Survey on Drug Use and Health: Among the Veteran Population Aged 18 or Older. Accessed March 25, 2024. https://www.samhsa.gov/data/sites/default/files/reports/rpt44472/2022-nsduh-pop-slides-veterans.pdf
  4. Cypel YS, DePhilippis D, Davey VJ. Substance use in U.S. Vietnam War era veterans and nonveterans: results from the Vietnam Era Health Retrospective Observational Study. Subst Use Misuse. 2023;58(7):858-870. doi:10.1080/10826084.2023.2188427
  5. Otufowora A, Liu Y, Okusanya A, Ogidan A, Okusanya A, Cottler LB. The effect of veteran status and chronic pain on past 30-day sedative use among community-dwelling adult males. J Am Board Fam Med. 2024;37(1):118-128. doi:10.3122/jabfm.2023.230226R2
References
  1. Teeters JB, Lancaster CL, Brown DG, Back SE. Substance use disorders in military veterans: prevalence and treatment challenges. Subst Abuse Rehabil. 2017;8:69-77. doi:10.2147/sar.s116720
  2. Substance Abuse and Mental Health Services Administration. Results from the 2022 National Survey on Drug Use and Health: a companion infographic. SAMHSA publication no. PEP23-07-01-007. November 13, 2023. Accessed March 25, 2024. https://www.samhsa.gov/data/sites/default/files/reports/rpt42730/2022-nsduh-infographic-report.pdf
  3. Substance Abuse and Mental Health Services Administration. 2022 National Survey on Drug Use and Health: Among the Veteran Population Aged 18 or Older. Accessed March 25, 2024. https://www.samhsa.gov/data/sites/default/files/reports/rpt44472/2022-nsduh-pop-slides-veterans.pdf
  4. Cypel YS, DePhilippis D, Davey VJ. Substance use in U.S. Vietnam War era veterans and nonveterans: results from the Vietnam Era Health Retrospective Observational Study. Subst Use Misuse. 2023;58(7):858-870. doi:10.1080/10826084.2023.2188427
  5. Otufowora A, Liu Y, Okusanya A, Ogidan A, Okusanya A, Cottler LB. The effect of veteran status and chronic pain on past 30-day sedative use among community-dwelling adult males. J Am Board Fam Med. 2024;37(1):118-128. doi:10.3122/jabfm.2023.230226R2
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Data Trends 2024: Traumatic Brain Injury (TBI)

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References
  1. US Department of Veterans Affairs. VA research on traumatic brain injury. Updated July 2020. Accessed April 19, 2024. https://www.research.va.gov/pubs/docs/va_factsheets/tbi.pdf
  2. Miles SR, Sayer NA, Belanger HG, et al. Comparing outcomes of the Veterans Health Administration's traumatic brain injury and mental health screening programs: types and frequency of specialty services used. J Neurotrauma. 2023;40(1-2):102-111. doi:10.1089/neu.2022.0176
  3. Pogoda TK, Adams RS, Carlson KF, Dismuke-Greer CE, Amuan M, Pugh MJ. Risk of adverse outcomes among veterans who screen positive for traumatic brain injury in the Veterans Health Administration but do not complete a comprehensive evaluation: a LIMBIC-CENC study. J Head Trauma Rehabil. Published online June 19, 2023. doi:10.1097/HTR.0000000000000881
  4. Kinney AR, Yan XD, Schneider AL, et al. Unmet need for outpatient occupational therapy services among veterans with mild traumatic brain injury in the Veterans Health Administration: the role of facility characteristics. Arch Phys Med Rehabil. 2023;104(11):1802-1811. doi:10.1016/j.apmr.2023.03.030
  5. Clark JMR, Ozturk ED, Chanfreau-Coffinier C, Merritt VC; VA Million Veteran Program. Evaluation of clinical outcomes and employment status in veterans with dual diagnosis of traumatic brain injury and spinal cord injury. Qual Life Res. 2024;33(1):229-239. doi:10.1007/s11136-023-03518-7
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References
  1. US Department of Veterans Affairs. VA research on traumatic brain injury. Updated July 2020. Accessed April 19, 2024. https://www.research.va.gov/pubs/docs/va_factsheets/tbi.pdf
  2. Miles SR, Sayer NA, Belanger HG, et al. Comparing outcomes of the Veterans Health Administration's traumatic brain injury and mental health screening programs: types and frequency of specialty services used. J Neurotrauma. 2023;40(1-2):102-111. doi:10.1089/neu.2022.0176
  3. Pogoda TK, Adams RS, Carlson KF, Dismuke-Greer CE, Amuan M, Pugh MJ. Risk of adverse outcomes among veterans who screen positive for traumatic brain injury in the Veterans Health Administration but do not complete a comprehensive evaluation: a LIMBIC-CENC study. J Head Trauma Rehabil. Published online June 19, 2023. doi:10.1097/HTR.0000000000000881
  4. Kinney AR, Yan XD, Schneider AL, et al. Unmet need for outpatient occupational therapy services among veterans with mild traumatic brain injury in the Veterans Health Administration: the role of facility characteristics. Arch Phys Med Rehabil. 2023;104(11):1802-1811. doi:10.1016/j.apmr.2023.03.030
