PMID- 27589092
OWN - NLM
STAT- MEDLINE
DCOM- 20170719
LR  - 20181202
IS  - 1538-957X (Electronic)
IS  - 1538-9588 (Linking)
VI  - 18
IP  - 4
DP  - 2017 May 19
TI  - Risk of motor vehicle accident death among 1.3 million veterans of the Iraq and 
      Afghanistan wars.
PG  - 369-374
LID - 10.1080/15389588.2016.1206201 [doi]
AB  - OBJECTIVE: We conducted a cohort study of recent wartime veterans to determine 
      the postservice mortality risk due to motor vehicle accidents (MVAs). METHODS: 
      Veterans were identified from the Defense Manpower Data Center records. 
      Deployment to te Iraq or Afghanistan war zone was determined from the Contingency 
      Tracking System. Vital status of 317,581 deployed and 964,493 nondeployed 
      veterans was followed from their discharge dates between 2001 to 2007 until 
      earlier of date of death or December 31, 2009. Underlying causes of death were 
      obtained from the National Death Index Plus. RESULTS: Based on 9,353 deaths 
      (deployed, 1,650; nondeployed, 7,703), of which 779 were MVA deaths as drivers 
      (166; 613), both cohorts had 25 to 24% lower mortality risk from all causes but 
      had 44 to 45% higher risk of MVA deaths relative to the U.S. general population. 
      The higher MVA mortality risk was not associated with deployment to the war zone. 
      After controlling for age, sex, race, marital status, branch of service, and 
      rank, the risk for deployed veterans was comparable to that of nondeployed 
      veterans (hazard ratio = 0.91; 95% confidence interval, 0.77-1.09). CONCLUSIONS: 
      Veterans exhibit significantly higher risk of MVA deaths compared to the U.S. 
      general population. However, deployment to the Iraq or Afghanistan war was not 
      associated with the excess risk.
FAU - Bullman, Tim A
AU  - Bullman TA
AD  - a Office of Public Health , U.S. Department of Veterans Affairs , Washington , 
      D.C.
FAU - Kang, Han K
AU  - Kang HK
AD  - b Institute for Clinical Research , Washington , D.C.
FAU - Smolenski, Derek J
AU  - Smolenski DJ
AD  - c National Center for Telehealth and Technology , U.S. Department of the Army , 
      Tacoma , Washington.
FAU - Skopp, Nancy A
AU  - Skopp NA
AD  - c National Center for Telehealth and Technology , U.S. Department of the Army , 
      Tacoma , Washington.
FAU - Gahm, Gregory A
AU  - Gahm GA
AD  - c National Center for Telehealth and Technology , U.S. Department of the Army , 
      Tacoma , Washington.
FAU - Reger, Mark A
AU  - Reger MA
AD  - c National Center for Telehealth and Technology , U.S. Department of the Army , 
      Tacoma , Washington.
LA  - eng
PT  - Journal Article
DEP - 20160902
PL  - England
TA  - Traffic Inj Prev
JT  - Traffic injury prevention
JID - 101144385
SB  - IM
MH  - Accidents, Traffic/*mortality
MH  - Adult
MH  - Afghan Campaign 2001-
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Proportional Hazards Models
MH  - Registries
MH  - Risk Factors
MH  - United States/epidemiology
MH  - *Veterans
MH  - Wounds and Injuries/*mortality
OTO - NOTNLM
OT  - Iraq and Afghanistan wars
OT  - Motor vehicle accidents
OT  - hazard ratios
OT  - standardized mortality ratios
OT  - veterans
EDAT- 2016/09/03 06:00
MHDA- 2017/07/20 06:00
CRDT- 2016/09/03 06:00
PHST- 2016/09/03 06:00 [pubmed]
PHST- 2017/07/20 06:00 [medline]
PHST- 2016/09/03 06:00 [entrez]
AID - 10.1080/15389588.2016.1206201 [doi]
PST - ppublish
SO  - Traffic Inj Prev. 2017 May 19;18(4):369-374. doi: 10.1080/15389588.2016.1206201. 
      Epub 2016 Sep 2.