  5. Clark JMR, Ozturk ED, Chanfreau-Coffinier C, Merritt VC; VA Million Veteran Program. Evaluation of clinical outcomes and employment status in veterans with dual diagnosis of traumatic brain injury and spinal cord injury. Qual Life Res. 2024;33(1):229-239. doi:10.1007/s11136-023-03518-7
References
  1. US Department of Veterans Affairs. VA research on traumatic brain injury. Updated July 2020. Accessed April 19, 2024. https://www.research.va.gov/pubs/docs/va_factsheets/tbi.pdf
  2. Miles SR, Sayer NA, Belanger HG, et al. Comparing outcomes of the Veterans Health Administration's traumatic brain injury and mental health screening programs: types and frequency of specialty services used. J Neurotrauma. 2023;40(1-2):102-111. doi:10.1089/neu.2022.0176
  3. Pogoda TK, Adams RS, Carlson KF, Dismuke-Greer CE, Amuan M, Pugh MJ. Risk of adverse outcomes among veterans who screen positive for traumatic brain injury in the Veterans Health Administration but do not complete a comprehensive evaluation: a LIMBIC-CENC study. J Head Trauma Rehabil. Published online June 19, 2023. doi:10.1097/HTR.0000000000000881
  4. Kinney AR, Yan XD, Schneider AL, et al. Unmet need for outpatient occupational therapy services among veterans with mild traumatic brain injury in the Veterans Health Administration: the role of facility characteristics. Arch Phys Med Rehabil. 2023;104(11):1802-1811. doi:10.1016/j.apmr.2023.03.030
  5. Clark JMR, Ozturk ED, Chanfreau-Coffinier C, Merritt VC; VA Million Veteran Program. Evaluation of clinical outcomes and employment status in veterans with dual diagnosis of traumatic brain injury and spinal cord injury. Qual Life Res. 2024;33(1):229-239. doi:10.1007/s11136-023-03518-7
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Data Trends 2024: Cardiology

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References
  1.  Boersma P, Cohen RA, Zelaya CE, Moy E. Multiple chronic conditions among veterans and nonveterans: United States, 2015–2018. Natl Health Stat Rep. 2021;(153):1-13. Accessed March 15, 2024. https://www.cdc.gov/nchs/data/nhsr/nhsr153-508.pdf
  2. Army troops have worse heart health than civilian population, study says. American Heart Association News. June 5, 2019. Accessed March 15, 2024. https://www.heart.org/en/news/2019/06/05/army-troops-have-worse-heart-health-than-civilian-population-study-says
  3. Haira RS, Kataruka A, Akeroyd JM, et al. Association of Body Mass Index with Risk Factor Optimization and Guideline-Directed Medical Therapy in US Veterans with Cardiovascular Disease. Circ Cardiovasc Qual Outcomes. 2019;12:e004817 doi:10.1161/CIRCOUTCOMES.118.004817
  4. Merschel M. Gulf War illness may increase risk for heart disease or stroke. American Heart Association News. September 29, 2023. Accessed March 15, 2024. https://www.heart.org/en/news/2023/09/29/gulf-war-illness-may-increase-risk-for-heart-disease-or-stroke
  5. Women veterans and heart health. American Heart Association: Go Red for Women. Accessed March 14, 2024. https://www.goredforwomen.org/en/about-heart-disease-in-women/facts/women-veterans-and-heart-health
  6. Heart disease and stroke statistics - 2023 Update. American Heart Association Professional Heart Daily. January 25, 2023. Accessed March 14, 2024. https://professional.heart.org/en/science-news/heart-disease-and-stroke-statistics-2023-update
  7. Ebrahimi R. Sumner J, Lynch K, et al. Women veterans with PTSD have higher rate of heart disease. American Heart Association Scientific Sessions 2020, Presentation 314 - P12702. American Heart Association News. November 9, 2020. Accessed March 14, 2024. https://newsroom.heart.org/news/women-veterans-with-ptsd-have-higher-rate-of-heart-disease
  8. Wadman M. COVID-19 takes serious toll on heart health—a full year after recovery. Science. Updated February 13, 2022. Accessed March 14, 2024. https://www.science.org/content/article/covid-19-takes-serious-toll-heart-health-full-year-after-recovery
  9. Bowe B, Xie Y, Al-Aly Z. Postacute sequale of COVID-19 at 2 years. Nature Medicine. 2023;29:2347-2357. doi:10.1038/s41591-023-02521-2
  10. Offord C. COVID-19 boosts risks of health problems 2 years later, giant study of veterans says. Science. August 21, 2023. Accessed March 13, 2024. https://www.science.org/content/article/covid-19-boosts-risks-health-problems-2-years-later-giant-study-veterans-says
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References
  1.  Boersma P, Cohen RA, Zelaya CE, Moy E. Multiple chronic conditions among veterans and nonveterans: United States, 2015–2018. Natl Health Stat Rep. 2021;(153):1-13. Accessed March 15, 2024. https://www.cdc.gov/nchs/data/nhsr/nhsr153-508.pdf
  2. Army troops have worse heart health than civilian population, study says. American Heart Association News. June 5, 2019. Accessed March 15, 2024. https://www.heart.org/en/news/2019/06/05/army-troops-have-worse-heart-health-than-civilian-population-study-says
  3. Haira RS, Kataruka A, Akeroyd JM, et al. Association of Body Mass Index with Risk Factor Optimization and Guideline-Directed Medical Therapy in US Veterans with Cardiovascular Disease. Circ Cardiovasc Qual Outcomes. 2019;12:e004817 doi:10.1161/CIRCOUTCOMES.118.004817
  4. Merschel M. Gulf War illness may increase risk for heart disease or stroke. American Heart Association News. September 29, 2023. Accessed March 15, 2024. https://www.heart.org/en/news/2023/09/29/gulf-war-illness-may-increase-risk-for-heart-disease-or-stroke
  5. Women veterans and heart health. American Heart Association: Go Red for Women. Accessed March 14, 2024. https://www.goredforwomen.org/en/about-heart-disease-in-women/facts/women-veterans-and-heart-health
  6. Heart disease and stroke statistics - 2023 Update. American Heart Association Professional Heart Daily. January 25, 2023. Accessed March 14, 2024. https://professional.heart.org/en/science-news/heart-disease-and-stroke-statistics-2023-update
  7. Ebrahimi R. Sumner J, Lynch K, et al. Women veterans with PTSD have higher rate of heart disease. American Heart Association Scientific Sessions 2020, Presentation 314 - P12702. American Heart Association News. November 9, 2020. Accessed March 14, 2024. https://newsroom.heart.org/news/women-veterans-with-ptsd-have-higher-rate-of-heart-disease
  8. Wadman M. COVID-19 takes serious toll on heart health—a full year after recovery. Science. Updated February 13, 2022. Accessed March 14, 2024. https://www.science.org/content/article/covid-19-takes-serious-toll-heart-health-full-year-after-recovery
  9. Bowe B, Xie Y, Al-Aly Z. Postacute sequale of COVID-19 at 2 years. Nature Medicine. 2023;29:2347-2357. doi:10.1038/s41591-023-02521-2
  10. Offord C. COVID-19 boosts risks of health problems 2 years later, giant study of veterans says. Science. August 21, 2023. Accessed March 13, 2024. https://www.science.org/content/article/covid-19-boosts-risks-health-problems-2-years-later-giant-study-veterans-says
References
  1.  Boersma P, Cohen RA, Zelaya CE, Moy E. Multiple chronic conditions among veterans and nonveterans: United States, 2015–2018. Natl Health Stat Rep. 2021;(153):1-13. Accessed March 15, 2024. https://www.cdc.gov/nchs/data/nhsr/nhsr153-508.pdf
  2. Army troops have worse heart health than civilian population, study says. American Heart Association News. June 5, 2019. Accessed March 15, 2024. https://www.heart.org/en/news/2019/06/05/army-troops-have-worse-heart-health-than-civilian-population-study-says
  3. Haira RS, Kataruka A, Akeroyd JM, et al. Association of Body Mass Index with Risk Factor Optimization and Guideline-Directed Medical Therapy in US Veterans with Cardiovascular Disease. Circ Cardiovasc Qual Outcomes. 2019;12:e004817 doi:10.1161/CIRCOUTCOMES.118.004817
  4. Merschel M. Gulf War illness may increase risk for heart disease or stroke. American Heart Association News. September 29, 2023. Accessed March 15, 2024. https://www.heart.org/en/news/2023/09/29/gulf-war-illness-may-increase-risk-for-heart-disease-or-stroke
  5. Women veterans and heart health. American Heart Association: Go Red for Women. Accessed March 14, 2024. https://www.goredforwomen.org/en/about-heart-disease-in-women/facts/women-veterans-and-heart-health
  6. Heart disease and stroke statistics - 2023 Update. American Heart Association Professional Heart Daily. January 25, 2023. Accessed March 14, 2024. https://professional.heart.org/en/science-news/heart-disease-and-stroke-statistics-2023-update
  7. Ebrahimi R. Sumner J, Lynch K, et al. Women veterans with PTSD have higher rate of heart disease. American Heart Association Scientific Sessions 2020, Presentation 314 - P12702. American Heart Association News. November 9, 2020. Accessed March 14, 2024. https://newsroom.heart.org/news/women-veterans-with-ptsd-have-higher-rate-of-heart-disease
  8. Wadman M. COVID-19 takes serious toll on heart health—a full year after recovery. Science. Updated February 13, 2022. Accessed March 14, 2024. https://www.science.org/content/article/covid-19-takes-serious-toll-heart-health-full-year-after-recovery
  9. Bowe B, Xie Y, Al-Aly Z. Postacute sequale of COVID-19 at 2 years. Nature Medicine. 2023;29:2347-2357. doi:10.1038/s41591-023-02521-2
  10. Offord C. COVID-19 boosts risks of health problems 2 years later, giant study of veterans says. Science. August 21, 2023. Accessed March 13, 2024. https://www.science.org/content/article/covid-19-boosts-risks-health-problems-2-years-later-giant-study-veterans-says
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